Barron Kenneth I, Savageau Judith A, Young Stephen B, Labin Lisa C, Morse Abraham N
Division of Urogynecology, Department of Obstetrics and Gynecology, University of Massachusetts Medical School, 119 Belmont Street, Worcester, MA 01605, USA.
Int Urogynecol J Pelvic Floor Dysfunct. 2006 Nov;17(6):570-5. doi: 10.1007/s00192-005-0064-8. Epub 2006 Apr 1.
We set out to identify predictors of successful voiding immediately after outpatient mid-urethral sling. The charts of 126 patients who underwent an outpatient mid-urethral sling procedure were identified. Using discharge without a urinary catheter as the dependent variable, logistic regression analysis modeled the relationship of independent variables including demographic, preoperative urodynamic, and perioperative variables. Sixty-one percent of the patients passed their immediate postoperative voiding trial. Logistic regression analysis revealed that parity > or = 3, Valsalva leak point pressure > 60 cm H(2)O, and high preoperative anxiety remained independently associated with successful voiding. Identifying preoperative variables that are associated with successful voiding after mid-urethral sling may be useful in helping to accurately shape patient expectations and identify those most likely to benefit from preoperative teaching of self-catheterization.
我们旨在确定门诊中段尿道吊带术后立即成功排尿的预测因素。我们找出了126例行门诊中段尿道吊带手术患者的病历。以无导尿管出院作为因变量，逻辑回归分析模拟了包括人口统计学、术前尿动力学和围手术期变量在内的自变量之间的关系。61%的患者术后立即通过了排尿试验。逻辑回归分析显示，产次≥3、瓦尔萨尔瓦漏点压>60 cm H₂O以及术前高度焦虑与成功排尿仍独立相关。识别与中段尿道吊带术后成功排尿相关的术前变量，可能有助于准确塑造患者的期望，并识别出那些最有可能从术前自我导尿教学中获益的患者。
