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Predictive value of urodynamics on outcome after midurethral sling surgery for female stress urinary incontinence.
Am J Obstet Gynecol. 2009 Jun; 200(6):649.e1-12.AJ

Abstract

OBJECTIVE

The aim of this study was to evaluate the value of urodynamic investigation in the preoperative workup of midurethral sling surgery and to identify risk factors for failure after 3 different midurethral sling procedures.

STUDY DESIGN

Retrospective cohort study. 437 women who underwent a tension-free vaginal tape, Monarc, or tension-free vaginal tape-obturator procedure without other simultaneously performed urogynecological surgery were included. Preoperative data were collected from the medical files. Patients who reported any amount of leakage were considered failures. The mean follow-up of the study population was 14 months.

RESULTS

After multivariate analysis, mixed urinary incontinence (P = .04), previous incontinence surgery (P = .022), and detrusor overactivity (P = .02) were significantly related to failure of midurethral sling procedures. There were no predictive urodynamic parameters for failure in patients with mixed urinary incontinence or previous incontinence surgery.

CONCLUSION

The standard use of urodynamic investigation in the preoperative workup of midurethral sling surgery needs to be revisited.

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Authors+Show Affiliations

Houwert RM
Department of Obstetrics and Gynecology, St Elisabeth Hospital, Tilburg, The Netherlands.
Venema PL
No affiliation info available
Aquarius AE
No affiliation info available
Bruinse HW
No affiliation info available
Kil PJ
No affiliation info available
Vervest HA
No affiliation info available

MeSH

FemaleHumansMiddle AgedPredictive Value of TestsRetrospective StudiesSuburethral SlingsTreatment OutcomeUrinary Incontinence, StressUrodynamics

Pub Type(s)

Journal Article

Language

eng

PubMed ID

19344879

Citation

Houwert, R Marijn, et al. "Predictive Value of Urodynamics On Outcome After Midurethral Sling Surgery for Female Stress Urinary Incontinence." American Journal of Obstetrics and Gynecology, vol. 200, no. 6, 2009, pp. 649.e1-12.
Houwert RM, Venema PL, Aquarius AE, et al. Predictive value of urodynamics on outcome after midurethral sling surgery for female stress urinary incontinence. Am J Obstet Gynecol. 2009;200(6):649.e1-12.
Houwert, R. M., Venema, P. L., Aquarius, A. E., Bruinse, H. W., Kil, P. J., & Vervest, H. A. (2009). Predictive value of urodynamics on outcome after midurethral sling surgery for female stress urinary incontinence. American Journal of Obstetrics and Gynecology, 200(6), e1-12. https://doi.org/10.1016/j.ajog.2008.12.039
Houwert RM, et al. Predictive Value of Urodynamics On Outcome After Midurethral Sling Surgery for Female Stress Urinary Incontinence. Am J Obstet Gynecol. 2009;200(6):649.e1-12. PubMed PMID: 19344879.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Predictive value of urodynamics on outcome after midurethral sling surgery for female stress urinary incontinence. AU - Houwert,R Marijn, AU - Venema,Pieter L, AU - Aquarius,Annelies E, AU - Bruinse,Hein W, AU - Kil,Paul J M, AU - Vervest,Harry A M, Y1 - 2009/04/03/ PY - 2008/05/26/received PY - 2008/09/28/revised PY - 2008/12/22/accepted PY - 2009/4/7/entrez PY - 2009/4/7/pubmed PY - 2009/7/2/medline SP - 649.e1 EP - 12 JF - American journal of obstetrics and gynecology JO - Am J Obstet Gynecol VL - 200 IS - 6 N2 - OBJECTIVE: The aim of this study was to evaluate the value of urodynamic investigation in the preoperative workup of midurethral sling surgery and to identify risk factors for failure after 3 different midurethral sling procedures. STUDY DESIGN: Retrospective cohort study. 437 women who underwent a tension-free vaginal tape, Monarc, or tension-free vaginal tape-obturator procedure without other simultaneously performed urogynecological surgery were included. Preoperative data were collected from the medical files. Patients who reported any amount of leakage were considered failures. The mean follow-up of the study population was 14 months. RESULTS: After multivariate analysis, mixed urinary incontinence (P = .04), previous incontinence surgery (P = .022), and detrusor overactivity (P = .02) were significantly related to failure of midurethral sling procedures. There were no predictive urodynamic parameters for failure in patients with mixed urinary incontinence or previous incontinence surgery. CONCLUSION: The standard use of urodynamic investigation in the preoperative workup of midurethral sling surgery needs to be revisited. SN - 1097-6868 UR - https://www.unboundmedicine.com/medline/citation/19344879/Predictive_value_of_urodynamics_on_outcome_after_midurethral_sling_surgery_for_female_stress_urinary_incontinence_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0002-9378(08)02446-0 DB - PRIME DP - Unbound Medicine ER -