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Preoperative hesitating urinary stream is associated with postoperative voiding dysfunction and surgical failure following Burch colposuspension or pubovaginal rectus fascial sling surgery.
Int Urogynecol J. 2011 Jun; 22(6):713-9.IU

Abstract

INTRODUCTION AND HYPOTHESIS

We hypothesized that certain preoperative voiding symptoms would be correlated with poorer post-continence surgery outcomes in women.

METHODS

Preoperative voiding symptoms from 655 women were assessed with questionnaires. Outcomes (overall failures, stress-specific failures, and voiding dysfunction) after Burch or sling surgery were measured. Logistic regression models were used to associate preoperative voiding symptoms with postoperative outcomes.

RESULTS

Hesitating urinary stream was associated with voiding dysfunction [OR 2.22, p=0.01], overall [OR 1.57, p=0.03], and stress-specific [OR 1.67, p=0.009] failures. A ten-point increase in preoperative Urogenital Distress Inventory-obstructive (UDI-O) subscore was associated with overall [OR 1.10, p=0.049] and stress-specific [OR 1.21, p<0.0001] failures. Even controlling for severity of POPQ stage, significant associations of hesitating urinary stream with voiding dysfunction, overall and stress-specific failures remained.

CONCLUSIONS

Preoperative hesitating urinary stream and obstructive voiding symptoms were associated with poorer surgical outcomes. Further studies in this area may be fruitful.

Authors+Show Affiliations

University of Maryland Baltimore, Baltimore, MD, USA.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, N.I.H., Extramural

Language

eng

PubMed ID

21128068

Citation

Sanses, Tatiana V., et al. "Preoperative Hesitating Urinary Stream Is Associated With Postoperative Voiding Dysfunction and Surgical Failure Following Burch Colposuspension or Pubovaginal Rectus Fascial Sling Surgery." International Urogynecology Journal, vol. 22, no. 6, 2011, pp. 713-9.
Sanses TV, Brubaker L, Xu Y, et al. Preoperative hesitating urinary stream is associated with postoperative voiding dysfunction and surgical failure following Burch colposuspension or pubovaginal rectus fascial sling surgery. Int Urogynecol J. 2011;22(6):713-9.
Sanses, T. V., Brubaker, L., Xu, Y., Kraus, S. R., Lowder, J. L., Lemack, G. E., Norton, P., Litman, H. J., Tennstedt, S. L., & Chai, T. C. (2011). Preoperative hesitating urinary stream is associated with postoperative voiding dysfunction and surgical failure following Burch colposuspension or pubovaginal rectus fascial sling surgery. International Urogynecology Journal, 22(6), 713-9. https://doi.org/10.1007/s00192-010-1328-5
Sanses TV, et al. Preoperative Hesitating Urinary Stream Is Associated With Postoperative Voiding Dysfunction and Surgical Failure Following Burch Colposuspension or Pubovaginal Rectus Fascial Sling Surgery. Int Urogynecol J. 2011;22(6):713-9. PubMed PMID: 21128068.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Preoperative hesitating urinary stream is associated with postoperative voiding dysfunction and surgical failure following Burch colposuspension or pubovaginal rectus fascial sling surgery. AU - Sanses,Tatiana V, AU - Brubaker,Linda, AU - Xu,Yan, AU - Kraus,Stephen R, AU - Lowder,Jerry L, AU - Lemack,Gary E, AU - Norton,Peggy, AU - Litman,Heather J, AU - Tennstedt,Sharon L, AU - Chai,Toby C, Y1 - 2010/12/03/ PY - 2010/08/04/received PY - 2010/11/07/accepted PY - 2010/12/4/entrez PY - 2010/12/4/pubmed PY - 2011/11/9/medline SP - 713 EP - 9 JF - International urogynecology journal JO - Int Urogynecol J VL - 22 IS - 6 N2 - INTRODUCTION AND HYPOTHESIS: We hypothesized that certain preoperative voiding symptoms would be correlated with poorer post-continence surgery outcomes in women. METHODS: Preoperative voiding symptoms from 655 women were assessed with questionnaires. Outcomes (overall failures, stress-specific failures, and voiding dysfunction) after Burch or sling surgery were measured. Logistic regression models were used to associate preoperative voiding symptoms with postoperative outcomes. RESULTS: Hesitating urinary stream was associated with voiding dysfunction [OR 2.22, p=0.01], overall [OR 1.57, p=0.03], and stress-specific [OR 1.67, p=0.009] failures. A ten-point increase in preoperative Urogenital Distress Inventory-obstructive (UDI-O) subscore was associated with overall [OR 1.10, p=0.049] and stress-specific [OR 1.21, p<0.0001] failures. Even controlling for severity of POPQ stage, significant associations of hesitating urinary stream with voiding dysfunction, overall and stress-specific failures remained. CONCLUSIONS: Preoperative hesitating urinary stream and obstructive voiding symptoms were associated with poorer surgical outcomes. Further studies in this area may be fruitful. SN - 1433-3023 UR - https://www.unboundmedicine.com/medline/citation/21128068/Preoperative_hesitating_urinary_stream_is_associated_with_postoperative_voiding_dysfunction_and_surgical_failure_following_Burch_colposuspension_or_pubovaginal_rectus_fascial_sling_surgery_ L2 - https://dx.doi.org/10.1007/s00192-010-1328-5 DB - PRIME DP - Unbound Medicine ER -