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Fluids & Electrolytes
TUESDAY, Dec. 22 (HealthDay News) -- The rate of thromboembolism following an isolated sling procedure for stress urinary incontinence in women is low, but the rate is higher when prolapse repair is also performed, according to research published in the December issue of Urology.
Jennifer T. Anger, M.D., of the University of California in Los Angeles, and colleagues analyzed Medicare data from 1999 to 2001 on a 5-percent national random sample of beneficiaries.
During this period, the researchers found that 1,356 slings were performed, with prolapse surgery also performed in 34.4 percent of cases. At three months, thromboembolic complications had occurred in 0.9 and 2.2 percent of these women, respectively. In multivariate analysis, prolapse surgery was associated with markedly higher odds of thromboembolic complications at three months (odds ratio, 2.86).
"The authors suggest that the risk of thromboembolic complication in the isolated sling patients is so low that prophylaxis may not be required for the low-risk patient. Given the three-fold increase in risk with the addition of a prolapse repair, they do recommend prophylaxis in this group, regardless of individual patient risk factors," write the authors of an accompanying editorial.
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