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Prediction of successful voiding immediately after outpatient mid-urethral sling

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Abstract

We set out to identify predictors of successful voiding immediately after outpatient mid-urethral sling. The charts of 126 patients who underwent an outpatient mid-urethral sling procedure were identified. Using discharge without a urinary catheter as the dependent variable, logistic regression analysis modeled the relationship of independent variables including demographic, preoperative urodynamic, and perioperative variables. Sixty-one percent of the patients passed their immediate postoperative voiding trial. Logistic regression analysis revealed that parity ≥3, Valsalva leak point pressure >60 cm H2O, and high preoperative anxiety remained independently associated with successful voiding. Identifying preoperative variables that are associated with successful voiding after mid-urethral sling may be useful in helping to accurately shape patient expectations and identify those most likely to benefit from preoperative teaching of self-catheterization.

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Authors and Affiliations

  1. Division of Urogynecology, Department of Obstetrics and Gynecology, University of Massachusetts Medical School, 119 Belmont Street, Worcester, MA, 01605, USA

    Kenneth I. Barron, Stephen B. Young, Lisa C. Labin & Abraham N. Morse

  2. Department of Family Medicine and Community Health, University of Massachusetts Medical School, Worcester, MA, USA

    Judith A. Savageau

Authors
  1. Kenneth I. Barron
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  2. Judith A. Savageau
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  3. Stephen B. Young
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  4. Lisa C. Labin
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  5. Abraham N. Morse
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Correspondence to Abraham N. Morse.

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Barron, K.I., Savageau, J.A., Young, S.B. et al. Prediction of successful voiding immediately after outpatient mid-urethral sling. Int Urogynecol J 17, 570–575 (2006). https://doi.org/10.1007/s00192-005-0064-8

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  • DOI: https://doi.org/10.1007/s00192-005-0064-8

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