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International Archives of
Urology and Complications ISSN: 2469-5742

Citation

Tavakoli A, Nasiri A, Lane F (2019) The Impact of the Rigid Catheter Guide on Trocar Injury during Mid-Urethral Sling Placement. Int Arch Urol Complic 5:057. doi.org/10.23937/2469-5742/1510057

Copyright

© 2019 Tavakoli A, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

RESEARCH ARTICLE | OPEN ACCESS DOI: 10.23937/2469-5742/1510057

The Impact of the Rigid Catheter Guide on Trocar Injury during Mid-Urethral Sling Placement

Amin Tavakoli, BS1,2, Azadeh Nasiri, MD1,3 and Felicia Lane, MD1*

1Irvine School of Medicine, University of California, USA

2David Geffen School of Medicine, University of California, Los Angeles, USA

3South Nassau Communities Hospital, USA

Abstract

Background

Our goal was to identify general risk factors associated with trocar bladder injury during a retropubic mid-urethral sling (MUS) placement and evaluate the effect of using the rigid catheter guide on cystotomy rates.

Methods

This is a retrospective cohort with nested case control study of 291 patients who underwent a MUS procedure between January 2002 and December 2012 at a single academic medical center. Logistic regression was used to conduct multivariate analysis to predict bladder injury.

Results

There was no evidence that any of the hypothesized risk factors, including the use of the rigid catheter guide, were associated with a significant difference in rate of bladder injury during a retropubic MUS placement.

Conclusions

Eliminating the catheter guide from the operative procedure has the potential to reduce operative steps without necessarily increasing morbidity. This study is unable to detect small differences due to the low frequency of trocar injury and adjusting for covariates does not change these results. Therefore, further studies are needed confirm our conclusion.