Risk factors associated with voiding dysfunction after anti-incontinence surgery
Autor: | Myung Jae Jeon, Yeo Jung Moon, Sei Kwang Kim, Sang Wook Bai, Sue Min Chung |
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Rok vydání: | 2010 |
Předmět: |
medicine.medical_specialty
Multivariate analysis Urology medicine.medical_treatment MEDLINE Urinary incontinence Severity of Illness Index Colporrhaphy Pelvic Organ Prolapse Gynecologic Surgical Procedures Risk Factors Internal medicine Severity of illness medicine Humans Surgical treatment Aged Retrospective Studies business.industry Age Factors Obstetrics and Gynecology Retrospective cohort study Middle Aged Urination Disorders Urodynamics Treatment Outcome Urinary Incontinence Anti incontinence surgery Multivariate Analysis Female medicine.symptom business |
Zdroj: | International urogynecology journal. 21(12) |
ISSN: | 1433-3023 |
Popis: | The aim of this study is to investigate the risk factors of voiding dysfunction occurring within 1 month after surgical treatment of urinary incontinence.Medical records of 903 women who underwent anti-incontinence surgery at Yonsei Medical Health System from January 1999 to April 2007 were reviewed. The patient demographics, urodynamic parameters, pelvic organ prolapse stage, surgical procedures, and concomitant surgery were retrospectively evaluated. Postoperative voiding dysfunction was defined as post-void residual urine measuring greater than 100 cc at two or more successive trials.Age, menopausal status, maximum flow rate, average flow rate, post-void residual, anti-incontinence surgery type, stage of pelvic organ prolapse, and concomitant prolapse surgery were associated predictors of voiding dysfunction after anti-incontinence surgery. In multivariate analysis, concomitant anterior colporrhaphy (OR 2.4; 95% CI 1.38-4.11) was the only independent risk factor.The most important risk factor associated with voiding dysfunction was concomitant anterior colporrhaphy. |
Databáze: | OpenAIRE |
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