SUFU 2018: Risk Factors for Stress Urinary Incontinence Surgery Following Sling Revision

Austin, TX (UroToday.com) Dr. Janine Oliver and colleagues presented a multivariate analysis of patients undergoing total and subtotal excision of synthetic mesh suburethral slings for complications. A retrospective study looking at 233 patients who had undergone total or subtotal midurethral sling revision as a result of complications, from 2013-2015. The aim of the study was to identify risk factors for necessitating surgical intervention for stress incontinence following the prior MUS revision. Median follow up for was 23.5 months.

After 23 months, 49% of the cohort had a repeat procedure for SUI following sling revision. On multivariate logistic regression analysis, the factors associated with increased likelihood for repeat surgical intervention were total MUS excision, SUI demonstrated on preop UDS, and increasing time to MUS excision. If patients did not have SUI on preoperative UDS, obesity and postmenopausal status were predictive of subsequent surgical intervention for SUI.

This study highlighted risk factors for patients who were more likely to undergo subsequent procedures for SUI following MUS excision. The authors highlight that the risk for SUI is significantly higher if the patient is incontinent prior to sling incision. This is important in counseling patients prior to procedure.

Presented by: Janine L. Oliver, MD, Division of Urology, Department of Surgery, University of Colorado School of Medicine, Aurora, CO

Co-Authors: Claire Burton MD¹, Lauren Wood MD¹, Zaid Chaudhry MD², Lorna Kwan MD¹, Christopher Tarnay MD³, Z. Chad Baxter MD¹, Ja-Hong Kim MD¹ and Shlomo Raz MD¹
Author Information:
1. Department of Urology, University of California Los Angeles David Geffen School of Medicine, Los Angeles, CA
2. Citrus Obstetrics and Gynecology West Covina, CA
3. Department of Obstetrics and Gynecology, University of California Los Angeles David Geffen School of Medicine, Los Angeles, CA

Written by: Cristina Palmer, DO. Female Urology, Pelvic Reconstruction, Voiding Dysfunction Fellow, Department of Urology, UC Irvine Medical Center, Orange, California at the Society of Urodynamics, Female Pelvic Medicine & Urogenital Reconstruction Winter Meeting (SUFU 2018), February 27-March 3, 2018, Austin, Texas

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