Repeat post-op voiding trials: An inconvenient correlate with success

Urinary Incontinence Treatment Network

Research output: Contribution to journalArticle

11 Citations (Scopus)

Abstract

Aims: This study examined the association between the need for a repeat voiding trial after midurethral sling (MUS) surgery and 1-year success rates. Methods: We conducted this secondary analysis of the participants in the Urinary Incontinence Treatment Network trial of midurethral sling (TOMUS) study which compared retropubic versus transobturator MUS. A standard voiding trial was attempted on all subjects. The "repeat voiding trial" group included subjects discharged with catheterization. All others were considered "self voiding." Success rates between the groups at 1-year were compared, followed by multivariate analyses controlling for previously reported clinical predictors of success. Results: Most women (76%) were self-voiding, while 24% required a repeat voiding trial. The objective success rate at 1-year was 85.8% in the repeat voiding trial group and 75.3% in the self-voiding group (P = 0.01). Subjective success rate at 1-year was 61.0% in the repeat voiding trial group and 55.1% in the self-voiding group (P = 0.23). Women in the repeat voiding trial group continued to demonstrate greater objective success than the self-voiding group in multivariate analysis that controlled for previous incontinence surgery, pad weight, urethral mobility, urge score, and type of MUS (P = 0.04, OR 1.82, 95% CI 1.03-3.22). Conclusions: Women who require a repeat voiding trial following MUS surgery have greater objective success at 1-year postoperatively when compared to those who are self-voiding at the time of discharge. These results may help reassure women who require catheterization after MUS surgery that their outcome is not compromised by this immediate transient post-operative result.

Original languageEnglish (US)
Pages (from-to)1225-1228
Number of pages4
JournalNeurourology and Urodynamics
Volume33
Issue number8
DOIs
StatePublished - Nov 1 2014
Externally publishedYes

Fingerprint

Suburethral Slings
Catheterization
Incontinence Pads
Multivariate Analysis
Urinary Incontinence
Weights and Measures

Keywords

  • Midurethral sling
  • Stress urinary incontinence
  • Voiding dysfunction

ASJC Scopus subject areas

  • Clinical Neurology
  • Urology

Cite this

Repeat post-op voiding trials : An inconvenient correlate with success. / Urinary Incontinence Treatment Network.

In: Neurourology and Urodynamics, Vol. 33, No. 8, 01.11.2014, p. 1225-1228.

Research output: Contribution to journalArticle

Urinary Incontinence Treatment Network. / Repeat post-op voiding trials : An inconvenient correlate with success. In: Neurourology and Urodynamics. 2014 ; Vol. 33, No. 8. pp. 1225-1228.
@article{17da92237f244f82ba7e6dcc14943fad,
title = "Repeat post-op voiding trials: An inconvenient correlate with success",
abstract = "Aims: This study examined the association between the need for a repeat voiding trial after midurethral sling (MUS) surgery and 1-year success rates. Methods: We conducted this secondary analysis of the participants in the Urinary Incontinence Treatment Network trial of midurethral sling (TOMUS) study which compared retropubic versus transobturator MUS. A standard voiding trial was attempted on all subjects. The {"}repeat voiding trial{"} group included subjects discharged with catheterization. All others were considered {"}self voiding.{"} Success rates between the groups at 1-year were compared, followed by multivariate analyses controlling for previously reported clinical predictors of success. Results: Most women (76{\%}) were self-voiding, while 24{\%} required a repeat voiding trial. The objective success rate at 1-year was 85.8{\%} in the repeat voiding trial group and 75.3{\%} in the self-voiding group (P = 0.01). Subjective success rate at 1-year was 61.0{\%} in the repeat voiding trial group and 55.1{\%} in the self-voiding group (P = 0.23). Women in the repeat voiding trial group continued to demonstrate greater objective success than the self-voiding group in multivariate analysis that controlled for previous incontinence surgery, pad weight, urethral mobility, urge score, and type of MUS (P = 0.04, OR 1.82, 95{\%} CI 1.03-3.22). Conclusions: Women who require a repeat voiding trial following MUS surgery have greater objective success at 1-year postoperatively when compared to those who are self-voiding at the time of discharge. These results may help reassure women who require catheterization after MUS surgery that their outcome is not compromised by this immediate transient post-operative result.",
keywords = "Midurethral sling, Stress urinary incontinence, Voiding dysfunction",
author = "{Urinary Incontinence Treatment Network} and Ferrante, {Kimberly L.} and Kim, {Hae Young} and Linda Brubaker and Wai, {Cliff Y.} and Norton, {Peggy A.} and Kraus, {Stephen R} and Jonathan Shepherd and Sirls, {Larry T.} and Nager, {Charles W.}",
year = "2014",
month = "11",
day = "1",
doi = "10.1002/nau.22489",
language = "English (US)",
volume = "33",
pages = "1225--1228",
journal = "Neurourology and Urodynamics",
issn = "0733-2467",
publisher = "Wiley-Liss Inc.",
number = "8",

