Mid-urethral sling in a day surgery setting: is it possible?

Area of Science:

• Urology
• Gynecology
• Surgical Outcomes

Background:

• Immediate catheter removal post-pelvic surgery offers advantages.
• The necessity of indwelling catheterization after mid-urethral sling surgery requires investigation.

Purpose of the Study:

• To compare immediate versus delayed catheter removal following TVT Abbrevo surgery.
• To assess the impact on voiding function, complications, and cure rates.

Main Methods:

• A case-control study comparing immediate (same-day) versus delayed (24-hour) Foley catheter removal after TVT Abbrevo.
• Inclusion criteria: women with urodynamically proven stress incontinence.
• Voiding trial success defined as >200 ml voided volume with <100 ml post-void residual.

Main Results:

• Eighty women underwent immediate catheter removal, matched with controls.
• No significant differences in voiding dysfunction, UTI, OAB, or vaginal erosion.
• Subjective and objective cure rates were comparable between groups.

Conclusions:

• Immediate catheter removal is a viable option for select patients undergoing mid-urethral sling procedures.
• This facilitates same-day outpatient discharge with excellent long-term outcomes.
• It is suitable for patients without OAB symptoms, prolapse, or significant voiding dysfunction.