Prediction of successful voiding immediately after outpatient mid-urethral sling.
We set out to identify predictors of successful voiding immediately after outpatient mid-urethral sling. The charts of 126 patients who underwent an outpatient mid-urethral sling procedure were identified. Using discharge without a urinary catheter as the dependent variable, logistic regression analysis modeled the relationship of independent variables including demographic, preoperative urodynamic, and perioperative variables. Sixty-one percent of the patients passed their immediate postoperative voiding trial. Logistic regression analysis revealed that parity > or = 3, Valsalva leak point pressure > 60 cm H(2)O, and high preoperative anxiety remained independently associated with successful voiding. Identifying preoperative variables that are associated with successful voiding after mid-urethral sling may be useful in helping to accurately shape patient expectations and identify those most likely to benefit from preoperative teaching of self-catheterization.
Barron
Kenneth I
KI
Division of Urogynecology, Department of Obstetrics and Gynecology, University of Massachusetts Medical School, 119 Belmont Street, Worcester, MA 01605, USA.
Savageau
Judith A
JA
Young
Stephen B
SB
Labin
Lisa C
LC
Morse
Abraham N
AN
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000556:Ambulatory Surgical Procedures; D005260:Female; D006801:Humans; D008875:Middle Aged; D019736:Prostheses and Implants; D020127:Recovery of Function; D012307:Risk Factors; D016896:Treatment Outcome; D014550:Urinary Incontinence, Stress / Q000503:physiopathology / Q000601:surgery*; D016055:Urinary Retention / Q000453:epidemiology / Q000209:etiology; D014554:Urination; D014563:Urodynamics; D013521:Urologic Surgical Procedures, Male / Q000009:adverse effects