title: Detrusor overactivity and urge urinary incontinence [corrected] following midurethral versus bladder sling procedures.
abstract: OBJECTIVE
  The objective of the study was to compare detrusor overactivity and urge urinary incontinence rates after midurethral slings versus bladder neck slings.
  
  
  METHODS
  Three hundred forty subjects underwent midurethral slings or bladder neck slings. Comparisons were made using Student's t test and chi2 test. Multivariate analysis was performed to detect confounding factors.
  
  
  RESULTS
  More patients in the midurethral sling group resolved detrusor overactivity than in the bladder neck sling group (38% versus 15%, P < .001). In addition, subjects in the midurethral sling group had significantly lower rates of de novo detrusor overactivity than subjects in the bladder neck sling group (29% versus 62%, P = .002). The only significant predictors of postoperative detrusor overactivity were preoperative detrusor overactivity (P < .001) and sling type (P < .001). After adjusting for preoperative detrusor overactivity, bladder neck slings significantly increased the risk for persistent detrusor overactivity (odds ratio 3.9).
  
  
  CONCLUSIONS
  Midurethral slings have increased rates of resolution of detrusor overactivity and lower rates of de novo detrusor overactivity than transvaginal bladder neck sling procedures.
authors.affiliation: Evanston Continence Center, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA. sbotros@enh.org
authors.forename: Sylvia M
authors.initials: SM
authors.lastname: Botros
authors.forename: Yoram
authors.initials: Y
authors.lastname: Abramov
authors.forename: Roger P
authors.initials: RP
authors.lastname: Goldberg
authors.forename: Jennifer L
authors.initials: JL
authors.lastname: Beaumont
authors.forename: Sanjay
authors.initials: S
authors.lastname: Gandhi
authors.forename: Jay-James R
authors.initials: JJ
authors.lastname: Miller
authors.forename: Peter K
authors.initials: PK
authors.lastname: Sand
mesh_terms: D000368:Aged; D005260:Female; D006801:Humans; D008875:Middle Aged; D015999:Multivariate Analysis; D019736:Prostheses and Implants; D016896:Treatment Outcome; D014521:Urethra / Q000503:physiopathology; D014550:Urinary Incontinence, Stress / Q000601:surgery*; D014563:Urodynamics; D013520:Urologic Surgical Procedures / Q000379:methods*