E-Posters-10042

10042_Huber

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This document presents the findings of a retrospective chart review study that aimed to assess the impact of detrusor overactivity (DO) on the long-term outcomes of women with stress urinary incontinence (SUI) who underwent synthetic retropubic sling insertion. The study included a total of 61 patients, of whom 13 had DO and subjective mixed urinary symptoms, and 48 had subjective mixed urinary symptoms only. The postoperative outcomes at 5 years were compared between the two groups.<br /><br />The results showed that there was no significant difference in the cure rates for subjective and objective stress incontinence between the two groups. However, patients with DO were more likely to require treatment for bothersome overactive bladder symptoms compared to those without DO. This treatment included anticholinergics, beta-3 agonists, and neuromodulation.<br /><br />The study highlights that the presence of DO in women with SUI may have a negative impact on long-term urinary symptoms and quality of life. The findings suggest that patients with symptomatic DO may require additional treatment for overactive bladder symptoms after retropubic sling insertion. However, the sample size of the study was small, which limits the generalizability of the results. Further research with a larger sample size is recommended to provide more insight into the outcomes of this patient sub-group.<br /><br />Overall, this study contributes to the understanding of the factors that can affect the success of synthetic midurethral slings in treating SUI. It suggests that preoperative assessment of DO symptoms may be important in predicting postoperative outcomes.

Keywords

retrospective chart review

detrusor overactivity

stress urinary incontinence

synthetic retropubic sling insertion

long-term outcomes

subjective mixed urinary symptoms

cure rates

overactive bladder symptoms

treatment options

quality of life