title: Outcomes associated with the use of midurethral slings for stress incontinence surgery according to the type of hospitalization.
abstract: OBJECTIVE
  To evaluate the influence of type of hospitalization on outcomes of stress urinary incontinence (SUI) surgery using a midurethral sling procedure.
  
  
  METHODS
  A retrospective secondary analysis was conducted using data from a prospective multicenter randomized trial of SUI surgery at several sites in France between January 1, 2003, and December 31, 2007. Type of hospitalization was chosen according to the surgeon's policy.
  
  
  RESULTS
  Among 149 participants, 31 (20.8%) were treated as outpatients and 118 (79.2%) as inpatients. Perioperative complications were recorded for 1 (3.2%) outpatient and 12 (10.1%) inpatients (P=0.388). At 24months of follow-up, none of 25 outpatients and 6 (5.6%) of 107 inpatients had a positive stress test result (P=0.497). Dryness was reported at this time point by 22 (88.0%) outpatients and 89 (83.2%) inpatients (P=0.922). The median satisfaction score (measured by visual analog scale [scores of 0-100]) at 12months was 100.0 (interquartile range [IQR] 93.5-100.0) among outpatients versus 96.5 (IQR 80.0-100.0; P=0.003) among inpatients. Similar results were observed at 24months (P=0.003).
  
  
  CONCLUSIONS
  Complication and failure rates were similar in both groups, but satisfaction was higher among outpatients.
authors: Service de Gynécologie-Obstétrique et Médecine de la Reproduction, Hôpital Antoine Béclère, Assistance Publique-Hôpitaux de Paris, Clamart 92141, France. Electronic address: thibault.thubert@gmail.com.
authors: Thibault
authors: T
authors: Thubert
authors: Département de Gynécologie-Obstétrique, CHU Amiens, Amiens 80054, France.
authors: Najib
authors: N
authors: Daher
authors: Département de Gynécologie-Obstétrique, Centre Hospitalier Paul-Ardier, Issoire 63500, France.
authors: Aslam
authors: A
authors: Mansoor
authors: Département de Gynécologie Obstétrique, Centre Hospitalier de Dunkerque, Saint-Pol-sur-Mer 59430, France.
authors: Philippe
authors: P
authors: Debodinance
authors: Service de Gynécologie-Obstétrique, CHU Bicêtre, Assistance Publique-Hôpitaux de Paris, Le Kremlin Bicêtre 94275, France.
authors: Hervé
authors: H
authors: Fernandez
authors: Service de Gynécologie-Obstétrique et Médecine de la Reproduction, Hôpital Antoine Béclère, Assistance Publique-Hôpitaux de Paris, Clamart 92141, France.
authors: Xavier
authors: X
authors: Deffieux
mesh_terms: D000328:Adult; D000553:Ambulatory Care / Q000706:statistics & numerical data; D005260:Female; D005500:Follow-Up Studies; D005602:France; D006760:Hospitalization / Q000706:statistics & numerical data; D006801:Humans; D008875:Middle Aged; D017060:Patient Satisfaction / Q000706:statistics & numerical data*; D011183:Postoperative Complications / Q000453:epidemiology; D011446:Prospective Studies; D012189:Retrospective Studies; D053825:Suburethral Slings / Q000523:psychology; D013997:Time Factors; D016896:Treatment Outcome; D014550:Urinary Incontinence, Stress / Q000601:surgery*; D064232:Visual Analog Scale
keywords: Ambulatory management; Day surgery; Inside-out transobturator approach; Midurethral sling; Outpatient; Retropubic sling; Stress urinary incontinence