The relationship between urethral mobility and clinical outcomes after midurethral sling surgery
Objective:: To explore the relationship between urethral mobility and clinical outcomes after midurethral sling (MUS) surgery. Methods:: This was a retrospective analysis of the patients who had MUS surgery and clinic follow-up with ultrasound exams between 2017 and 2022. The sling location, sling-p...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2023-03-01
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| Series: | Continence |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2772973722010451 |
| _version_ | 1827986916089266176 |
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| author | Baihua Zhao Yali Zuo Lieming Wen |
| author_facet | Baihua Zhao Yali Zuo Lieming Wen |
| author_sort | Baihua Zhao |
| collection | DOAJ |
| description | Objective:: To explore the relationship between urethral mobility and clinical outcomes after midurethral sling (MUS) surgery. Methods:: This was a retrospective analysis of the patients who had MUS surgery and clinic follow-up with ultrasound exams between 2017 and 2022. The sling location, sling-pubic gap (SPG), bladder neck mobility, and segmental urethral mobility were measured and compared between women with cured SUI, recurrent SUI, de novo VD, and continent women without MUS. The correlations between ultrasound findings and clinical outcomes were tested. Results:: Of 198 women with MUS, 176 had a telephone follow-up, and 151 (151/176, 85.8%) were subjectively satisfied. Affected by the epidemic, only 107 patients had clinic follow-up, 92 valid data of 32 cured SUI (Group 1), 37 recurrent SUI (Group 2), and 23 de novo VD (Group 3) were compared with 102 women without MUS. Groups 1 and 2 had significant lower midurethral mobility. In Group 3, the mid and lower urethra was tightly near the symphysis on Valsalva, and the mobility was excessively decreased. SPG was significantly wider in Group 2 than in Group 1 (13.8 ± 3.6 mm vs 11.2 ± 2.7 mm, p = 0.001). SPG was strongly related to midurethral mobility (r=0.32, p=0.002) and clinical outcomes (r=0.45, p<0.001). Multivariable regression showed SPG positively correlated to recurrent SUI [OR: 1.439 (95% CI:1.191–1.738) p<0.001]. Conclusion:: Midurethral sling reduced midurethral mobility. A wider SPG indicated a higher midurethral mobility and a higher risk of recurrent SUI. |
| first_indexed | 2024-04-09T23:38:55Z |
| format | Article |
| id | doaj.art-f0f6196447d341eb95cfb8eaa0fb8f2d |
| institution | Directory Open Access Journal |
| issn | 2772-9737 |
| language | English |
| last_indexed | 2024-04-09T23:38:55Z |
| publishDate | 2023-03-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Continence |
| spelling | doaj.art-f0f6196447d341eb95cfb8eaa0fb8f2d2023-03-20T04:05:17ZengElsevierContinence2772-97372023-03-015100569The relationship between urethral mobility and clinical outcomes after midurethral sling surgeryBaihua Zhao0Yali Zuo1Lieming Wen2Department of Ultrasound Diagnosis, The Second Xiangya Hospital, Central South University, ChinaDepartment of Urology, The Second Xiangya Hospital, Central South University, ChinaDepartment of Ultrasound Diagnosis, The Second Xiangya Hospital, Central South University, China; Correspondence to: Department of Ultrasound Diagnosis, The Second Xiangya Hospital of Central South University, 139 Renmin Road (M), Changsha, Hunan, 410011, China.Objective:: To explore the relationship between urethral mobility and clinical outcomes after midurethral sling (MUS) surgery. Methods:: This was a retrospective analysis of the patients who had MUS surgery and clinic follow-up with ultrasound exams between 2017 and 2022. The sling location, sling-pubic gap (SPG), bladder neck mobility, and segmental urethral mobility were measured and compared between women with cured SUI, recurrent SUI, de novo VD, and continent women without MUS. The correlations between ultrasound findings and clinical outcomes were tested. Results:: Of 198 women with MUS, 176 had a telephone follow-up, and 151 (151/176, 85.8%) were subjectively satisfied. Affected by the epidemic, only 107 patients had clinic follow-up, 92 valid data of 32 cured SUI (Group 1), 37 recurrent SUI (Group 2), and 23 de novo VD (Group 3) were compared with 102 women without MUS. Groups 1 and 2 had significant lower midurethral mobility. In Group 3, the mid and lower urethra was tightly near the symphysis on Valsalva, and the mobility was excessively decreased. SPG was significantly wider in Group 2 than in Group 1 (13.8 ± 3.6 mm vs 11.2 ± 2.7 mm, p = 0.001). SPG was strongly related to midurethral mobility (r=0.32, p=0.002) and clinical outcomes (r=0.45, p<0.001). Multivariable regression showed SPG positively correlated to recurrent SUI [OR: 1.439 (95% CI:1.191–1.738) p<0.001]. Conclusion:: Midurethral sling reduced midurethral mobility. A wider SPG indicated a higher midurethral mobility and a higher risk of recurrent SUI.http://www.sciencedirect.com/science/article/pii/S2772973722010451Midurethral slingStress urinary incontinencePelvic floor ultrasoundUrethral mobilityUrethral motion profile |
| spellingShingle | Baihua Zhao Yali Zuo Lieming Wen The relationship between urethral mobility and clinical outcomes after midurethral sling surgery Continence Midurethral sling Stress urinary incontinence Pelvic floor ultrasound Urethral mobility Urethral motion profile |
| title | The relationship between urethral mobility and clinical outcomes after midurethral sling surgery |
| title_full | The relationship between urethral mobility and clinical outcomes after midurethral sling surgery |
| title_fullStr | The relationship between urethral mobility and clinical outcomes after midurethral sling surgery |
| title_full_unstemmed | The relationship between urethral mobility and clinical outcomes after midurethral sling surgery |
| title_short | The relationship between urethral mobility and clinical outcomes after midurethral sling surgery |
| title_sort | relationship between urethral mobility and clinical outcomes after midurethral sling surgery |
| topic | Midurethral sling Stress urinary incontinence Pelvic floor ultrasound Urethral mobility Urethral motion profile |
| url | http://www.sciencedirect.com/science/article/pii/S2772973722010451 |
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