Readmission and reoperation after midurethral sling

Hokenstad, Erik D.; Glasgow, Amy E.; Habermann, Elizabeth B.; Occhino, John A.

doi:10.1007/s00192-017-3551-9

Cited by 9 publications

(19 citation statements)

References 11 publications

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“…4,5,16,17 The reasons for hospital contacts with respect to frequency, type, and severity were in line with previously reported. 5 Voiding dysfunction was the main reason for hospital contact which is in concordance with observations from other countries, 5,16,18 followed by pain 18 and cystitis. 16 Better preoperative counseling with respect to postoperative catherization and usage of analgesics postoperatively could perhaps reduce the number of unwarranted hospital contacts in the future.…”

Section: Discussionsupporting

confidence: 90%

“…A rate of hospital contacts within 30 days of 16% before the routine surgical review may seem high. The literature in this field is, however, sparse 4,5,16,17 and the comparison with other studies is hampered due to different settings, definitions, and follow-up periods. 4,5,16,17 The reasons for hospital contacts with respect to frequency, type, and severity were in line with previously reported.…”

Section: Discussionmentioning

confidence: 99%

“…The literature in this field is, however, sparse 4,5,16,17 and the comparison with other studies is hampered due to different settings, definitions, and follow-up periods. 4,5,16,17 The reasons for hospital contacts with respect to frequency, type, and severity were in line with previously reported. 5 Voiding dysfunction was the main reason for hospital contact which is in concordance with observations from other countries, 5,16,18 followed by pain 18 and cystitis.…”

Section: Discussionmentioning

confidence: 99%

“…24 Information was based on a review of medical records and procedure codes identified from the two registers, the DugaBase and the Danish National Patient Registry with mandatory reporting, in contrast to other registries based on voluntarily reported data. 5 This minimized the risk of underreporting of surgical complications. As only one person reviewed all medical journals, a uniform adaption of surgical complications to the CDC system was secured.…”

Section: Discussionmentioning

confidence: 99%

“…3,4 More knowledge in this area is warranted, as unplanned hospital contacts are expensive for both patients and the health care system. 5 As there is a huge variation in the modes of postoperative follow-up, the frequency and the severity of surgical complications will consequently vary. 6 Furthermore, the terminology lacks consistency with respect to surgical complications of UI.…”

mentioning

confidence: 99%

See 4 more Smart Citations

A nationwide cohort study of hospital contacts after surgical treatment for urinary incontinence

Hansen

Sigurdardòttir

Gradel

et al. 2019

Neurourology and Urodynamics

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Aims:The aim was to assess complications of urinary incontinence (UI) for women who had a hospital contact within 30 days and to evaluate the conventional method of classifying complications vs grading complications into the Clavien-Dindo classification (CDC) system. Methods: A historical cohort study based on a nationwide population of women who had hospital contact within 30 days of surgical treatment for UI during a 5-year period. Results: There were 874 (16.2%) hospital contacts to the Department of Obstetrics and Gynecology, among 5393 procedures. For retropubic midurethral sling (RPMUS) and transobturator midurethral sling (TOMUS), the most common reasons for hospital contacts were voiding dysfunction, self-reported pain within 14 days and acute cystitis and for urethral injection therapy (UIT) persisting UI, acute cystitis, and voiding dysfunction. Voiding dysfunction requiring surgery, use of catheter or both, occurred more frequently in women who had RPMUS as compared with TOMUS (30.5% vs 21.7%; P = .01). Women, who received RPMUS and TOMUS, had surgical complications classified as up to CD IIIb, whereas women who had UIT were classified as up to CD II.Conclusions: Sixteen percent of the women had a hospital contact within 30 days. A more obstructive character of RPMUS than for TOMUS was indicated, as more women with voiding dysfunction required surgery or catheter following RPMUS. The CDC system in its current form does not improve the overall characterization of complications in terms of type and severity following synthetic midurethral sling and UIT treatment. K E Y W O R D SClavien-Dindo classification (CDC) system, retropubic midurethral sling, surgical complications, transobturator midurethral sling, urethral injection therapy, urinary incontinence

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