OBJECTIVE: To evaluate the influence of type of hospitalization on outcomes of stress urinary incontinence (SUI) surgery using a midurethral sling procedure.
METHODS: A retrospective secondary analysis was conducted using data from a prospective multicenter randomized trial of SUI surgery at several sites in France between January 1, 2003, and December 31, 2007. Type of hospitalization was chosen according to the surgeon's policy.
RESULTS: Among 149 participants, 31 (20.8%) were treated as outpatients and 118 (79.2%) as inpatients. Perioperative complications were recorded for 1 (3.2%) outpatient and 12 (10.1%) inpatients (P=0.388). At 24months of follow-up, none of 25 outpatients and 6 (5.6%) of 107 inpatients had a positive stress test result (P=0.497). Dryness was reported at this time point by 22 (88.0%) outpatients and 89 (83.2%) inpatients (P=0.922). The median satisfaction score (measured by visual analog scale [scores of 0-100]) at 12months was 100.0 (interquartile range [IQR] 93.5-100.0) among outpatients versus 96.5 (IQR 80.0-100.0; P=0.003) among inpatients. Similar results were observed at 24months (P=0.003).
CONCLUSION: Complication and failure rates were similar in both groups, but satisfaction was higher among outpatients.
Written by:
Thubert T, Daher N, Mansoor A, Debodinance P, Fernandez H, Deffieux X. Are you the author?
Service de Gynécologie-Obstétrique et Médecine de la Reproduction, Hôpital Antoine Béclère, Assistance Publique-Hôpitaux de Paris, Clamart 92141, France; Département de Gynécologie-Obstétrique, CHU Amiens, Amiens 80054, France; Département de Gynécologie-Obstétrique, Centre Hospitalier Paul-Ardier, Issoire 63500, France; Département de Gynécologie Obstétrique, Centre Hospitalier de Dunkerque, Saint-Pol-sur-Mer 59430, France; Service de Gynécologie-Obstétrique, CHU Bicêtre, Assistance Publique-Hôpitaux de Paris, Le Kremlin Bicêtre 94275, France.
Reference: Int J Gynaecol Obstet. 2015 Jan 29. pii: S0020-7292(15)00058-2.
doi: 10.1016/j.ijgo.2014.11.016
PubMed Abstract
PMID: 25666315