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Long-term urinary continence rates after simple sling incision for relief of urinary retention following fascia lata pubovaginal slings.
J Urol. 2005 Nov; 174(5):1878-81.JU

Abstract

PURPOSE

We examined long-term urinary continence rates in patients after midline simple sling incision for urinary retention following suburethral fascia lata slings.

MATERIALS AND METHODS

A retrospective review was completed of 13 women undergoing a simple sling incision for catheter dependent obstruction after suburethral sling surgery more than 4 years previously. Urinary continence was evaluated by use of the Groutz-Blaivas anti-incontinence surgery response score. The scores were statistically compared as binary categories at mean 111-day and 60.8-month followup.

RESULTS

A total of 13 women underwent a simple sling incision for catheter dependent urinary retention after sling surgery, and 11 patients (mean age 73.4 years) were available for long-term followup (60.8 months). The simple sling incision procedure was completed an average of 65 days (range 36 to 235) after original sling placement. Mean post-void residual urine volume at least 1 month after sling surgery was 289 ml (range 75 to 500). At a mean followup of 60.8 months, no patient required catheterization. Of 11 patients 5 wore no pads. There was no statistical difference in leakage episodes per day (p = 1.0), pads per day (p = 0.3), or patient perceived condition (p = 0.3) during long-term followup. The mean Groutz-Blaivas score did not change statistically during the 5-year followup period (p = 0.6).

CONCLUSIONS

Midline simple sling incision provides relief of catheter dependent obstruction following fascia lata sling surgery while preserving urinary continence in the majority of patients during a 5-year followup period.

Authors+Show Affiliations

Thiel DD
Department of Urology, Mayo Clinic, Jacksonville, Florida 32224, USA.
Pettit PD
No affiliation info available
McClellan WT
No affiliation info available
Petrou SP
No affiliation info available

MeSH

AgedFascia LataFemaleFollow-Up StudiesHumansMiddle AgedProbabilityRecovery of FunctionReoperationRetrospective StudiesRisk AssessmentSeverity of Illness IndexSurgical MeshTime FactorsTreatment OutcomeUrethral ObstructionUrinary Incontinence, StressUrinary RetentionUrinationUrodynamicsUrologic Surgical Procedures

Pub Type(s)

Comparative Study
Journal Article

Language

eng

PubMed ID

16217328

Citation

Thiel, David D., et al. "Long-term Urinary Continence Rates After Simple Sling Incision for Relief of Urinary Retention Following Fascia Lata Pubovaginal Slings." The Journal of Urology, vol. 174, no. 5, 2005, pp. 1878-81.
Thiel DD, Pettit PD, McClellan WT, et al. Long-term urinary continence rates after simple sling incision for relief of urinary retention following fascia lata pubovaginal slings. J Urol. 2005;174(5):1878-81.
Thiel, D. D., Pettit, P. D., McClellan, W. T., & Petrou, S. P. (2005). Long-term urinary continence rates after simple sling incision for relief of urinary retention following fascia lata pubovaginal slings. The Journal of Urology, 174(5), 1878-81.
Thiel DD, et al. Long-term Urinary Continence Rates After Simple Sling Incision for Relief of Urinary Retention Following Fascia Lata Pubovaginal Slings. J Urol. 2005;174(5):1878-81. PubMed PMID: 16217328.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Long-term urinary continence rates after simple sling incision for relief of urinary retention following fascia lata pubovaginal slings. AU - Thiel,David D, AU - Pettit,Paul D M, AU - McClellan,William T, AU - Petrou,Steven P, PY - 2005/10/12/pubmed PY - 2005/11/16/medline PY - 2005/10/12/entrez SP - 1878 EP - 81 JF - The Journal of urology JO - J Urol VL - 174 IS - 5 N2 - PURPOSE: We examined long-term urinary continence rates in patients after midline simple sling incision for urinary retention following suburethral fascia lata slings. MATERIALS AND METHODS: A retrospective review was completed of 13 women undergoing a simple sling incision for catheter dependent obstruction after suburethral sling surgery more than 4 years previously. Urinary continence was evaluated by use of the Groutz-Blaivas anti-incontinence surgery response score. The scores were statistically compared as binary categories at mean 111-day and 60.8-month followup. RESULTS: A total of 13 women underwent a simple sling incision for catheter dependent urinary retention after sling surgery, and 11 patients (mean age 73.4 years) were available for long-term followup (60.8 months). The simple sling incision procedure was completed an average of 65 days (range 36 to 235) after original sling placement. Mean post-void residual urine volume at least 1 month after sling surgery was 289 ml (range 75 to 500). At a mean followup of 60.8 months, no patient required catheterization. Of 11 patients 5 wore no pads. There was no statistical difference in leakage episodes per day (p = 1.0), pads per day (p = 0.3), or patient perceived condition (p = 0.3) during long-term followup. The mean Groutz-Blaivas score did not change statistically during the 5-year followup period (p = 0.6). CONCLUSIONS: Midline simple sling incision provides relief of catheter dependent obstruction following fascia lata sling surgery while preserving urinary continence in the majority of patients during a 5-year followup period. SN - 0022-5347 UR - https://www.unboundmedicine.com/medline/citation/16217328/Long_term_urinary_continence_rates_after_simple_sling_incision_for_relief_of_urinary_retention_following_fascia_lata_pubovaginal_slings_ DB - PRIME DP - Unbound Medicine ER -