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Association between detrusor overactivity and postoperative outcomes in patients undergoing male bone anchored perineal sling.
J Urol. 2010 Feb; 183(2):641-5.JU

Abstract

PURPOSE

In this study we determined if there was an association between the presence of preoperative detrusor overactivity and patient outcomes after bone anchored perineal sling.

MATERIALS AND METHODS

A total of 85 men underwent a male perineal sling procedure for urodynamically proven stress urinary incontinence. Preoperative history and physical examination were performed, and patients completed self-assessment questionnaires. Based on urodynamics patients were divided into 2 groups of those with and those without detrusor overactivity. Questionnaires including the Patient Global Impression of Improvement Scale were readministered postoperatively. Success was defined by the Patient Global Impression of Improvement as very much better or much better. Failure was defined by the responses of a little better, no change, a little worse or much worse. Successes and failures were compared to the presence of detrusor overactivity. Preoperative parameters, preoperative and postoperative questionnaire scores, and postoperative pad and anticholinergic use were compared between the 2 groups.

RESULTS

A total of 72 patients were included in the analysis, and of these 22 (30.6%) had detrusor overactivity and 50 (69.4%) did not. All patients completed the Patient Global Impression of Improvement. There was no statistical difference in the number of cases classified as successes or failures in the 2 groups (p = 0.4213). A significantly higher percentage of patients with detrusor overactivity required postoperative anticholinergics. There was no statistical difference in the number of patients using pads postoperatively.

CONCLUSIONS

Preoperative detrusor overactivity was not associated with worse postoperative outcomes. Men with urodynamic stress urinary incontinence and detrusor overactivity may be considered for a male sling procedure. However, they may require postoperative anticholinergics and should be counseled accordingly.

Authors+Show Affiliations

University of Kentucky, Lexington, Kentucky 40536-0298, USA. kballert@gmail.comNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

20018325

Citation

Ballert, Katie N., and Victor W. Nitti. "Association Between Detrusor Overactivity and Postoperative Outcomes in Patients Undergoing Male Bone Anchored Perineal Sling." The Journal of Urology, vol. 183, no. 2, 2010, pp. 641-5.
Ballert KN, Nitti VW. Association between detrusor overactivity and postoperative outcomes in patients undergoing male bone anchored perineal sling. J Urol. 2010;183(2):641-5.
Ballert, K. N., & Nitti, V. W. (2010). Association between detrusor overactivity and postoperative outcomes in patients undergoing male bone anchored perineal sling. The Journal of Urology, 183(2), 641-5. https://doi.org/10.1016/j.juro.2009.10.008
Ballert KN, Nitti VW. Association Between Detrusor Overactivity and Postoperative Outcomes in Patients Undergoing Male Bone Anchored Perineal Sling. J Urol. 2010;183(2):641-5. PubMed PMID: 20018325.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Association between detrusor overactivity and postoperative outcomes in patients undergoing male bone anchored perineal sling. AU - Ballert,Katie N, AU - Nitti,Victor W, Y1 - 2009/12/16/ PY - 2009/06/07/received PY - 2009/12/19/entrez PY - 2009/12/19/pubmed PY - 2010/2/24/medline SP - 641 EP - 5 JF - The Journal of urology JO - J Urol VL - 183 IS - 2 N2 - PURPOSE: In this study we determined if there was an association between the presence of preoperative detrusor overactivity and patient outcomes after bone anchored perineal sling. MATERIALS AND METHODS: A total of 85 men underwent a male perineal sling procedure for urodynamically proven stress urinary incontinence. Preoperative history and physical examination were performed, and patients completed self-assessment questionnaires. Based on urodynamics patients were divided into 2 groups of those with and those without detrusor overactivity. Questionnaires including the Patient Global Impression of Improvement Scale were readministered postoperatively. Success was defined by the Patient Global Impression of Improvement as very much better or much better. Failure was defined by the responses of a little better, no change, a little worse or much worse. Successes and failures were compared to the presence of detrusor overactivity. Preoperative parameters, preoperative and postoperative questionnaire scores, and postoperative pad and anticholinergic use were compared between the 2 groups. RESULTS: A total of 72 patients were included in the analysis, and of these 22 (30.6%) had detrusor overactivity and 50 (69.4%) did not. All patients completed the Patient Global Impression of Improvement. There was no statistical difference in the number of cases classified as successes or failures in the 2 groups (p = 0.4213). A significantly higher percentage of patients with detrusor overactivity required postoperative anticholinergics. There was no statistical difference in the number of patients using pads postoperatively. CONCLUSIONS: Preoperative detrusor overactivity was not associated with worse postoperative outcomes. Men with urodynamic stress urinary incontinence and detrusor overactivity may be considered for a male sling procedure. However, they may require postoperative anticholinergics and should be counseled accordingly. SN - 1527-3792 UR - https://www.unboundmedicine.com/medline/citation/20018325/Association_between_detrusor_overactivity_and_postoperative_outcomes_in_patients_undergoing_male_bone_anchored_perineal_sling_ L2 - https://www.jurology.com/doi/10.1016/j.juro.2009.10.008?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub=pubmed DB - PRIME DP - Unbound Medicine ER -