1052 VOIDING DIFFICULTIES AFTER TRANSOBTURATOR MESH IMPLANTATION SURGERY IN STRESS URINARY INCONTINENCE WOMEN

Abstract

You have accessJournal of UrologyUrodynamics/Incontinence/Female Urology: Incontinence, Evaluation & Therapy (II)1 Apr 20131052 VOIDING DIFFICULTIES AFTER TRANSOBTURATOR MESH IMPLANTATION SURGERY IN STRESS URINARY INCONTINENCE WOMEN Jinbum Kim, Hongwook Kim, YoungSeop Chang, DongHoon Go, YoungJun Moon, and HyungJun Kim Jinbum KimJinbum Kim Daejeon, Korea, Republic of More articles by this author , Hongwook KimHongwook Kim Daejeon, Korea, Republic of More articles by this author , YoungSeop ChangYoungSeop Chang Daejeon, Korea, Republic of More articles by this author , DongHoon GoDongHoon Go Daejeon, Korea, Republic of More articles by this author , YoungJun MoonYoungJun Moon Daejeon, Korea, Republic of More articles by this author , and HyungJun KimHyungJun Kim Daejeon, Korea, Republic of More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2013.02.638AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES Stress urinary incontinence (SUI) is one of the most popular diseases in middle-aged women. Bleeding, infection, mesh erosion, urethral injury, persistent incontinence, voiding difficulty are usual complications after SUI surgery. Postoperative voiding difficulty with increasing post voided residual urine or urinary retention is one of significant complication. We studied the possible risk factors related to postoperative voiding difficulty after transobturator mesh implantation surgery SUI women. METHODS From December 2008 to February 2012, 168 female patients with SUI who underwent anti incontinence transobturator mesh implantation surgery were enrolled. Preoperative risk factors including age, urodynamical parameter, presence of vaginal, rectal prolapse, previous anti-incontinence and gynecologycal operations history, BMI, accompanied diseases, preoperative voiding symptoms, combined mixed incontinence and intra-operative complications associated with postoperative voiding difficulty were analyzed. Voiding difficulty defined as increased post voided residual urine (≥100ml) and urinary retention defined as marked post voided residual urine (≥400ml). RESULTS Patients who had voiding difficulty were 27 patients (16.1%, 20.6±26.1 vs 200.5±145.1) and patients who had urinary retention 4 (2.3%, 436∼700ml). Mixed urinary incontinence was significant associated with the higher prevalence of symptoms of postoperative increasing PVR (p=0.009), and of the necessity of CIC because of urinary retention (p=0.006). In urodynamic parameters, compliance is only associated with increasing PVR (p=0.047). There were no more significant parameters between voiding difficulty and evaluated factors. CONCLUSIONS The most important significant risk factor of postoperative voiding difficulty is the combined mixed urinary incontinence and lower compliance. The effect of mixed urinary incontinence and lower compliance for postoperative voiding difficulty and urinary retention were limited because the incidence is low. The urinary retention is a less common finding after female anti-incontinence operations, but it is mostly transient and solved conservative treatment with CIC. It is needed further study for the used mesh type, effect of mixed incontinence on the voiding difficulty after SUI surgery. © 2013 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 189Issue 4SApril 2013Page: e431 Advertisement Copyright & Permissions© 2013 by American Urological Association Education and Research, Inc.MetricsAuthor Information Jinbum Kim Daejeon, Korea, Republic of More articles by this author Hongwook Kim Daejeon, Korea, Republic of More articles by this author YoungSeop Chang Daejeon, Korea, Republic of More articles by this author DongHoon Go Daejeon, Korea, Republic of More articles by this author YoungJun Moon Daejeon, Korea, Republic of More articles by this author HyungJun Kim Daejeon, Korea, Republic of More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...