Abstract:
INTRODUCTION AND HYPOTHESIS:We aimed to determine the rate of readmission and reoperation for patients undergoing midurethral sling (MUS) placement for stress urinary incontinence (SUI). METHODS:The American College of Surgeons National Surgical Quality Improvement Program (NSQIP) database was queried to identify all isolated MUS placed from 2012 through 2015 using the Current Procedural Terminology 4 (CPT-4) code for MUS with or without cystoscopy (57,288 ± 52,000). The cohort was then reviewed for unplanned, related readmissions and reoperations within 30 days of MUS placement. RESULTS:Isolated MUS was placed in 9910 patients. Fifty-eight (0.59%) patients were readmitted and 81 (0.82%) had reoperation. The most common indications for readmission were related to the urinary tract, i.e., urinary retention (27.6%), non-surgical-site-related infection (15.5%), and medical related issues (15.5%) The most common indications for reoperation were urinary tract (60.5%), gastrointestinal (7.4%), and gynecologic, i.e., examination under anesthesia (6.2%). Body mass index (BMI) was less (p = 0.001), and operative time (p = 0.014) and length of stay (LOS) (p = 0.001) longer in patients who were readmitted. Those who underwent reoperation had longer LOS than those who did not have reoperation (p < 0.001). Upon multivariate analysis, BMI <25 (all p < 0.05) and longer LOS maintained statistical significance as risk factors for those who experienced readmission or reoperation (p = 0.0406, p < 0001). CONCLUSIONS:Isolated MUS placement has low 30-day readmission and reoperation rates. Increased LOS was associated with readmission, while increased LOS and BMI <25 were associated with reoperation within 30 days.
journal_name
Int Urogynecol Jjournal_title
International urogynecology journalauthors
Hokenstad ED,Glasgow AE,Habermann EB,Occhino JAdoi
10.1007/s00192-017-3551-9subject
Has Abstractpub_date
2018-09-01 00:00:00pages
1367-1370issue
9eissn
0937-3462issn
1433-3023pii
10.1007/s00192-017-3551-9journal_volume
29pub_type
杂志文章abstract:INTRODUCTION AND HYPOTHESIS:Several modifications of sacrospinous ligament fixation (SLF) are described. METHODS:This study presents a standardised SLF technique. Perioperative course and outcome are compared retrospectively after surgery is performed by experienced surgeons or by residents. RESULTS:Two hundred three...
journal_title:International urogynecology journal
pub_type: 杂志文章
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更新日期:2011-03-01 00:00:00
abstract:INTRODUCTION AND HYPOTHESIS:despite claims of equivalence to the tension-free vaginal tape, a variety of suburethral slings have been introduced, with various modifications. Complications in certain synthetic slings and meshes have led to a recent FDA public health notification. METHODS:we report the case histories an...
journal_title:International urogynecology journal
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abstract:INTRODUCTION AND HYPOTHESIS:The aim of our study was to assess the interobserver and intraobserver reliability as well as the content and construct validity of the FIGO prolapse assessment scoring system (FASS). METHODS:Women with and without (controls) symptoms of pelvic organ prolapse (POP) attending gynaecology out...
journal_title:International urogynecology journal
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1007/s00192-014-2604-6
更新日期:2015-06-01 00:00:00
abstract::Bladder dysfunction is a very prevalent disorder and often refractory to behavioral and pharmacologic therapies. Sacral nerve stimulation is an approved method of managing urinary urgency, frequency, urge incontinence, and urinary retention. Alternative approaches to neuromodulation are being developed. The purpose of...
journal_title:International urogynecology journal
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更新日期:2010-12-01 00:00:00
abstract:INTRODUCTION AND HYPOTHESIS:The effect of pregnancy and mode of delivery on pelvic floor muscle function (PFMF) is unclear. Our aim was to prospectively evaluate the effect of pregnancy and childbirth on PFMF. METHODS:Subjective (Oxford scale) and objective (perineometry) assessments of PFMF were performed at 20 and 3...
