Reoperation for urinary incontinence

Objective(s) The objective of the study was to describe the rate and associated factors of reoperation for urinary incontinence. Study Design A cohort study using Washington state hospitalization records from 1987 to 2005 of inpatient urinary incontinence surgeries. The cumulative reoperation rate w...

Full description

Saved in:
Bibliographic Details
Published in:American journal of obstetrics and gynecology 2008-11, Vol.199 (5), p.546.e1-546.e8
Main Authors: Fialkow, Michael, MD, MPH, Symons, Rebecca Gaston, MPH, Flum, David, MD, MPH
Format: Article
Language:English
Subjects:
Biological and medical sciences
Cohort Studies
Female
Gynecology. Andrology. Obstetrics
Humans
Hysterectomy
Medical sciences
Middle Aged
Nephrology. Urinary tract diseases
Obstetrics and Gynecology
Proportional Hazards Models
Reoperation
surgery
urinary incontinence
Urinary Incontinence - surgery
Urinary system involvement in other diseases. Miscellaneous
Urinary tract. Prostate gland
Urogenital Surgical Procedures - methods
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Objective(s) The objective of the study was to describe the rate and associated factors of reoperation for urinary incontinence. Study Design A cohort study using Washington state hospitalization records from 1987 to 2005 of inpatient urinary incontinence surgeries. The cumulative reoperation rate was estimated for the entire cohort and by procedure. Cox regression was used to estimate the hazard of reoperation. Results A total of 41,705 women underwent either a sling or retropubic colposuspension (Burch); 1895 underwent reoperation for urinary incontinence (8.6%; 95% confidence interval, 7.8-9.5%), a rate of 5.5 per 1000 woman-years. Women undergoing Burch had a lower reoperation rate than those undergoing slings (4.2 vs 6.7 per 1000 woman-years; P < .001). Concomitant hysterectomy was associated with a lower reoperation rate for Burch and sling repairs (5.4-2.9 and 7.7-4.2 per 1000 woman-years). Conclusion(s) Reoperation for urinary incontinence occurs commonly in the general population. The variable reoperation rate observed should be further investigated, given current trends toward increased Sling use.
ISSN:0002-9378
1097-6868
DOI:10.1016/j.ajog.2008.04.047