}

TY - JOUR

T1 - Repeat post-op voiding trials

T2 - An inconvenient correlate with success

AU - Urinary Incontinence Treatment Network

AU - Ferrante, Kimberly L.

AU - Kim, Hae Young

AU - Brubaker, Linda

AU - Wai, Cliff Y.

AU - Norton, Peggy A.

AU - Kraus, Stephen R

AU - Shepherd, Jonathan

AU - Sirls, Larry T.

AU - Nager, Charles W.

PY - 2014/11/1

Y1 - 2014/11/1

N2 - Aims: This study examined the association between the need for a repeat voiding trial after midurethral sling (MUS) surgery and 1-year success rates. Methods: We conducted this secondary analysis of the participants in the Urinary Incontinence Treatment Network trial of midurethral sling (TOMUS) study which compared retropubic versus transobturator MUS. A standard voiding trial was attempted on all subjects. The "repeat voiding trial" group included subjects discharged with catheterization. All others were considered "self voiding." Success rates between the groups at 1-year were compared, followed by multivariate analyses controlling for previously reported clinical predictors of success. Results: Most women (76%) were self-voiding, while 24% required a repeat voiding trial. The objective success rate at 1-year was 85.8% in the repeat voiding trial group and 75.3% in the self-voiding group (P = 0.01). Subjective success rate at 1-year was 61.0% in the repeat voiding trial group and 55.1% in the self-voiding group (P = 0.23). Women in the repeat voiding trial group continued to demonstrate greater objective success than the self-voiding group in multivariate analysis that controlled for previous incontinence surgery, pad weight, urethral mobility, urge score, and type of MUS (P = 0.04, OR 1.82, 95% CI 1.03-3.22). Conclusions: Women who require a repeat voiding trial following MUS surgery have greater objective success at 1-year postoperatively when compared to those who are self-voiding at the time of discharge. These results may help reassure women who require catheterization after MUS surgery that their outcome is not compromised by this immediate transient post-operative result.

AB - Aims: This study examined the association between the need for a repeat voiding trial after midurethral sling (MUS) surgery and 1-year success rates. Methods: We conducted this secondary analysis of the participants in the Urinary Incontinence Treatment Network trial of midurethral sling (TOMUS) study which compared retropubic versus transobturator MUS. A standard voiding trial was attempted on all subjects. The "repeat voiding trial" group included subjects discharged with catheterization. All others were considered "self voiding." Success rates between the groups at 1-year were compared, followed by multivariate analyses controlling for previously reported clinical predictors of success. Results: Most women (76%) were self-voiding, while 24% required a repeat voiding trial. The objective success rate at 1-year was 85.8% in the repeat voiding trial group and 75.3% in the self-voiding group (P = 0.01). Subjective success rate at 1-year was 61.0% in the repeat voiding trial group and 55.1% in the self-voiding group (P = 0.23). Women in the repeat voiding trial group continued to demonstrate greater objective success than the self-voiding group in multivariate analysis that controlled for previous incontinence surgery, pad weight, urethral mobility, urge score, and type of MUS (P = 0.04, OR 1.82, 95% CI 1.03-3.22). Conclusions: Women who require a repeat voiding trial following MUS surgery have greater objective success at 1-year postoperatively when compared to those who are self-voiding at the time of discharge. These results may help reassure women who require catheterization after MUS surgery that their outcome is not compromised by this immediate transient post-operative result.

KW - Midurethral sling

KW - Stress urinary incontinence

KW - Voiding dysfunction

UR - http://www.scopus.com/inward/record.url?scp=84908479953&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84908479953&partnerID=8YFLogxK

U2 - 10.1002/nau.22489

DO - 10.1002/nau.22489

M3 - Article

C2 - 23983149

AN - SCOPUS:84908479953

VL - 33

SP - 1225

EP - 1228

JO - Neurourology and Urodynamics

JF - Neurourology and Urodynamics

SN - 0733-2467

IS - 8

ER -