Document Detail

Risk factors leading to midurethral sling revision: a multicenter case-control study.
MedLine Citation:
PMID:  20552167     Owner:  NLM     Status:  MEDLINE    
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.
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:
Type:  Journal Article; Multicenter Study     Date:  2010-06-15
Journal Detail:
Title:  International urogynecology journal     Volume:  21     ISSN:  1433-3023     ISO Abbreviation:  Int Urogynecol J     Publication Date:  2010 Oct 
Date Detail:
Created Date:  2010-09-02     Completed Date:  2011-01-03     Revised Date:  2011-08-18    
Medline Journal Info:
Nlm Unique ID:  101567041     Medline TA:  Int Urogynecol J     Country:  England    
Other Details:
Languages:  eng     Pagination:  1253-9     Citation Subset:  IM    
The Institute for Female Pelvic Medicine & Reconstructive Surgery, Allentown, PA, USA.
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MeSH Terms
Case-Control Studies
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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