The Influence of Preoperative Bladder Outlet Obstruction on Continence and Satisfaction in Patients with Stress Urinary Incontinence after Midurethral Sling.
- Author:
Su Jin KIM
1
;
Hang Won CHOI
;
Hyuk Jin CHO
;
Tae Kon HWANG
;
Joon Chul KIM
Author Information
1. Department of Urology, Bucheon St. Mary's Hospital, The Catholic University of Korea School of Medicine, Bucheon, Korea. kjc@catholic.ac.kr
- Publication Type:Original Article
- Keywords:
Bladder outlet obstruction;
Suburethral sling;
Urinary stress incontinence
- MeSH:
Female;
Humans;
Nomograms;
Patient Satisfaction;
Risk Factors;
Sensation;
Suburethral Slings;
Urinary Bladder;
Urinary Bladder Neck Obstruction;
Urinary Incontinence;
Urinary Incontinence, Stress
- From:International Neurourology Journal
2010;14(4):267-271
- CountryRepublic of Korea
- Language:English
-
Abstract:
PURPOSE: We studied the influence of preoperative bladder outlet obstruction (BOO) on postoperative continence rates and patient satisfaction after the midurethral sling procedure. METHODS: A total of 159 women who underwent the midurethral sling procedure were evaluated. Using the Blaivas-Groutz nomogram, we assigned the patients were assigned to Group I (n=37, no obstruction), Group II (n=89, mild obstruction), or Group III (n=33, moderate to severe obstruction). Continence rates, patient satisfaction, urinary sensation scale and uroflowmetry were evaluated postoperatively. RESULTS: There were no significant differences in continence rates, satisfaction, or postoperative maximal flow rate between the 3 groups. Postoperative urgency was improved after surgery in Groups I and II (P<0.05) but not in Group III. CONCLUSIONS: BOO does not seem to be a risk factor for failure after the midurethral sling procedure. However, BOO may be considered as a potential factor for persistent storage symptoms after the midurethral sling.
