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Predictors of persistent detrusor overactivity after transvaginal sling procedures.
Am J Obstet Gynecol. 2008 Dec; 199(6):696.e1-7.AJ

Abstract

OBJECTIVE

Determine predictors of persistent postoperative detrusor overactivity and urge urinary incontinence after sling procedures for stress urinary incontinence

STUDY DESIGN

Three hundred five women with mixed urinary incontinence underwent sling procedures for stress urinary incontinence. Risk factors for persistent detrusor overactivity and urge urinary incontinence were examined using logistic regression models.

RESULTS

Women (31.5%) who had postoperative resolution of detrusor overactivity. Transobturator slings had the lowest rate of persistent detrusor overactivity (53%), followed by retropubic (SPARC = 66%; TVT = 64%) and bladder neck slings (86%). Predictors for persistent detrusor overactivity included age (odds ratio [OR], 1.38; P = .001), prior hysterectomy (OR, 1.95; P = .012), paravaginal repair (OR, 0.46; P = .015), nocturia (OR, 1.91; P = .013), maximum cystometric capacity (OR, 0.79; P < .001), detrusor overactivity volume (OR, 0.83; P = .006), urethral closure pressure (OR, 0.83; P < .001), and maximum urinary flow rate (OR, 0.77; P = .014). Persistent urge urinary incontinence was predicted by sling type (P < .001).

CONCLUSION

When treating women with mixed urinary incontinence, age, nocturia, maximum cystometric capacity, and choice of sling procedure impact persistence of detrusor overactivity and urge urinary incontinence.

Authors+Show Affiliations

Division of Urogynecology and Reconstructive Surgery, Department of Obstetrics and Gynecology, Northwestern University, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

18845297

Citation

Gamble, Tondalaya L., et al. "Predictors of Persistent Detrusor Overactivity After Transvaginal Sling Procedures." American Journal of Obstetrics and Gynecology, vol. 199, no. 6, 2008, pp. 696.e1-7.
Gamble TL, Botros SM, Beaumont JL, et al. Predictors of persistent detrusor overactivity after transvaginal sling procedures. Am J Obstet Gynecol. 2008;199(6):696.e1-7.
Gamble, T. L., Botros, S. M., Beaumont, J. L., Goldberg, R. P., Miller, J. J., Adeyanju, O., & Sand, P. K. (2008). Predictors of persistent detrusor overactivity after transvaginal sling procedures. American Journal of Obstetrics and Gynecology, 199(6), e1-7. https://doi.org/10.1016/j.ajog.2008.07.059
Gamble TL, et al. Predictors of Persistent Detrusor Overactivity After Transvaginal Sling Procedures. Am J Obstet Gynecol. 2008;199(6):696.e1-7. PubMed PMID: 18845297.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Predictors of persistent detrusor overactivity after transvaginal sling procedures. AU - Gamble,Tondalaya L, AU - Botros,Sylvia M, AU - Beaumont,Jennifer L, AU - Goldberg,Roger P, AU - Miller,Jay-James R, AU - Adeyanju,Oyinlolu, AU - Sand,Peter K, Y1 - 2008/10/09/ PY - 2008/01/15/received PY - 2008/05/30/revised PY - 2008/07/28/accepted PY - 2008/10/11/entrez PY - 2008/10/11/pubmed PY - 2009/1/23/medline SP - 696.e1 EP - 7 JF - American journal of obstetrics and gynecology JO - Am J Obstet Gynecol VL - 199 IS - 6 N2 - OBJECTIVE: Determine predictors of persistent postoperative detrusor overactivity and urge urinary incontinence after sling procedures for stress urinary incontinence STUDY DESIGN: Three hundred five women with mixed urinary incontinence underwent sling procedures for stress urinary incontinence. Risk factors for persistent detrusor overactivity and urge urinary incontinence were examined using logistic regression models. RESULTS: Women (31.5%) who had postoperative resolution of detrusor overactivity. Transobturator slings had the lowest rate of persistent detrusor overactivity (53%), followed by retropubic (SPARC = 66%; TVT = 64%) and bladder neck slings (86%). Predictors for persistent detrusor overactivity included age (odds ratio [OR], 1.38; P = .001), prior hysterectomy (OR, 1.95; P = .012), paravaginal repair (OR, 0.46; P = .015), nocturia (OR, 1.91; P = .013), maximum cystometric capacity (OR, 0.79; P < .001), detrusor overactivity volume (OR, 0.83; P = .006), urethral closure pressure (OR, 0.83; P < .001), and maximum urinary flow rate (OR, 0.77; P = .014). Persistent urge urinary incontinence was predicted by sling type (P < .001). CONCLUSION: When treating women with mixed urinary incontinence, age, nocturia, maximum cystometric capacity, and choice of sling procedure impact persistence of detrusor overactivity and urge urinary incontinence. SN - 1097-6868 UR - https://www.unboundmedicine.com/medline/citation/18845297/Predictors_of_persistent_detrusor_overactivity_after_transvaginal_sling_procedures_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0002-9378(08)00877-6 DB - PRIME DP - Unbound Medicine ER -