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Rate of de novo stress urinary incontinence after urethal diverticulum repair.
Urology. 2008 May; 71(5):849-53.U

Abstract

OBJECTIVES

The most recognized complications after urethral diverticulum repair are urethrovaginal fistula, diverticula recurrence, and de novo urinary incontinence. Our objective was to determine the rate of de novo stress urinary incontinence (SUI) after urethral diverticulum repair.

METHODS

We conducted a retrospective review of female patients who underwent urethral diverticulum repair without a simultaneous anti-incontinence procedure over 4.5 years. To determine the rate of SUI, we looked at responses to domain 3 of the urogenital distress inventory-short form (UDI-6), and the rate of subsequent procedures for the treatment of SUI.

RESULTS

A total of 50 female patients underwent urethral diverticulum repair. The median age was 44 years (range, 24 to 73) years. Median follow up was 23 months (range, 3 to 67 months). A total of 34 (68%) were white and 16 (32%) were black; 29 (58%) had simple diverticulum, 19 (38%) had horseshoe diverticulum, and 2 (4%) had circumferential diverticulum. Six (12%) had a history of recurrent diverticulum. Of 50 patients, 5 (10%) underwent a subsequent sling for SUI. Thirty-five patients completed the UDI-6. Eighteen (51%) patients reported no SUI, 10 (29%) reported "a little bit," 5 (14%) reported "moderate," and 2 (6%) reported being "greatly" bothered by SUI. Of patients with no preoperative urinary leakage, 5 of 15 (33%) had de novo SUI postoperatively. Of patients with preoperative urinary leakage, 8 of 11 (73%) had postoperative SUI.

CONCLUSIONS

De novo rate of SUI after diverticulum repair was 49% by UDI-6, although most often the SUI was mild. Twenty percent of patients reported moderate to severe bothersome SUI symptoms after diverticulum repair. Ten percent had a subsequent anti-incontinence procedure.

Links

Publisher Full Text (DOI)

Authors+Show Affiliations

Lee UJ
Glickman Urological and Kidney Institute, Cleveland Clinic, Cleveland, Ohio 44195, USA.
Goldman H
No affiliation info available
Moore C
No affiliation info available
Daneshgari F
No affiliation info available
Rackley RR
No affiliation info available
Vasavada SP
No affiliation info available

MeSH

AdultAgedDiverticulumFemaleHumansMiddle AgedPostoperative ComplicationsRetrospective StudiesUrethral DiseasesUrinary Incontinence, Stress

Pub Type(s)

Journal Article

Language

eng

PubMed ID

18355904

Citation

Lee, Una J., et al. "Rate of De Novo Stress Urinary Incontinence After Urethal Diverticulum Repair." Urology, vol. 71, no. 5, 2008, pp. 849-53.
Lee UJ, Goldman H, Moore C, et al. Rate of de novo stress urinary incontinence after urethal diverticulum repair. Urology. 2008;71(5):849-53.
Lee, U. J., Goldman, H., Moore, C., Daneshgari, F., Rackley, R. R., & Vasavada, S. P. (2008). Rate of de novo stress urinary incontinence after urethal diverticulum repair. Urology, 71(5), 849-53. https://doi.org/10.1016/j.urology.2007.11.138
Lee UJ, et al. Rate of De Novo Stress Urinary Incontinence After Urethal Diverticulum Repair. Urology. 2008;71(5):849-53. PubMed PMID: 18355904.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Rate of de novo stress urinary incontinence after urethal diverticulum repair. AU - Lee,Una J, AU - Goldman,Howard, AU - Moore,Courtenay, AU - Daneshgari,Firouz, AU - Rackley,Raymond R, AU - Vasavada,Sandip P, Y1 - 2008/03/20/ PY - 2007/07/05/received PY - 2007/11/19/revised PY - 2007/11/30/accepted PY - 2008/3/22/pubmed PY - 2008/6/3/medline PY - 2008/3/22/entrez SP - 849 EP - 53 JF - Urology JO - Urology VL - 71 IS - 5 N2 - OBJECTIVES: The most recognized complications after urethral diverticulum repair are urethrovaginal fistula, diverticula recurrence, and de novo urinary incontinence. Our objective was to determine the rate of de novo stress urinary incontinence (SUI) after urethral diverticulum repair. METHODS: We conducted a retrospective review of female patients who underwent urethral diverticulum repair without a simultaneous anti-incontinence procedure over 4.5 years. To determine the rate of SUI, we looked at responses to domain 3 of the urogenital distress inventory-short form (UDI-6), and the rate of subsequent procedures for the treatment of SUI. RESULTS: A total of 50 female patients underwent urethral diverticulum repair. The median age was 44 years (range, 24 to 73) years. Median follow up was 23 months (range, 3 to 67 months). A total of 34 (68%) were white and 16 (32%) were black; 29 (58%) had simple diverticulum, 19 (38%) had horseshoe diverticulum, and 2 (4%) had circumferential diverticulum. Six (12%) had a history of recurrent diverticulum. Of 50 patients, 5 (10%) underwent a subsequent sling for SUI. Thirty-five patients completed the UDI-6. Eighteen (51%) patients reported no SUI, 10 (29%) reported "a little bit," 5 (14%) reported "moderate," and 2 (6%) reported being "greatly" bothered by SUI. Of patients with no preoperative urinary leakage, 5 of 15 (33%) had de novo SUI postoperatively. Of patients with preoperative urinary leakage, 8 of 11 (73%) had postoperative SUI. CONCLUSIONS: De novo rate of SUI after diverticulum repair was 49% by UDI-6, although most often the SUI was mild. Twenty percent of patients reported moderate to severe bothersome SUI symptoms after diverticulum repair. Ten percent had a subsequent anti-incontinence procedure. SN - 1527-9995 UR - https://www.unboundmedicine.com/medline/citation/18355904/Rate_of_de_novo_stress_urinary_incontinence_after_urethal_diverticulum_repair_ DB - PRIME DP - Unbound Medicine ER -