Predicting for postoperative incontinence following sling incision.
OBJECTIVE
Our objective was to assess preoperative risk factors for developing recurrent stress urinary incontinence (SUI) following transvaginal sling incision (TVSI) for bladder outlet obstruction (BOO).


METHODS
We identified 101 women who underwent TVSI and/or removal of a midurethral sling. Thirty-nine underwent TVSI for clinical and videourodynamic demonstrable BOO. Eighteen of 39 women demonstrated preoperative clinical SUI and urodynamic BOO. A comparative analysis was performed specifically looking at several clinical factors and the risk of the occurrence of postoperative SUI.


RESULTS
Mean age, number of prior surgeries, parity, and pre- and postoperative PVRs did not predict for postoperative SUI. Nine of 18 (50%) of women with SUI and BOO preoperatively vs. only 2/21 (10%) of women with BOO alone developed postoperative SUI. This difference in the incidence of postoperative SUI was statistically significant (p<0.01).


CONCLUSIONS
In patients with BOO, the presence of preoperative clinical SUI is a predictor for postoperative SUI following TVSI.
Department of Urology, Medical University of South Carolina, 96 Jonathan Lucas St., CSB 644, Charleston, SC 29425, USA.
Timothy
T
Yoost
Ross
R
Rames
Brett
B
Lebed
Robin
R
Bhavsar
Eric
E
Rovner
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D006801:Humans; D008875:Middle Aged; D012008:Recurrence; D012307:Risk Factors; D053825:Suburethral Slings / Q000009:adverse effects*; D001748:Urinary Bladder Neck Obstruction / Q000601:surgery*; D014550:Urinary Incontinence, Stress / Q000150:complications / Q000209:etiology* / Q000503:physiopathology; D014563:Urodynamics / Q000502:physiology; D013520:Urologic Surgical Procedures / Q000009:adverse effects