Urinary retention after AdVance™ Sling: A multi-institutional retrospective study.
Autor: | Zheng Y; Department of Urology, Medical University of South Carolina, Charleston, South Carolina, USA., Major N; Department of Urology, Medical University of South Carolina, Charleston, South Carolina, USA., Silverii H; Department of Urology, Medical University of South Carolina, Charleston, South Carolina, USA., Rac G; Department of Urology, Medical University of South Carolina, Charleston, South Carolina, USA., Rolef J; Department of Urology, Medical University of South Carolina, Charleston, South Carolina, USA., Rittenberg L; Department of Urology, Medical University of South Carolina, Charleston, South Carolina, USA., Mourtzinos A; Department of Urology, Lahey Health and Medical Center, Burlington, Massachusetts, USA., Moynihan M; Department of Urology, Lahey Health and Medical Center, Burlington, Massachusetts, USA., Westney OL; Department of Urology, University of Texas MD Anderson Cancer Center, Houston, Texas, USA., Metro MJ; Department of Urology, Temple University, Philadelphia, Pennsylvania, USA., Herschorn S; Division of Urology, University of Toronto, Toronto, Ontario, USA., Locke J; Division of Urology, University of Toronto, Toronto, Ontario, USA., Neu S; Division of Urology, University of Toronto, Toronto, Ontario, USA., Rames R; Department of Urology, Medical University of South Carolina, Charleston, South Carolina, USA., Cox L; Department of Urology, Medical University of South Carolina, Charleston, South Carolina, USA., Rovner E; Department of Urology, Medical University of South Carolina, Charleston, South Carolina, USA. |
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Jazyk: | angličtina |
Zdroj: | Neurourology and urodynamics [Neurourol Urodyn] 2021 Jan; Vol. 40 (1), pp. 515-521. Date of Electronic Publication: 2020 Dec 21. |
DOI: | 10.1002/nau.24591 |
Abstrakt: | Aims: To identify risk factors for urinary retention following AdVance™ Sling placement using preoperative urodynamic studies to evaluate bladder contractility. Methods: A multi-institutional retrospective review of patients who underwent an AdVance Sling for post-prostatectomy stress urinary incontinence from 2007 to 2019 was performed. Acute urinary retention (AUR) was defined as the complete inability to void or elevated post-void residual (PVR) leading to catheter placement or the initiation of intermittent catheterization at the first void trial postoperatively. Bladder contractility was evaluated based on preoperative urodynamics. Results: Of the 391 patients in this study, 55 (14.1%) experienced AUR, and 6 patients (1.5%) had chronic urinary retention with a median follow-up of 18.1 months. In total, 303 patients (77.5%) underwent preoperative urodynamics, and there was no significant difference between average PdetQmax (26.4 vs. 27.4 cmH Conclusions: Chronic urinary retention after AdVance Sling placement is uncommon and acute retention is generally self-limiting. No demographic or urodynamic factors were predictive of AUR. Patients who developed AUR were more likely to have their void trials within 2 days following AdVance Sling placement versus longer initial catheterization periods, suggesting that a longer duration of postoperative catheterization may reduce the occurrence of AUR. (© 2020 Wiley Periodicals LLC.) |
Databáze: | MEDLINE |
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