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

To characterize pre- and postoperative urinary incontinence (UI) prevalence and inform future risk–benefit counseling for patients undergoing complex abdominal wall reconstruction with transversus abdominis release (TAR).

Approach:
  • Method: Study Population
Key Findings:
  • The study aims to identify baseline prevalence of UI among patients undergoing TAR with retropubic dissection.
  • Secondary aims include characterizing UI severity and comparing UI burden between preoperative and postoperative cohorts.
Interpretation:

The findings aim to address the knowledge gap regarding UI prevalence and its impact on quality of life in patients undergoing TAR.

Limitations:
  • The study relies on voluntary patient participation and may be subject to selection bias, which could affect the generalizability of the findings.
  • Survey administration depended on clinical staff with varying levels of anatomical and surgical knowledge.
Conclusion:

The study seeks to provide insights into the urinary consequences of retropubic dissection and mesh placement in abdominal wall reconstruction.

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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