E-Posters-10062

10062_Smithling

Pdf Summary

A case control study was conducted to determine the risk factors for incomplete bladder emptying (IE) after prolapse repairs and slings. The study included 475 cases and 478 controls, with a mean age of 60.4 years. The incidence of any postoperative catheter use was 31% and catheter use for more than one week was 5%. Sling placement and lower maximum flow, along with higher preoperative post-void residual (PVR), anterior repair, and uterosacral ligament suspension (USLS) were identified as risk factors for IE, while the presence of detrusor overactivity (DO) was found to be protective. Sling revision was required in 1.5% of cases, with a median time to revision of 79 days. <br /><br />The study had a convenience sample size and utilized logistic regression analysis to examine the relationship between risk factors and IE. The findings were based on a retrospective design and relied on data imputed to the electronic medical record, which may have introduced information bias. Furthermore, the study was unable to account for patients lost to follow-up, leading to potential confounding. <br /><br />In conclusion, the study found that the incidence of short-term catheter use was 31%, while prolonged IE (>1 week) occurred in 5% of cases. Risk factors for IE included sling placement, lower maximum flow, higher preoperative PVR, anterior repair, and USLS. DO was found to be protective. These findings contribute to a better understanding of the factors associated with IE after prolapse repairs and slings, which can help guide clinical management and improve patient outcomes.

Keywords

incomplete bladder emptying

prolapse repairs

slings

risk factors

catheter use

sling placement

maximum flow

preoperative post-void residual

anterior repair

detrusor overactivity