Predictor of de novo stress urinary incontinence following TVM procedure: a further analysis of preoperative voiding function.

Kuribayashi, M ; Kitagawa, Y ; et al.

In: International urogynecology journal, Jg. 24 (2013-03-01), Heft 3, S. 407-11

Online academicJournal

Zugriff:

Introduction and Hypothesis: The purpose of this study was to evaluate the predictors of de novo stress urinary incontinence (SUI) in patients undergoing a tension-free vaginal mesh procedure (TVM) for pelvic organ prolapse (POP).

Methods: Sixty-five patients without SUI were assessed with regard to voiding function by a pressure flow study and clinical characteristics.

Results: The mean age of the patients was 67 ± 8.3. Of the 65 patients, 41 (63 %) maintained urinary continence postoperatively and 24 (37 %) showed de novo SUI. In univariate analysis, the de novo SUI group included a significantly higher proportion of patients with preoperative obstruction, defined as moderate or greater obstruction according to the Blaivas nomogram (29 vs 7 %, P = 0.035). In multivariate analysis, urethral obstruction was an independent predictor of de novo SUI with an odds ratio of 12.616 (95 % confidence interval 1.580-268.731).

Conclusions: Preoperative evaluation of urethral obstruction will contribute to prediction of de novo SUI combined with a conventional diagnosis of occult SUI.

Titel:	Predictor of de novo stress urinary incontinence following TVM procedure: a further analysis of preoperative voiding function.
Autor/in / Beteiligte Person:	Kuribayashi, M ; Kitagawa, Y ; Narimoto, K ; Urata, S ; Kawaguchi, S ; Namiki, M
Link:	View record at Springer (Volltext)
Zeitschrift:	International urogynecology journal, Jg. 24 (2013-03-01), Heft 3, S. 407-11
Veröffentlichung:	London : Springer, 2013
Medientyp:	academicJournal
ISSN:	1433-3023 (electronic)
DOI:	10.1007/s00192-012-1882-0
Schlagwort:	Adult Aged Aged, 80 and over Female Humans Incidence Middle Aged Multivariate Analysis Predictive Value of Tests Urethral Obstruction diagnosis Urethral Obstruction physiopathology Pelvic Organ Prolapse surgery Suburethral Slings Urinary Incontinence, Stress epidemiology Urodynamics physiology
Sonstiges:	Nachgewiesen in: MEDLINE Sprachen: English Publication Type: Evaluation Study; Journal Article Language: English [Int Urogynecol J] 2013 Mar; Vol. 24 (3), pp. 407-11. <i>Date of Electronic Publication: </i>2012 Jul 17. MeSH Terms: Suburethral Slings* ; Pelvic Organ Prolapse / surgery ; Urinary Incontinence, Stress / epidemiology ; Urodynamics / *physiology ; Adult ; Aged ; Aged, 80 and over ; Female ; Humans ; Incidence ; Middle Aged ; Multivariate Analysis ; Predictive Value of Tests ; Urethral Obstruction / diagnosis ; Urethral Obstruction / physiopathology References: N Engl J Med. 2011 May 12;364(19):1826-36. (PMID: 21561348) ; Curr Opin Urol. 2005 Nov;15(6):380-5. (PMID: 16205487) ; Int Urogynecol J Pelvic Floor Dysfunct. 2006 Jan;17(1):27-9. (PMID: 16094506) ; Int Urogynecol J. 2011 Oct;22(10):1299-303. (PMID: 21547603) ; Curr Opin Obstet Gynecol. 2005 Oct;17(5):535-40. (PMID: 16141769) ; Int Urogynecol J. 2011 Jul;22(7):869-77. (PMID: 21479713) ; Int J Urol. 2009 Mar;16(3):314-7. (PMID: 19207605) ; Acta Obstet Gynecol Scand. 1989;68(6):545-9. (PMID: 2520812) ; Eur J Obstet Gynecol Reprod Biol. 2011 Mar;155(1):110-3. (PMID: 21208721) ; J Obstet Gynaecol Res. 2008 Aug;34(4):449-56. (PMID: 18937698) ; Int Urogynecol J Pelvic Floor Dysfunct. 2009 Nov;20(11):1301-6. (PMID: 19597715) ; Eur J Obstet Gynecol Reprod Biol. 2011 Jan;154(1):105-7. (PMID: 20732738) ; Br J Obstet Gynaecol. 1982 Jun;89(6):459-63. (PMID: 7082603) ; Neurourol Urodyn. 2000;19(5):553-64. (PMID: 11002298) ; N Engl J Med. 2006 Apr 13;354(15):1557-66. (PMID: 16611949) ; Am J Obstet Gynecol. 1983 Aug 15;146(8):901-5. (PMID: 6683932) ; Obstet Gynecol. 1996 Feb;87(2):266-71. (PMID: 8559537) ; Obstet Gynecol. 1976 Mar;47(3):255-64. (PMID: 943076) ; Int Urogynecol J. 2010 Jan;21(1):5-26. (PMID: 19937315) ; Int Urogynecol J Pelvic Floor Dysfunct. 2009 Feb;20(2):235-45. (PMID: 18936868) ; Int Urogynecol J Pelvic Floor Dysfunct. 2002;13(4):256-60; discussion 260. (PMID: 12189431) ; J Urol. 1988 Apr;139(4):727-31. (PMID: 3352031) ; Neurourol Urodyn. 2011 Mar;30(3):390-4. (PMID: 21284021) ; Obstet Gynecol. 1988 Sep;72(3 Pt 1):291-5. (PMID: 3405546) ; J Gynecol Obstet Biol Reprod (Paris). 2004 Nov;33(7):577-88. (PMID: 15550876) Entry Date(s): Date Created: 20120718 Date Completed: 20130830 Latest Revision: 20211021 Update Code: 20231215

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