International Urogynecology Journal

, Volume 17, Issue 6, pp 570–575 | Cite as

Prediction of successful voiding immediately after outpatient mid-urethral sling

  • Kenneth I. Barron
  • Judith A. Savageau
  • Stephen B. Young
  • Lisa C. Labin
  • Abraham N. Morse
Original Article

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.

Keywords

TVT Urinary incontinence Urinary retention Minimally invasive sling Mid-urethral sling 

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Copyright information

© International Urogynecology Journal 2006

Authors and Affiliations

  • Kenneth I. Barron
    • 1
  • Judith A. Savageau
    • 2
  • Stephen B. Young
    • 1
  • Lisa C. Labin
    • 1
  • Abraham N. Morse
    • 1
  1. 1.Division of Urogynecology, Department of Obstetrics and GynecologyUniversity of Massachusetts Medical SchoolWorcesterUSA
  2. 2.Department of Family Medicine and Community HealthUniversity of Massachusetts Medical SchoolWorcesterUSA

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