MP36-09 SLING POSITION ON 3D-TRANSLABIAL ULTRASOUND CORRELATES WITH VOIDING SYMPTOMS IN WOMEN UNDERGOING MIDURETHRAL SLING REMOVAL

Abstract

You have accessJournal of UrologyImaging/Radiology: Uroradiology I (MP36)1 Apr 2020MP36-09 SLING POSITION ON 3D-TRANSLABIAL ULTRASOUND CORRELATES WITH VOIDING SYMPTOMS IN WOMEN UNDERGOING MIDURETHRAL SLING REMOVAL Vishnu Ganesan*, Jorge Fuentes, Melissa Foreman, Monica Morgan, Gaurav Khatri, and Philippe Zimmern Vishnu Ganesan*Vishnu Ganesan* More articles by this author , Jorge FuentesJorge Fuentes More articles by this author , Melissa ForemanMelissa Foreman More articles by this author , Monica MorganMonica Morgan More articles by this author , Gaurav KhatriGaurav Khatri More articles by this author , and Philippe ZimmernPhilippe Zimmern More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000000880.09AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: 3D-Translabial Ultrasound (3DUS) has proven to be an effective modality for identifying the morphology and course of a mid-urethral sling (MUS) prior to sling removal. This study aimed to determine the association of sling location and shape on 3DUS with presenting urinary symptoms of voiding dysfunction after MUS placement. METHODS: Following IRB approval, the charts of women who underwent suburethral sling removal (SSR) with available pre-operative 3DUS imaging were reviewed. We only included women with single slings. Demographic information, clinical information including pre-operative Urogenital Distress Inventory (UDI-6) score, as well as formal radiologic interpretation of the US studies for sling location and shape were collected. US studies were performed using an ultrasound system with 3-D high-resolution end-fire probe with subsequent image reconstruction and measurements done both on and off cart. Sling location was classified as proximal if 0-1 cm from the bladder neck, mid if 1-2 cm, and distal if 2-3 cm. The primary outcome was presence of voiding symptoms which was defined as reporting a score of 1 or higher on UDI-6, question 5, “Difficulty emptying your bladder”. Continuous variables were compared using the Kruskal-Wallis test and categorical variables compared using the Fisher-exact test. RESULTS: From 2013 to 2019, 130 women met study criteria. Among them 85 had completed pre-op UDI-6 questionnaire. 66 (78%) women reported voiding symptoms based on UDI-6, Question 5. There were no significant differences in age, BMI, type of sling between the two groups (Table 1). Women with voiding symptoms were more likely to have the sling in the distal urethra (36% vs. 6%, p = 0.03). There were no differences noted in the sling shape between the two groups (p = 0.67). CONCLUSIONS: Majority of women with MUS requiring removal report voiding symptoms. Distally located slings as noted on pre-operative 3DUS appears to be a factor in the development of voiding symptoms in women who eventually undergo SSR. Source of Funding: None © 2020 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 203Issue Supplement 4April 2020Page: e525-e526 Advertisement Copyright & Permissions© 2020 by American Urological Association Education and Research, Inc.MetricsAuthor Information Vishnu Ganesan* More articles by this author Jorge Fuentes More articles by this author Melissa Foreman More articles by this author Monica Morgan More articles by this author Gaurav Khatri More articles by this author Philippe Zimmern More articles by this author Expand All Advertisement PDF downloadLoading ...