Outcomes associated with the use of midurethral slings for stress incontinence surgery according to the type of hospitalization.

OBJECTIVE

To evaluate the influence of type of hospitalization on outcomes of stress urinary incontinence (SUI) surgery using a midurethral sling procedure.

METHODS

A retrospective secondary analysis was conducted using data from a prospective multicenter randomized trial of SUI surgery at several sites in France between January 1, 2003, and December 31, 2007. Type of hospitalization was chosen according to the surgeon's policy.

RESULTS

Among 149 participants, 31 (20.8%) were treated as outpatients and 118 (79.2%) as inpatients. Perioperative complications were recorded for 1 (3.2%) outpatient and 12 (10.1%) inpatients (P=0.388). At 24months of follow-up, none of 25 outpatients and 6 (5.6%) of 107 inpatients had a positive stress test result (P=0.497). Dryness was reported at this time point by 22 (88.0%) outpatients and 89 (83.2%) inpatients (P=0.922). The median satisfaction score (measured by visual analog scale [scores of 0-100]) at 12months was 100.0 (interquartile range [IQR] 93.5-100.0) among outpatients versus 96.5 (IQR 80.0-100.0; P=0.003) among inpatients. Similar results were observed at 24months (P=0.003).

CONCLUSION

Complication and failure rates were similar in both groups, but satisfaction was higher among outpatients.