Conference Coverage

Complete MUS mesh removal not linked to incontinence


 

REPORTING FROM THE AUA ANNUAL MEETING

Of 51 patients who had preoperative urodynamic SUI, 39 (76%) ultimately underwent another surgery. Although increased time to MUS excision and total mesh removal were associated with urinary incontinence in this group in univariate analyses, they were no longer significant following a multivariate analysis.

Of 140 patients with a negative preoperative urodynamic testing for SUI, 59 (42%) went on to have another SUI procedure. After multivariate analysis, the only risk factors for urinary incontinence were obesity (OR, 4.74; 95% CI, 1.73-13.02) and postmenopausal status (OR, 3.78; 95% CI, 1.16-12.33).

“I think there’s a lot of fear, even among urologists and specialists who see these problems, that complete mesh removal is associated with a higher risk of complications and a higher risk of incontinence,” said Dr. Oliver. “These data would suggest that, in certain subgroups, that’s not true. The risks factors that we identified in a multivariate analysis were being obese and being postmenopausal, but not complete mesh removal.”

The study received no external funding. Dr. Oliver reported having no financial conflicts of interest.

SOURCE: Oliver J et al. AUA Annual Meeting. Abstract PD05-10.

Pages

Recommended Reading

Laparoscopic sacrocolpopexy offers advantages over abdominal route
MDedge Surgery
Fluorescein, 10% dextrose topped other media for visualizing ureteral patency
MDedge Surgery
POP severity not linked to risk of de novo stress urinary incontinence
MDedge Surgery
No rise in complications with concomitant gynecologic cancer, PFD surgery
MDedge Surgery
Registry helps track pelvic organ prolapse outcomes in the U.S.
MDedge Surgery
Long-term durability low for nonmesh vaginal prolapse repair
MDedge Surgery
Confirmatory blood typing unnecessary for closed prolapse repairs
MDedge Surgery
Lightweight mesh reduces erosion risk after sacrocolpopexy
MDedge Surgery
Avoid hysterectomy in POP repairs
MDedge Surgery
ACOG updates guidance on pelvic organ prolapse
MDedge Surgery