Urinary implications of retropubic dissection during abdominal wall reconstruction: Early results from a clinical quality assurance initiative - Takeaways - 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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  • 1

    Urinary incontinence (UI) is prevalent and can worsen after abdomino-pelvic surgeries, particularly following retromuscular ventral hernia repair with transversus abdominis release.

  • 2

    The study aims to assess the prevalence and severity of UI in patients undergoing transversus abdominis release with retropubic dissection for ventral hernias.

  • 3

    The Urinary Distress Inventory Short-Form (UDI-6) was used to evaluate UI impact on quality of life, focusing on urinary frequency, leakage, and difficulty voiding.

  • 4

    Data collection for the quality assurance initiative began in January 2025 and included preoperative and postoperative assessments of UI prevalence.

  • 5

    The study population primarily consists of female patients over 60 years old, indicating a higher baseline risk for urinary incontinence.

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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