Outcomes of retropubic synthetic midurethral gynecare TVT slings when performed by urogynecologists, urologists, and general gynecologists in a private community hospital

Tatiana V.D. Sanses, Cara L. Grimes, Kay A. Hoskey, Melissa L. Russo, Clifford F. Melick, Joan Blomquist, R. Mark Ellerkmann

Research output: Contribution to journalArticle

Abstract

Objectives: To compare perioperative outcomes of a retropubic synthetic midurethral Gynecare TVT slings (Gynecare Worldwide, division of Ethicon Inc, NJ) performed by urogynecologists, urologists, and general gynecologists. Methods: This is a retrospective, cohort study of retropubic synthetic midurethral Gynecare TVT sling outcomes performed between 2001 and 2007 at a single institution. Other synthetic and nonsynthetic slings, or slings performed with concurrent surgeries were excluded. The primary outcomes were mean sling operating room (OR) time in minutes (min) and estimated blood loss in milliliters (mL). All variables were stratified by the surgeons specialty: urogynecology (URO-GYN), urology (URO), and general gynecology (GYN). Results: Of 279 Gynecare TVT sling procedures, 126 were performed by URO-GYN, 30 by URO, and 123 by GYN. Mean sling OR time was 38.8 ± 8.5 minutes for URO-GYN, 42.6 ± 11.2 minutes for URO, and 39.8 ± 14.3 minutes for GYN, P = 0.30. Estimated blood loss was 56.6 ± 68.3 mL for URO-GYN, 69.7 ± 82.6 mL for URO, and 68.8 ± 73.4 mL for GYN, P = 0.37. The intraoperative complications (bladder, urethral perforations, and hemorrhage) were similar among the specialties. In the postoperative period, there was no difference in subsequent need for urethrolysis (cutting or removal of the sling), return to OR, and readmission to the hospital after the procedure among all 3 specialties. Conclusions: All 3 specialties (urogynecologist, urologists, and general gynecologists) had similar major perioperative outcomes in performing retropubic synthetic midurethral Gynecare TVT slings.

Original languageEnglish (US)
Pages (from-to)238-241
Number of pages4
JournalFemale Pelvic Medicine and Reconstructive Surgery
Volume16
Issue number4
DOIs
StatePublished - Jan 1 2010

Keywords

  • General gynecologist
  • Midurethral sling
  • Specialty
  • Urogynecologist
  • Urologist

ASJC Scopus subject areas

  • Surgery
  • Obstetrics and Gynecology
  • Urology

Fingerprint Dive into the research topics of 'Outcomes of retropubic synthetic midurethral gynecare TVT slings when performed by urogynecologists, urologists, and general gynecologists in a private community hospital'. Together they form a unique fingerprint.

  • Cite this