M T McLennan1, C F Melick, A E Bent. 1. Department of Gynecology and Institute for Conservative and Minimally Invasive Surgery, Greater Baltimore Medical Center, Maryland 21204, USA. mmclenna@gbmc.org
Abstract
OBJECTIVE: To determine the time to resumption of normal voiding after a fascia lata sling and whether any clinical, operative, or urodynamic variables predict it. METHODS: Between January 1993 and September 1996, 62 women underwent fascia lata suburethral sling operations for intrinsic sphincter deficiency or recurrent stress incontinence. The demographic, operative, and urodynamic data of 61 of these patients were analyzed. RESULTS: The mean number of days to resumption of normal voiding was ten. Three patients (5%) developed permanent retention. Patients 65 years and older were more likely than younger patients to have prolonged catheterization (16 versus 7 days, P=.008). Women who had additional procedures voided at a mean of 15 days compared to nine days for those having slings only (P=.029). A preoperative urine flow rate less than 20 mL/sec was associated with late voiding. There was no significant relationship between preoperative voiding mechanism and voiding time. CONCLUSION: Resumption of normal voiding occurred earlier than reported by others. Age over 65 years, additional surgical procedures, and low peak flow rates were risk factors for delayed voiding. Time to normal voiding was independent of the preoperative voiding mechanism.
OBJECTIVE: To determine the time to resumption of normal voiding after a fascia lata sling and whether any clinical, operative, or urodynamic variables predict it. METHODS: Between January 1993 and September 1996, 62 women underwent fascia lata suburethral sling operations for intrinsic sphincter deficiency or recurrent stress incontinence. The demographic, operative, and urodynamic data of 61 of these patients were analyzed. RESULTS: The mean number of days to resumption of normal voiding was ten. Three patients (5%) developed permanent retention. Patients 65 years and older were more likely than younger patients to have prolonged catheterization (16 versus 7 days, P=.008). Women who had additional procedures voided at a mean of 15 days compared to nine days for those having slings only (P=.029). A preoperative urine flow rate less than 20 mL/sec was associated with late voiding. There was no significant relationship between preoperative voiding mechanism and voiding time. CONCLUSION: Resumption of normal voiding occurred earlier than reported by others. Age over 65 years, additional surgical procedures, and low peak flow rates were risk factors for delayed voiding. Time to normal voiding was independent of the preoperative voiding mechanism.
Authors: Gary E Lemack; Stephen Krauss; Heather Litman; Mary Pat FitzGerald; Toby Chai; Charles Nager; Larry Sirls; Halina Zyczynski; Jan Baker; Keith Lloyd; W D Steers Journal: J Urol Date: 2008-09-18 Impact factor: 7.450
Authors: Tatiana V Sanses; Linda Brubaker; Yan Xu; Stephen R Kraus; Jerry L Lowder; Gary E Lemack; Peggy Norton; Heather J Litman; Sharon L Tennstedt; Toby C Chai Journal: Int Urogynecol J Date: 2010-12-03 Impact factor: 2.894
Authors: Susan A Barr; Amanda Thomas; Shannon Potter; Clifford F Melick; Jeffrey A Gavard; Mary T McLennan Journal: Int Urogynecol J Date: 2016-02-19 Impact factor: 2.894
Authors: Holly E Richter; Patricia S Goode; Linda Brubaker; Halina Zyczynski; Anne M Stoddard; Kimberly J Dandreo; Peggy A Norton Journal: Obstet Gynecol Date: 2008-09 Impact factor: 7.661