The influence of preoperative bladder outlet obstruction on continence and satisfaction in patients with stress urinary incontinence after midurethral sling.
OBJECTIVE
We studied the influence of preoperative bladder outlet obstruction (BOO) on postoperative continence rates and patient satisfaction after the midurethral sling procedure.


METHODS
A total of 159 women who underwent the midurethral sling procedure were evaluated. Using the Blaivas-Groutz nomogram, we assigned the patients were assigned to Group I (n=37, no obstruction), Group II (n=89, mild obstruction), or Group III (n=33, moderate to severe obstruction). Continence rates, patient satisfaction, urinary sensation scale and uroflowmetry were evaluated postoperatively.


RESULTS
There were no significant differences in continence rates, satisfaction, or postoperative maximal flow rate between the 3 groups. Postoperative urgency was improved after surgery in Groups I and II (P<0.05) but not in Group III.


CONCLUSIONS
BOO does not seem to be a risk factor for failure after the midurethral sling procedure. However, BOO may be considered as a potential factor for persistent storage symptoms after the midurethral sling.
Department of Urology, Bucheon St. Mary's Hospital, The Catholic University of Korea School of Medicine, Bucheon, Korea.
Su Jin
SJ
Kim
Hang Won
HW
Choi
Hyuk Jin
HJ
Cho
Tae-Kon
TK
Hwang
Joon Chul
JC
Kim
Neurourol Urodyn. 2000;19(5):553-64
11002298
J Urol. 2008 Mar;179(3):1018-23
18206925
Int Urogynecol J Pelvic Floor Dysfunct. 2008 Feb;19(2):171-8
17634853
Curr Urol Rep. 2006 Sep;7(5):354-62
16959174
Int Urogynecol J Pelvic Floor Dysfunct. 2008 Feb;19(2):277-82
17671752
Urology. 2004 Dec;64(6 Suppl 1):7-11
15621221
Int Urol Nephrol. 2000;32(2):251-3
11229642
J Urol. 2003 Mar;169(3):1013-6
12576834
Urology. 2004 Oct;64(4):675-9; discussion 679-81
15491697
J Urol. 2000 Nov;164(5):1614-8
11025717
BJU Int. 2008 Feb;101(3):371-5
17922866
J Urol. 1999 May;161(5):1535-40
10210391
J Urol. 2006 Nov;176(5):2093-7
17070266
Neurourol Urodyn. 2007;26(1):42-5
17149712
J Urol. 2004 Feb;171(2 Pt 1):757-60; discussion 760-1
14713804
Obstet Gynecol. 2009 Mar;113(3):617-623
19300325
Scand J Urol Nephrol. 2007;41(2):138-43
17454953
Curr Urol Rep. 2008 Jul;9(4):284-90
18765127
Neurourol Urodyn. 2005;24(3):237-42
15747342
Int Urogynecol J Pelvic Floor Dysfunct. 2007 Nov;18(11):1257-61
17345002
Int Urogynecol J Pelvic Floor Dysfunct. 2008 Aug;19(8):1049-54
18373046
BJU Int. 2007 Jun;99(6):1439-42
17419703