PURPOSE: Sling procedures are the most common surgery for stress urinary incontinence in women.
Lower urinary tract symptoms are well-documented complications of these procedures and can occur in 5-20% of patients. A common treatment for postoperative urinary retention and bothersome obstructive voiding symptoms following anti-incontinence surgery is sling release. While previous studies have indicated the risk of recurrent stress urinary incontinence after surgical release of slings, there is a paucity of data regarding how many patients require repeat anti-incontinence procedures.
MATERIALS AND METHODS: Following IRB approval, we performed a retrospective review of 143 consecutive female sling release procedures at the Mayo Clinic from January 2000 through August 2012 by two subspecialized urologists. One hundred and twenty-one patients had documented followup at the clinic and a total of 93 patients had sling release for obstruction or retention after sling placement. Characteristics of this patient population were identified, specifically, the incidence of subsequent anti-incontinence procedures.
RESULTS: The mean patient age was 58 years (SD 13.2) with a median patient followup after surgical sling release of 32 months (IQR 6, 67). A total of 13/93 (14%) patients required a repeat anti-incontinence procedure after release of their sling, at a median of 3 months.
CONCLUSIONS: Sling release procedures remain an important treatment option for patients with obstruction after anti-incontinence surgery and only a small percentage of patients have a repeat anti-incontinence surgery for recurrent stress urinary incontinence.
Written by:
Clifton MM, Linder BJ, Lightner DJ, Elliott DS. Are you the author?
Department of Urology, Mayo Clinic, Rochester, Minnesota, 55905.
Reference: J Urol. 2013 Sep 20. pii: S0022-5347(13)05469-4.
doi: 10.1016/j.juro.2013.09.030
PubMed Abstract
PMID: 24060639
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