Long-term urinary continence rates after simple sling incision for relief of urinary retention following fascia lata pubovaginal slings.
OBJECTIVE
We examined long-term urinary continence rates in patients after midline simple sling incision for urinary retention following suburethral fascia lata slings.


METHODS
A retrospective review was completed of 13 women undergoing a simple sling incision for catheter dependent obstruction after suburethral sling surgery more than 4 years previously. Urinary continence was evaluated by use of the Groutz-Blaivas anti-incontinence surgery response score. The scores were statistically compared as binary categories at mean 111-day and 60.8-month followup.


RESULTS
A total of 13 women underwent a simple sling incision for catheter dependent urinary retention after sling surgery, and 11 patients (mean age 73.4 years) were available for long-term followup (60.8 months). The simple sling incision procedure was completed an average of 65 days (range 36 to 235) after original sling placement. Mean post-void residual urine volume at least 1 month after sling surgery was 289 ml (range 75 to 500). At a mean followup of 60.8 months, no patient required catheterization. Of 11 patients 5 wore no pads. There was no statistical difference in leakage episodes per day (p = 1.0), pads per day (p = 0.3), or patient perceived condition (p = 0.3) during long-term followup. The mean Groutz-Blaivas score did not change statistically during the 5-year followup period (p = 0.6).


CONCLUSIONS
Midline simple sling incision provides relief of catheter dependent obstruction following fascia lata sling surgery while preserving urinary continence in the majority of patients during a 5-year followup period.
Thiel
David D
DD
Department of Urology, Mayo Clinic, Jacksonville, Florida 32224, USA.
Pettit
Paul D M
PD
McClellan
William T
WT
Petrou
Steven P
SP
D000368:Aged; D005206:Fascia Lata / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008875:Middle Aged; D011336:Probability; D020127:Recovery of Function; D012086:Reoperation / Q000379:methods; D012189:Retrospective Studies; D018570:Risk Assessment; D012720:Severity of Illness Index; D013526:Surgical Mesh; D013997:Time Factors; D016896:Treatment Outcome; D014524:Urethral Obstruction / Q000209:etiology / Q000601:surgery*; D014550:Urinary Incontinence, Stress / Q000175:diagnosis / Q000601:surgery*; D016055:Urinary Retention / Q000209:etiology / Q000601:surgery*; D014554:Urination / Q000502:physiology; D014563:Urodynamics; D013520:Urologic Surgical Procedures / Q000009:adverse effects* / Q000379:methods