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This document discusses a study that aims to determine whether there are differences in outcomes between diabetic and non-diabetic women who undergo mid-urethral sling (MUS) placement for urinary incontinence. Diabetic cystopathy, which includes increased bladder capacity, impaired bladder contraction, and incomplete bladder emptying, has been described in previous research. However, recent studies have conflicting results regarding the existence of this phenomenon. Few studies have examined the impact of diabetes on voiding function following MUS surgery.<br /><br />The study included a retrospective analysis of patients who underwent MUS placement between January 2012 and September 2016. The researchers compared post-void residual volume (PVR) and outcomes between diabetic and non-diabetic women. They collected data on baseline demographics, pre-operative voiding parameters, PVR, and complications.<br /><br />The results showed no differences in baseline or post-operative PVR between diabetic and non-diabetic patients. The study did not find objective evidence for the influence of diabetes on the surgical outcomes of MUS. However, further studies are needed to investigate the effect of diabetes on subjective outcomes.<br /><br />The study included 60 diabetic women and 551 non-diabetic women. The diabetic group had higher mean age and body mass index (BMI) compared to the non-diabetic group. There were similar rates of urinary tract infections and sling revisions between the two groups. The limitations of the study include its retrospective nature and the limited data on diabetes, such as duration and disease control.<br /><br />In conclusion, this study did not find significant differences in outcomes between diabetic and non-diabetic women who underwent MUS placement for urinary incontinence. However, further research is needed to explore the subjective outcomes and long-term effects of diabetes on MUS surgery outcomes.
Keywords
diabetic women
non-diabetic women
mid-urethral sling placement
urinary incontinence
diabetic cystopathy
voiding function
post-void residual volume
surgical outcomes
retrospective analysis
urinary tract infections
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