Urgency Incontinence before and after Revision of a Synthetic Mid Urethral Sling

Iryna M. Crescenze, Nitya E. Abraham, Jianbo Li, Howard B. Goldman, Sandip Vasavada

Research output: Contribution to journalArticlepeer-review

12 Scopus citations

Abstract

Purpose We evaluate urgency urinary incontinence outcomes for patients who underwent revision of a presumed obstructing synthetic mid urethral sling and examine risk factors for persistent or de novo symptoms after surgery. Materials and Methods From February 1, 2005 to June 1, 2013, 107 women underwent sling revision for new or worsening lower urinary tract symptoms after synthetic mid urethral sling surgery. Patients were grouped based on urgency urinary incontinence symptoms and characteristics associated with persistent or de novo symptoms after revision were examined using logistic regression models. Results Median followup was 29 months (IQR 12–54) and time to revision was 21 months (IQR 5–48). Patients presenting for sling revision with urgency incontinence (68) were more likely to experience a more than 6-month delay to revision vs those presenting with obstructive voiding symptoms (39) (OR 3.25, 95% CI 1.33–7.92, p

Original languageEnglish (US)
Pages (from-to)478-483
Number of pages6
JournalJournal of Urology
Volume196
Issue number2
DOIs
StatePublished - Aug 1 2016
Externally publishedYes

Keywords

  • suburethral slings
  • urinary bladder neck obstruction
  • urinary incontinence, urge

ASJC Scopus subject areas

  • Urology

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