journal_title:International urogynecology journal
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doi:10.1007/s00192-011-1501-5
更新日期:2011-11-01 00:00:00
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journal_title:International urogynecology journal
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doi:10.1007/s00192-009-1069-5
更新日期:2010-05-01 00:00:00
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journal_title:International urogynecology journal
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更新日期:2011-08-01 00:00:00
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journal_title:International urogynecology journal
pub_type: 杂志文章,随机对照试验
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更新日期:2019-02-01 00:00:00
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journal_title:International urogynecology journal
pub_type: 杂志文章
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更新日期:2016-03-01 00:00:00
abstract::Oxybutynin chloride is primarily indicated for the treatment of overactive bladder syndrome (OAB). It remains the most widely prescribed compound for OAB in the world. OAB is defined as the presence of urinary urgency, usually accompanied by daytime urinary frequency and nocturia, with or without urgency urinary incon...
journal_title:International urogynecology journal
pub_type: 杂志文章,评审
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更新日期:2013-04-01 00:00:00
abstract:INTRODUCTION AND HYPOTHESIS:There is a difference of opinion in the literature as to whether pelvic organ prolapse (POP) is a direct cause of female sexual dysfunction (FSD). Sexual function in women is negatively impacted by the presence of urinary symptoms. Thus, sexual dysfunction (SD) might be improved, unchanged, ...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-017-3500-7
更新日期:2018-06-01 00:00:00
abstract:INTRODUCTION AND HYPOTHESIS:The aim of this study was to retrospectively assess the extent and severity of the post-operative complications associated with the Pinnacle Pelvic Floor Repair Kit. METHODS:This is a descriptive analysis of 23 consecutive women who had a prolapse repair with either an anterior (n = 19) or ...
journal_title:International urogynecology journal
pub_type: 杂志文章
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更新日期:2014-01-01 00:00:00
abstract:INTRODUCTION AND HYPOTHESIS:Although midurethral slings have become standard surgical methods to treat stress urinary incontinence (SUI), little is known about women who still have urinary incontinence (UI) after surgery. This study assesses and compares the patient-reported outcome 12 months after tension-free vaginal...
journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-012-1752-9
更新日期:2012-10-01 00:00:00
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journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-020-04541-9
更新日期:2020-10-10 00:00:00
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journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-018-3826-9
更新日期:2019-09-01 00:00:00
abstract:INTRODUCTION AND HYPOTHESIS:World Health Organisation (WHO) data suggest that more than two million women and girls live with fistula and that an additional 50-100,000 are newly affected each year. In Tanzania, it has been estimated that there are between 1,200 and 3,000 new cases of obstetric fistula annually. METHOD...
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pub_type: 杂志文章
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更新日期:2014-02-01 00:00:00
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pub_type: 杂志文章
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更新日期:2019-12-01 00:00:00
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pub_type: 杂志文章
doi:10.1007/s00192-010-1308-9
更新日期:2011-05-01 00:00:00
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journal_title:International urogynecology journal
pub_type: 杂志文章
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更新日期:2016-06-01 00:00:00
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journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-019-03924-x
更新日期:2019-05-01 00:00:00
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pub_type: 杂志文章
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更新日期:2017-12-01 00:00:00
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journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-020-04627-4
更新日期:2021-01-06 00:00:00
abstract::Obstetric fistula is the presence of a hole between a woman's genital tract and either the urinary or the intestinal tract. Better knowledge of the risk factors for obstetric fistula could help in preventing its occurrence. The purpose of this study was to assess the characteristics of obstetric fistula patients. We c...
journal_title:International urogynecology journal
pub_type: 杂志文章,评审
doi:10.1007/s00192-011-1622-x
更新日期:2012-04-01 00:00:00
abstract::Pelvic reconstructive surgeons have suspected for over a century that childbirth-related trauma plays a major role in the aetiology of female pelvic organ prolapse. Modern imaging has recently allowed us to define and reliably diagnose some of this trauma. As a result, imaging is becoming increasingly important, since...
journal_title:International urogynecology journal
pub_type: 杂志文章,评审
doi:10.1007/s00192-011-1459-3
更新日期:2011-10-01 00:00:00
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pub_type: 杂志文章
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更新日期:2020-04-01 00:00:00
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journal_title:International urogynecology journal
pub_type: 杂志文章,meta分析,评审
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更新日期:2015-03-01 00:00:00
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pub_type: 杂志文章,多中心研究
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更新日期:2011-08-01 00:00:00
abstract::Combining anti-incontinence and pelvic organ prolapse surgery for patients with occult urinary stress incontinence is controversial. The concern is that some of these patients may remain continent after vaginal prolapse repair making the addition of anti-incontinence surgery unnecessary. However, this can be explained...
journal_title:International urogynecology journal
pub_type: 杂志文章,评审
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更新日期:2012-07-01 00:00:00