Mt. Mclennan et al., CLINICAL AND URODYNAMIC PREDICTORS OF DELAYED VOIDING AFTER FASCIA LATA SUBURETHRAL SLING, Obstetrics and gynecology, 92(4), 1998, pp. 608-612
Objective: To determine the time to resumption of normal voiding after
a fascia lata sling and whether any clinical, operative, or urodynami
c variables predict it. Methods: Between January 1993 and September 19
96, 62 women underwent fascia lata suburethral sling operations for in
trinsic sphincter deficiency or recurrent stress incontinence. The dem
ographic, operative, and urodynamic data of 61 of these patients were
analyzed. Results: The mean number of days to resumption of normal voi
ding was ten. Three patients (5%) developed permanent retention. Patie
nts 65 years and older were more likely than younger patients to have
prolonged catheterization (16 versus 7 days, P = .008). Women who had
additional procedures voided at a mean of 15 days compared to nine day
s for those having slings only (P = .029). A preoperative urine flow r
ate less than 20 mL/sec was associated with late voiding. There was no
significant relationship between preoperative voiding mechanism and v
oiding time. Conclusion: Resumption of normal voiding occurred earlier
than reported by others. Age over 65 years, additional surgical proce
dures, and low peak now rates were risk factors for delayed voiding. T
ime to normal voiding was independent of the preoperative voiding mech
anism. (Obstet Gynecol 1998;92:608-12. (C) 1998 by The American Colleg
e of Obstetricians and Gynecologists.).