Predictors of sling revision after mid-urethral sling procedures: a case-control study

BJOG : an International Journal of Obstetrics and Gynaecology
A A ClancyD Pascali

Abstract

To identify patient characteristics and surgical factors predictive of complications requiring mid-urethral sling (MUS) revision/removal. Case-control study. Tertiary academic centre in Canada. One hundred and seven women undergoing MUS revision/removal between 2005 and 2016 were matched with 214 controls by date of index MUS procedure (2:1 ratio). Data on patient and surgical factors were obtained via manual electronic and paper chart review. Three sets of pre-specified simple and multivariable logistic regression models were fitted to: (1) examine previously reported risk factors for MUS revision after primary surgical treatment; (2) identify preoperative predictors of MUS complications requiring revision/removal; and (3) identify surgical factors associated with this outcome after adjusting for potential confounding factors. Crude and adjusted odds ratios (ORs) with 95% confidence intervals (95% CIs) for patient and surgical factors. The median time to MUS revision was 153 days (interquartile range, IQR 49-432 days). Active smoking status (OR 2.29, 95% CI 1.13-4.63, P = 0.03), having had a previous hysterectomy (OR 3.88, 95% CI 2.02-7.46, P < 0.01), and undergoing concomitant pelvic organ prolapse surgery at the time of the ...Continue Reading

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Citations

Feb 9, 2020·International Urogynecology Journal·Melissa KeslarNisha Lakhi
May 16, 2020·Progrès en urologie : journal de l'Association française d'urologie et de la Société française d'urologie·N HermieuJ F Hermieu
May 29, 2021·BJOG : an International Journal of Obstetrics and Gynaecology·N PaceP A Moalli

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