OBJECTIVE: To evaluate the efficacy of the @entity2896 suburethral sling procedure and to determine whether preoperative voiding caused by the Valsalva maneuver is a risk factor for short-term objective failure. METHODS: This study is a retrospective chart review of 50 @entity1 who underwent the suburethral sling procedure with @entity2896 at our institution between March 1994 and August 1996. All @entity1 had genuine stress @entity322 with @entity1690 or @entity6369 . Preoperative multichannel urodynamics were measured in all @entity1 , and postoperative urodynamic testing was done at 3 months in 48 @entity1 . RESULTS: Ninety-four percent of @entity1 were cured subjectively of stress urinary @entity322 at 3 months. Objective cure was found by urodynamic measurements in 73% of the 48 @entity1 who underwent postoperative testing. There was an increased risk of objective failure in @entity1 whose voiding preoperatively was caused by the Valsalva maneuver. Objective failure was found at 3 months in 54% of the 13 @entity1 in the Valsalva group, compared with 17% of the 35 in the non-Valsalva group (P=.011). @entity1 in the Valsalva group also tended to have longer durations of postoperative catheterization than did @entity1 in the non-Valsalva group (P=.049). CONCLUSION: The @entity2896 suburethral sling procedure appears to be an effective operation for the treatment of genuine stress @entity322 in carefully selected @entity1 . However, @entity1 who are identified preoperatively as voiding because of the Valsalva maneuver have a higher failure rate for this procedure.

Effect of preoperative voiding mechanism on success rate of autologous XXXX suburethral sling procedure.

@entity1 :: ('9606', 'Species') :: ['Patients', 'patients'] @entity6369 :: ('MESH:D014526', 'Disease') :: ['urethral hypomobility'] @entity1690 :: ('MESH:D046628', 'Disease') :: ['intrinsic sphincteric deficiency'] @entity322 :: ('MESH:D014549', 'Disease') :: ['incontinence'] @entity2896 :: ('MESH:D020434', 'Disease') :: ['rectus fascia']
@entity2896 :: (MESH:D020434,Disease) :: ['rectus fascia']
