Outcomes of Prophylactic Mid-Urethral Sling at the Time of Robotic Sacrocolpopexy.

Urology
Carrie A StewartJennifer T Anger

Abstract

To compare outcomes of patients who underwent robotic sacrocolpopexy (RSC) with and without concomitant mid-urethral sling (MUS) placement for prophylaxis or treatment of preoperative stress urinary incontinence (SUI) METHODS: We performed a retrospective review of all patients without prior incontinence procedures who underwent RSC with or without MUS placement by 3 surgeons (JA, LA, KE) at a single institution from 2012 to 2017 for treatment of pelvic organ prolapse. Patients had a MUS placed for either documented SUI or prophylaxis of SUI. We compared patient characteristics, operative details, postoperative outcomes, and complications between the groups. A total of 134 patients were identified. 58 (43%) had a MUS placed for documented SUI, 43 (32%) had prophylactic MUS, and 33 (25%) did not have a MUS placed. There were no differences in baseline characteristics between the 3 groups. Patients who did not have a MUS placed had less estimated blood loss (76.4 vs 63.8 vs 36.9 mL, P = .018) but no difference in operative time (P = .408), length of stay (P = .427), or postoperative urinary retention (P = .988). A total of 4 (7%) patients who had a MUS placed for SUI had persistent SUI postoperatively. There were 2 (5%) patients ...Continue Reading

References

Apr 1, 1997·Obstetrics and Gynecology·A L OlsenA L Clark
Apr 14, 2006·The New England Journal of Medicine·Linda BrubakerUNKNOWN Pelvic Floor Disorders Network
May 24, 2011·American Journal of Obstetrics and Gynecology·Jennifer M WuVivian W Sung
Jun 22, 2012·The New England Journal of Medicine·John T WeiUNKNOWN Pelvic Floor Disorders Network
Mar 26, 2013·The Journal of Urology·Monica L RichardsonEric R Sokol
Jun 21, 2013·International Urogynecology Journal·Mahdyie DoaeeMarzieh Nojomi
Oct 22, 2013·International Urogynecology Journal·Matthew D Barber, Christopher Maher
Jan 28, 2014·Obstetrics and Gynecology·Jennifer M WuAlayne D Markland
Oct 29, 2014·International Urogynecology Journal·Priscila Katsumi MatsuokaJorge Milhem Haddad
May 21, 2015·World Journal of Urology·Ashley B King, Howard B Goldman
Oct 4, 2015·International Urogynecology Journal·Paul Hilton, Karen Rose
Jul 19, 2017·Current Urology Reports·Janine L Oliver, Ja-Hong Kim
Aug 3, 2019·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·Charlotte CassisEdward Morris
Sep 11, 2019·Obstetrics and Gynecology·Lauren E GiugaleHalina M Zyczynski

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Citations

Sep 11, 2021·Current Opinion in Urology·Dmitry Y PushkarAlexander A Popov

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