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Early outcomes of mid-urethral slings for female stress urinary incontinence stratified by valsalva leak point pressure.
Neurourol Urodyn. 2006; 25(7):685-8.NU

Abstract

AIMS

To assess the early results of mid-urethral slings placed via the transobturator approach (TVT-O) for stress urinary incontinence (SUI) in women with high (>60 cm H(2)O) and low (<or=60 cm H(2)O) valsalva leak point pressure (VLPP).

MATERIALS AND METHODS

Forty-three women with urodynamically proven SUI underwent TVT-O. Patients were divided into either high (>60 cm H(2)O) or low (<or=60 cm H(2)O) VLPP categories based on preoperative urodynamic studies. Patient outcomes were assessed based on degree of postoperative SUI as either dry (no pads, no SUI), or wet (any leakage). Follow-up visits were at 1, 6, 12, and 24 weeks.

RESULTS

Overall, 65% (28/43) women were cured following TVT-O for SUI. When stratified based on preoperative VLPP, 77% (24/31) of patients with VLPP greater than 60 were cured while only 25% (3/12) of patients with VLPP less than or equal to 60 were cured. No intraoperative complications were noted. The odds of continued SUI following TVT-O were 12 times greater for women with VLPP <or=60 compared to those with VLPP >60.

CONCLUSIONS

With limited follow up, TVT-O appears to be a safe and effective surgical treatment for female SUI producing excellent results in patients with VLPP >60 cm/H(2)0. Patients with low VLPP may consider conventional, retropubic mid-urethral slings or other procedures as treatment for SUI.

Authors+Show Affiliations

Department of Urology, University of California Davis Medical Center, Sacramento, California 95817, USA.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

16817185

Citation

O'Connor, R Corey, et al. "Early Outcomes of Mid-urethral Slings for Female Stress Urinary Incontinence Stratified By Valsalva Leak Point Pressure." Neurourology and Urodynamics, vol. 25, no. 7, 2006, pp. 685-8.
O'Connor RC, Nanigian DK, Lyon MB, et al. Early outcomes of mid-urethral slings for female stress urinary incontinence stratified by valsalva leak point pressure. Neurourol Urodyn. 2006;25(7):685-8.
O'Connor, R. C., Nanigian, D. K., Lyon, M. B., Ellison, L. M., Bales, G. T., & Stone, A. R. (2006). Early outcomes of mid-urethral slings for female stress urinary incontinence stratified by valsalva leak point pressure. Neurourology and Urodynamics, 25(7), 685-8.
O'Connor RC, et al. Early Outcomes of Mid-urethral Slings for Female Stress Urinary Incontinence Stratified By Valsalva Leak Point Pressure. Neurourol Urodyn. 2006;25(7):685-8. PubMed PMID: 16817185.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Early outcomes of mid-urethral slings for female stress urinary incontinence stratified by valsalva leak point pressure. AU - O'Connor,R Corey, AU - Nanigian,Dana K, AU - Lyon,Mark B, AU - Ellison,Lars M, AU - Bales,Gregory T, AU - Stone,Anthony R, PY - 2006/7/4/pubmed PY - 2007/1/6/medline PY - 2006/7/4/entrez SP - 685 EP - 8 JF - Neurourology and urodynamics JO - Neurourol Urodyn VL - 25 IS - 7 N2 - AIMS: To assess the early results of mid-urethral slings placed via the transobturator approach (TVT-O) for stress urinary incontinence (SUI) in women with high (>60 cm H(2)O) and low (<or=60 cm H(2)O) valsalva leak point pressure (VLPP). MATERIALS AND METHODS: Forty-three women with urodynamically proven SUI underwent TVT-O. Patients were divided into either high (>60 cm H(2)O) or low (<or=60 cm H(2)O) VLPP categories based on preoperative urodynamic studies. Patient outcomes were assessed based on degree of postoperative SUI as either dry (no pads, no SUI), or wet (any leakage). Follow-up visits were at 1, 6, 12, and 24 weeks. RESULTS: Overall, 65% (28/43) women were cured following TVT-O for SUI. When stratified based on preoperative VLPP, 77% (24/31) of patients with VLPP greater than 60 were cured while only 25% (3/12) of patients with VLPP less than or equal to 60 were cured. No intraoperative complications were noted. The odds of continued SUI following TVT-O were 12 times greater for women with VLPP <or=60 compared to those with VLPP >60. CONCLUSIONS: With limited follow up, TVT-O appears to be a safe and effective surgical treatment for female SUI producing excellent results in patients with VLPP >60 cm/H(2)0. Patients with low VLPP may consider conventional, retropubic mid-urethral slings or other procedures as treatment for SUI. SN - 0733-2467 UR - https://www.unboundmedicine.com/medline/citation/16817185/Early_outcomes_of_mid_urethral_slings_for_female_stress_urinary_incontinence_stratified_by_valsalva_leak_point_pressure_ L2 - https://doi.org/10.1002/nau.20286 DB - PRIME DP - Unbound Medicine ER -