Retropubic mid-urethral slings and de novo urinary urgency and frequency: The role of retropubic hematomas

Emily Wu, Rachel High, Christopher Lewis, Thomas J. Kuehl, Jill M. Danford, Paul M. Yandell

Research output: Contribution to journalArticlepeer-review

1 Scopus citations

Abstract

Aims: This is a prospective cohort study comparing de novo lower urinary tract symptoms (LUTS) in subjects undergoing a retropubic mid-urethral sling who either did or did not develop a postoperative retropubic hematoma within 6 weeks of surgery. The secondary objective was to measure the incidence and prevalence of retropubic hematomas, and subject characteristics associated with retropubic hematomas. Methods: Eligible subjects were recruited before undergoing a retropubic mid-urethral sling with or without concurrent pelvic reconstructive surgery. Validated urinary symptom questionnaires were completed before surgery and at 6 weeks postoperatively. An abdominal ultrasound was used to establish baseline lower urinary tract imaging. Ultrasound was repeated immediately after surgery and 6 weeks later to assess for the presence of retropubic hematomas. Results: Ninety-four subjects were enrolled. Baseline urgency and frequency were measured in 35% (33/93) of subjects. At 6 weeks postoperatively, 2% (1/52) had de novo LUTS which were not associated with a retropubic hematoma at any time. Immediately after surgery, the incidence of retropubic hematomas was 17% (16/94) while the prevalence of retropubic hematomas 6 weeks after surgery was 4% (3/75). There was no significant difference in the change in hemoglobin before and after surgery between those with and without postoperative retropubic hematomas. Conclusions: There is no significant association with de novo LUTS and retropubic hematomas. Though there is a 17% incidence of retropubic hematomas detected immediately after surgery, those with hematomas who were not lost to follow-up resolved by the 6-week postoperative visit and is of unclear clinical significance.

Original languageEnglish (US)
Pages (from-to)1686-1694
Number of pages9
JournalNeurourology and Urodynamics
Volume40
Issue number6
DOIs
StatePublished - Aug 2021

Keywords

  • mid-urethral sling
  • postoperative retropubic hematoma

ASJC Scopus subject areas

  • Clinical Neurology
  • Urology

Fingerprint

Dive into the research topics of 'Retropubic mid-urethral slings and de novo urinary urgency and frequency: The role of retropubic hematomas'. Together they form a unique fingerprint.

Cite this