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Transcorporal Artificial Urinary Sphincter Cuff Placement in a Case Requiring Revision for Urethral Atrophy

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Published on: June 16, 2022

Risk Factors for De Novo Overactive Bladder After Midurethral Sling.

Tasha Serna-Gallegos¹, Sonia Dutta¹, Carly Crowder¹

¹From the Division of Female Pelvic Medicine and Reconstructive Surgery, Department of Obstetrics and Gynecology, University of California, Irvine, Orange.

Urogynecology (Philadelphia, Pa.)

|June 16, 2023

Summary

The incidence of de novo overactive bladder (OAB) symptoms after midurethral sling (MUS) surgery is 6.1%. This finding is crucial for improving preoperative counseling for patients considering MUS procedures.

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Area of Science:

Urology
Female Pelvic Medicine
Surgical Outcomes

Background:

Overactive bladder (OAB) symptoms can arise de novo after midurethral sling (MUS) procedures.
Accurate incidence data and risk factors are needed for informed patient counseling.

Purpose of the Study:

To determine the incidence of de novo OAB symptoms following MUS surgery.
To identify clinical and demographic risk factors associated with de novo OAB after MUS.

Main Methods:

Retrospective cohort study of 6,634 patients undergoing MUS surgery.
Inclusion criteria required absence of OAB symptoms preoperatively and presence within 6 months postoperatively.
Statistical analysis included logistic regression to identify risk factors.

Main Results:

The incidence of de novo OAB after MUS was 6.1%.
Urgency and urgency urinary incontinence (UUI) were the most common symptoms.
Increasing age and BMI were associated with increased risk of nocturia.

Conclusions:

The incidence of de novo OAB after MUS is 6.1%.
This incidence rate provides essential data for preoperative counseling regarding MUS procedures.
Findings support existing literature on de novo OAB post-MUS.