title: Bladder outlet obstruction after pubovaginal fascial sling.
abstract: The purpose of this cross-sectional study was to evaluate patients' satisfaction and urodynamic findings in women undergoing pubovaginal fascial sling procedure. We have evaluated, clinically and urodynamically, 45 women who underwent the rectus fascia pubovaginal sling for urodynamically proven stress urinary incontinence with at least 12 months of postoperative follow-up. After a mean follow-up of 25 months, 93.3% of patients reported being stress continent and 73.3% were satisfied with the result of the surgery. Patients with longer follow-up had a significantly lower satisfaction score (6.4 vs. 9.3, p = 0.005). Using the Blaivas-Groutz nomogram, some degree of obstruction was observed in 51.1% of women. Storage symptoms were related to obstruction (p = 0.004), longer follow-up (p = 0.022), and negative impact on quality of life. Half of the patients had some degree of obstruction, which was directly related to urge syndrome and decrease in quality of life.
authors.affiliation: Division of Urology, Santa Casa of Sao Paulo Medical School, Sao Paulo, Brazil. luisgtoledo@uol.com.br
authors.forename: Luís Gustavo M
authors.initials: LG
authors.lastname: Toledo
authors.forename: Fernando
authors.initials: F
authors.lastname: Korkes
authors.forename: Frederico R
authors.initials: FR
authors.lastname: Romero
authors.forename: Roni C
authors.initials: RC
authors.lastname: Fernandes
authors.forename: Celso
authors.initials: C
authors.lastname: Oliveira
authors.forename: Marjo D C
authors.initials: MD
authors.lastname: Perez
mesh_terms: D000328:Adult; D000368:Aged; D003430:Cross-Sectional Studies; D005260:Female; D005500:Follow-Up Studies; D013509:Gynecologic Surgical Procedures / Q000009:adverse effects*; D006801:Humans; D008875:Middle Aged; D017060:Patient Satisfaction; D015995:Prevalence; D011788:Quality of Life; D053825:Suburethral Slings / Q000009:adverse effects*; D016896:Treatment Outcome; D001748:Urinary Bladder Neck Obstruction / Q000209:etiology*; D014550:Urinary Incontinence, Stress / Q000601:surgery*