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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Findings of universal cystoscopy at incontinence surgery and their sequelae
American Journal of Obstetrics and Gynecology, Volume 210, No. 5, Year 2014
Notification
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Description
Objective The purpose of this study was to report the frequency of abnormal cystoscopy at incontinence surgery and to identify risk factors and sequelae of injury. Study Design Findings of cystoscopy were collected prospectively in 3 multicenter surgical trials. Clinical, demographic, and procedure characteristics and surgeon experience were analyzed for association with iatrogenic injury and noninjury abnormalities. Impact of abnormalities on continence outcomes and adverse events during 12 months after the procedure were assessed. Results Abnormal findings in the bladder or urethra were identified in 95 of 1830 women (5.2%). Most injuries (75.8%) were iatrogenic. Lower urinary tract (LUT) injury was most common at retropubic urethropexy and retropubic midurethral sling (MUS) procedures (6.4% each), followed by autologous pubovaginal sling procedures (1.7%) and transobturator MUS (0.4%). Increasing age (56.9 vs 51.9 years; P =.04), vaginal deliveries (3.2 vs 2.6; P =.04), and blood loss (393 vs 218 mL; P =.01) were associated with LUT injury during retropubic urethropexy; however, only age (62.9 vs 51.4 years; P =.02) and smoking history (P =.04) were associated for pubovaginal sling procedures. No factors correlated with increased risk of injury at retropubic and transobturator MUS. Notably, previous incontinence surgery, concomitant procedures, anesthesia type, and trainee participation did not increase LUT injury frequency. Although discharge with an indwelling catheter was more common after trocar perforation compared with the noninjury group (55.6% vs 18.5%; P <.001), they did not differ in overall success, voiding dysfunction, recurrent urinary tract infections, or urge urinary incontinence. Conclusion Universal cystoscopy at incontinence surgery detects abnormalities in 1 in 20 women. Urinary trocar perforations that are addressed intraoperatively have no long-term adverse sequelae. © 2014 Mosby, Inc. All rights reserved.
Authors & Co-Authors
Zyczynski, Halina M.
United States, Pittsburgh
University of Pittsburgh
Sirls, Larry Thomas
United States, Royal Oak
William Beaumont Hospital
Greer, William Jerod
United States, Birmingham
The University of Alabama at Birmingham
Norton, Peggy A.
United States, Salt Lake City
The University of Utah
Brubaker, Linda T.
United States, Chicago
Loyola University Chicago
Richter, Holly Elizabeth
Unknown Affiliation
Albo, Michael Edward
Unknown Affiliation
Nager, Charles W.
Unknown Affiliation
Chai, Toby C.
Unknown Affiliation
Johnson, Harry W.
Unknown Affiliation
Leng, Wendy W.
Unknown Affiliation
Zimmern, Philippe E.
Unknown Affiliation
Lemack, Gary E.
Unknown Affiliation
Kraus, Stephen R.
Unknown Affiliation
Tennstedt, Sharon L.
Unknown Affiliation
Stoddard, Anne M.
Unknown Affiliation
Chang, Debuene
Unknown Affiliation
Baker, Jan E.
Unknown Affiliation
Borello-France, Diane F.
Unknown Affiliation
Burgio, Kathryn Larsen
Unknown Affiliation
Kenton, Kimberly S.
Unknown Affiliation
Khandwala, Salil
Unknown Affiliation
Luber, Karl M.
Unknown Affiliation
Menefee, Shawn Adam
Unknown Affiliation
Peters, Kenneth M.
Unknown Affiliation
Schaffer, Joseph I.
Unknown Affiliation
Simsiman, Amanda J.
Unknown Affiliation
Starr, Robert
Unknown Affiliation
Dinh, Rosanna
Unknown Affiliation
Gruss, Judy A.
Unknown Affiliation
Howell, Alice
Unknown Affiliation
Jesse, Kathy
Unknown Affiliation
Leemon, Barbara
Unknown Affiliation
Moore, Elva Kelly
Unknown Affiliation
Prather, Caren
Unknown Affiliation
Sluder, Sylvia
Unknown Affiliation
Tulke, Mary
Unknown Affiliation
Dandreo, Kimberly J.
Unknown Affiliation
Xu, Yan
Unknown Affiliation
Abrams, Paul H.
Unknown Affiliation
Henderson, William G.
Unknown Affiliation
Fenner, Dee E.
Unknown Affiliation
Kelsey, Sheryl F.
Unknown Affiliation
Mostwin, Jacek L.
Unknown Affiliation
Wadie, Bassem
Unknown Affiliation
Rozanski, Thomas A.
Unknown Affiliation
Arisco, Amy M.
Unknown Affiliation
Diokno, Ananias C.
Unknown Affiliation
Ghetti, Chiara C.
Unknown Affiliation
Goode, Patricia S.
Unknown Affiliation
Holley, Robert L.
Unknown Affiliation
Lowder, Jerry L.
Unknown Affiliation
Moalli, Pamela A.
Unknown Affiliation
Sagan, Elizabeth R.
Unknown Affiliation
Sutkin, Gary
Unknown Affiliation
Burr, Laura
Unknown Affiliation
Columbo, Jesse A.
Unknown Affiliation
Jayachandran, Chaandini J.
Unknown Affiliation
Mislanovich, Karen
Unknown Affiliation
Willingham, Robin
Unknown Affiliation
Huang, Liyuan
Unknown Affiliation
Litman, Heather J.
Unknown Affiliation
Mihova, Marina S.
Unknown Affiliation
Tanwar, Kerry L.
Unknown Affiliation
Clemens, James Quentin
Unknown Affiliation
Boone, Timothy B.
Unknown Affiliation
Connett, John E.
Unknown Affiliation
Lightner, Deborah J.
Unknown Affiliation
Myers, Deborah L.
Unknown Affiliation
Amundsen, Cindy Louise
Unknown Affiliation
Fischer, Melissa C.
Unknown Affiliation
Kahn, Margie A.
Unknown Affiliation
Markland, Alayne D.
Unknown Affiliation
Mueller, Elizabeth Rose
Unknown Affiliation
Zazueta-Damian, Gisselle
Unknown Affiliation
Kowalski, Rose
Unknown Affiliation
Statistics
Citations: 10
Authors: 76
Affiliations: 8
Identifiers
Doi:
10.1016/j.ajog.2013.12.040
ISSN:
00029378
Research Areas
Health System And Policy
Violence And Injury
Participants Gender
Female