Predictor of de novo stress urinary incontinence following TVM procedure: a further analysis of preoperative voiding function
In: International Urogynecology Journal, Jg. 24 (2012-07-17), S. 407-411
Online
unknown
Zugriff:
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). Sixty-five patients without SUI were assessed with regard to voiding function by a pressure flow study and clinical characteristics. 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). 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, Masato ; Namiki, Mikio ; Narimoto, Kazutaka ; Urata, Satoko ; Kawaguchi, Shohei ; Kitagawa, Yasuhide |
Link: | |
Zeitschrift: | International Urogynecology Journal, Jg. 24 (2012-07-17), S. 407-411 |
Veröffentlichung: | Springer Science and Business Media LLC, 2012 |
Medientyp: | unknown |
ISSN: | 1433-3023 (print) ; 0937-3462 (print) |
DOI: | 10.1007/s00192-012-1882-0 |
Schlagwort: |
|
Sonstiges: |
|