title: Repeat post-op voiding trials: an inconvenient correlate with success.
abstract: OBJECTIVE
  This study examined the association between the need for a repeat voiding trial after midurethral sling (MUS) surgery and 1-year success rates.
  
  
  METHODS
  We conducted this secondary analysis of the participants in the Urinary Incontinence Treatment Network trial of midurethral sling (TOMUS) study which compared retropubic versus transobturator MUS. A standard voiding trial was attempted on all subjects. The "repeat voiding trial" group included subjects discharged with catheterization. All others were considered "self voiding." Success rates between the groups at 1-year were compared, followed by multivariate analyses controlling for previously reported clinical predictors of success.
  
  
  RESULTS
  Most women (76%) were self-voiding, while 24% required a repeat voiding trial. The objective success rate at 1-year was 85.8% in the repeat voiding trial group and 75.3% in the self-voiding group (P = 0.01). Subjective success rate at 1-year was 61.0% in the repeat voiding trial group and 55.1% in the self-voiding group (P = 0.23). Women in the repeat voiding trial group continued to demonstrate greater objective success than the self-voiding group in multivariate analysis that controlled for previous incontinence surgery, pad weight, urethral mobility, urge score, and type of MUS (P = 0.04, OR 1.82, 95% CI 1.03-3.22).
  
  
  CONCLUSIONS
  Women who require a repeat voiding trial following MUS surgery have greater objective success at 1-year postoperatively when compared to those who are self-voiding at the time of discharge. These results may help reassure women who require catheterization after MUS surgery that their outcome is not compromised by this immediate transient post-operative result.
authors: University of California, San Diego, La Jolla, California.
authors: Kimberly L
authors: KL
authors: Ferrante
authors: Hae-Young
authors: HY
authors: Kim
authors: Linda
authors: L
authors: Brubaker
authors: Cliff Y
authors: CY
authors: Wai
authors: Peggy A
authors: PA
authors: Norton
authors: Stephen R
authors: SR
authors: Kraus
authors: Jonathan
authors: J
authors: Shepherd
authors: Larry T
authors: LT
authors: Sirls
authors: Charles W
authors: CW
authors: Nager
mesh_terms: D003950:Diagnostic Techniques, Urological; D005260:Female; D006801:Humans; D008875:Middle Aged; D011182:Postoperative Care; D020127:Recovery of Function; D053825:Suburethral Slings; D013997:Time Factors; D016896:Treatment Outcome; D014550:Urinary Incontinence, Stress / Q000601:surgery*; D014554:Urination; D014563:Urodynamics
keywords: midurethral sling; stress urinary incontinence; voiding dysfunction
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