Risk factors leading to midurethral sling revision: a multicenter case-control study.
Int Urogynecol J
; 21(10): 1253-9, 2010 Oct.
Article
em En
| MEDLINE
| ID: mdl-20552167
ABSTRACT
INTRODUCTION AND HYPOTHESIS:
To determine risk factors for sling revision after midurethral sling (MUS) placement.METHODS:
This multicenter case-control study included patients who underwent MUS placement and subsequent revision secondary to voiding dysfunction from January 1999-2007 from nine Urogynecology centers across the USA. Direct logistic regression analysis was used to determine which diagnostic variables predicted sling revision.RESULTS:
Of the patients, 197 met the study criteria. Patient demographics, urodynamic findings, and operative differences did not increase the risk for sling revision. Risk factors for sling revision did include pre-existing voiding symptoms (OR 2.76, 95% CI 1.32-5.79; p = 0.004) retropubic sling type (OR = 2.28, 95% CI 1.08-4.78; p = 0.04) and concurrent surgery (OR = 4.88, 95% CI 2.16-11.05; p < 0.001)CONCLUSIONS:
This study determined that pre-existing obstructive voiding symptoms, retropubic sling type, and concurrent surgery at the time of sling placement are risk factors for sling revision.
Texto completo:
1
Bases de dados:
MEDLINE
Assunto principal:
Transtornos Urinários
/
Slings Suburetrais
Tipo de estudo:
Etiology_studies
/
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Limite:
Female
/
Humans
/
Middle aged
Idioma:
En
Revista:
Int Urogynecol J
Assunto da revista:
GINECOLOGIA
/
UROLOGIA
Ano de publicação:
2010
Tipo de documento:
Article
País de afiliação:
Estados Unidos