Following midurethral versus bladder sling procedures

Sylvia M. Botros, Yoram Abramov, Roger P. Goldberg, Jennifer L. Beaumont, Sanjay Gandhi, Jay James R. Miller, Peter K. Sand

Research output: Contribution to journalArticlepeer-review

24 Scopus citations


Objective: The objective of the study was to compare detrusor overactivity and urge urinary incontinence rates after midurethral slings versus bladder neck slings. Study design: Three hundred forty subjects underwent midurethral slings or bladder neck slings. Comparisons were made using Student's t test and χ2 test. Multivariate analysis was performed to detect confounding factors. Results: More patients in the midurethral sling group resolved detrusor overactivity than in the bladder neck sling group (38% versus 15%, P < .001). In addition, subjects in the midurethral sling group had significantly lower rates of de novo detrusor overactivity than subjects in the bladder neck sling group (29% versus 62%, P = .002). The only significant predictors of postoperative detrusor overactivity were preoperative detrusor overactivity (P < .001) and sling type (P < .001). After adjusting for preoperative detrusor overactivity, bladder neck slings significantly increased the risk for persistent detrusor overactivity (odds ratio 3.9). Conclusion: Midurethral slings have increased rates of resolution of detrusor overactivity and lower rates of de novo detrusor overactivity than transvaginal bladder neck sling procedures.

Original languageEnglish (US)
Pages (from-to)2144-2148
Number of pages5
JournalAmerican Journal of Obstetrics and Gynecology
Issue number6
StatePublished - Dec 2005
Externally publishedYes


  • Bladder neck sling
  • Detrusor overactivity
  • Midurethral sling
  • Urge incontinence

ASJC Scopus subject areas

  • Obstetrics and Gynecology


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