Following midurethral versus bladder sling procedures - 18/08/11
, Yoram Abramov, MD a, Roger P. Goldberg, MD, MPH a, Jennifer L. Beaumont, MS b, Sanjay Gandhi, MD a, Jay-James R. Miller, MD a, Peter K. Sand, MD a
Reprint requests: Sylvia M. Botros, MD, Evanston Continence Center, 1000 Central Street, Suite 730, Evanston, IL 60201.Abstract |
Objective |
The objective of the study was to compare detrusor overactivity and urge urinary incontinence rates after midurethral slings versus bladder neck slings.
Study design |
Three hundred forty subjects underwent midurethral slings or bladder neck slings. Comparisons were made using Student’s t test and χ2 test. Multivariate analysis was performed to detect confounding factors.
Results |
More patients in the midurethral sling group resolved detrusor overactivity than in the bladder neck sling group (38% versus 15%, P < .001). In addition, subjects in the midurethral sling group had significantly lower rates of de novo detrusor overactivity than subjects in the bladder neck sling group (29% versus 62%, P = .002). The only significant predictors of postoperative detrusor overactivity were preoperative detrusor overactivity (P < .001) and sling type (P < .001). After adjusting for preoperative detrusor overactivity, bladder neck slings significantly increased the risk for persistent detrusor overactivity (odds ratio 3.9).
Conclusion |
Midurethral slings have increased rates of resolution of detrusor overactivity and lower rates of de novo detrusor overactivity than transvaginal bladder neck sling procedures.
Le texte complet de cet article est disponible en PDF.Key words : Bladder neck sling, Midurethral sling, Urge incontinence, Detrusor overactivity
Plan
| Presented at the 31st Annual Meeting of the Society of Gynecologic Surgeons, April 4–6, 2005, Rancho Mirage, CA. |
Vol 193 - N° 6
P. 2144-2148 - décembre 2005 Retour au numéro
Article précédent
- Suburethral sling using the transobturator approach: A quality-of-life analysis
- James Chivian Lukban
- Delivery mode is a major environmental determinant of stress urinary incontinence: Results of the Evanston-Northwestern Twin Sisters Study
- Roger P. Goldberg, Yoram Abramov, Sylvia Botros, Jay-James Miller, Sanjay Gandhi, Angel Nickolov, Wendy Sherman, Peter K. Sand
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