| Risk factors leading to midurethral sling revision: a multicenter case-control study. | |
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MedLine Citation:
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PMID: 20552167 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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Stephanie Molden; Danielle Patterson; Megan Tarr; Tatiana Sanses; Jessica Bracken; Aimee Nguyen; Heide S Harvie; Amanda White; Sarah A Hammil; Miles Murphy; Rebecca G Rogers |
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Publication Detail:
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Type: Journal Article; Multicenter Study Date: 2010-06-15 |
Journal Detail:
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Title: International urogynecology journal Volume: 21 ISSN: 1433-3023 ISO Abbreviation: Int Urogynecol J Publication Date: 2010 Oct |
Date Detail:
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Created Date: 2010-09-02 Completed Date: 2011-01-03 Revised Date: 2011-08-18 |
Medline Journal Info:
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Nlm Unique ID: 101567041 Medline TA: Int Urogynecol J Country: England |
Other Details:
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Languages: eng Pagination: 1253-9 Citation Subset: IM |
Affiliation:
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The Institute for Female Pelvic Medicine & Reconstructive Surgery, Allentown, PA, USA. smolden@fphcenter.com |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Case-Control Studies Female Humans Middle Aged Reoperation / statistics & numerical data Retrospective Studies Risk Factors Suburethral Slings / adverse effects* Urinary Incontinence, Stress / surgery Urination Disorders / etiology*, surgery* |
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