Urinary implications of retropubic dissection during abdominal wall reconstruction: Early results from a clinical quality assurance initiative - Scorecard - MDSpire

Impact of Retropubic Dissection on Urinary Function in Abdominal Wall Reconstruction: Initial Findings from a Clinical Quality Improvement Study

  • By

  • William C. Bennett

  • Emerson Lora

  • Mahamed O. Mohamed

  • Alvaro C. Carvalho

  • Noah X. Tocci

  • Erika M. Schmidt

  • Joseph Edwards

  • Ashley M. Mila-Hoff

  • Kimberly S. Miles

  • Sandip Vasavada

  • Clayton C. Petro

  • Ajita S. Prabhu

  • July 17, 2026

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Clinical Scorecard: Impact of Retropubic Dissection on Urinary Function in Abdominal Wall Reconstruction: Initial Findings from a Clinical Quality Improvement Study

At a Glance

CategoryDetail
ConditionUrinary Incontinence (UI)
Key MechanismsRetropubic dissection and mesh placement in abdominal wall reconstruction may exacerbate UI.
Target PopulationPredominantly female patients aged > 60 years undergoing ventral hernia repair with transversus abdominis release.
Care SettingHigh-volume abdominal wall reconstruction practice at a quaternary care academic medical center.

Key Highlights

  • High prevalence of urinary incontinence post-abdomino-pelvic operations.
  • Retropubic dissection associated with risk of urinary incontinence.
  • Quality assurance initiative to assess UI prevalence using UDI-6 survey.
  • Survey captures patient-reported outcomes related to urinary symptoms.
  • Focus on understanding urinary consequences of surgical interventions.

Guideline-Based Recommendations

Diagnosis

  • Use UDI-6 survey to assess urinary distress and symptoms.

Management

  • Consider risk–benefit counseling for patients undergoing TAR.

Monitoring & Follow-up

  • Monitor urinary function pre- and postoperatively using validated tools.

Risks

  • Awareness of potential urinary incontinence following retropubic dissection.

Patient & Prescribing Data

Patients undergoing ventral hernia repair via open transversus abdominis release.

Inclusion criteria focused on candidacy for TAR; exclusion for certain urological conditions.

Clinical Best Practices

  • Incorporate UDI-6 into routine clinical care for assessing UI.
  • Ensure thorough preoperative assessment of urinary function.
  • Utilize deidentified data for quality assurance initiatives.

Related Resources & Content

Original Source(s)

Urinary implications of retropubic dissection during abdominal wall reconstruction: Early results from a clinical quality assurance initiative

  • by William C. Bennett, Emerson Lora, Mahamed O. Mohamed, Alvaro C. Carvalho, Noah X. Tocci, Erika M. Schmidt, Joseph Edwards, Ashley M. Mila-Hoff, Kimberly S. Miles, Sandip Vasavada, Clayton C. Petro, Ajita S. Prabhu

  • July 17, 2026

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