Tags

Type your tag names separated by a space and hit enter

Urodynamic parameters after retrourethral transobturator male sling and their influence on outcome.
Urology. 2011 Sep; 78(3):708-12.U

Abstract

OBJECTIVE

To evaluate prospectively detailed urodynamic parameters before and after retrourethral transobturator sling (RTS) placement and the impact of adverse preoperative urodynamic parameters on postoperative outcome.

METHODS

Fifty-five consecutive patients with postprostatectomy stress urinary incontinence (SUI) underwent urodynamics with pressure flow and abdominal leak point pressure (ALPP) measurements, quality of life, 1-hour pad test, and daily pad use assessment before RTS (AdVance) and 12 months postoperatively. Volume of first sensation and first desire to void, maximum cystometric capacity (MCC), ALPP, maximum flow rate (Qmax.), average flow rate, time to Qmax., detrusor voiding pressure at Qmax., voiding time, and postvoid residual urine volume (PVR) were assessed. The success rate was defined as cure (no or one dry "security" pad) or improvement (1-2 pads or pad reduction≥50%). Adverse parameters included ALPP≤30 cm H2O, Qmax.≤10 mdL/s, and MCC≤200 mL.

RESULTS

Success rate after RTS was 73% (40/55 patients). Mean follow-up was 21±11.7 (range, 12-41) months. Only ALPP changed significantly (61±14.2 vs 79±20.4 cm H2O). No PVR>30 mL, de novo reduced bladder compliance and hypo- or overactivity were observed. Urine loss by 1-hour pad test (136.1±119.4 vs 39.4±77.0) and daily pad use (4.6±2.0 vs 1.9±2.1) decreased significantly. Adverse preoperative urodynamic parameters were not associated with postoperative outcome.

CONCLUSION

The RTS is an effective and safe device for SUI treatment without signs of compression or obstruction of the urethra or any influence on voiding parameters. Adverse preoperative urodynamic parameters have no influence on postoperative outcome.

Authors+Show Affiliations

Department of Urology, Klinikum Grosshadern, Ludwig-Maximilian-University Munich, Germany. Irina.Soljanik@med.uni.muenchen.deNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

21777955

Citation

Soljanik, Irina, et al. "Urodynamic Parameters After Retrourethral Transobturator Male Sling and Their Influence On Outcome." Urology, vol. 78, no. 3, 2011, pp. 708-12.
Soljanik I, Becker AJ, Stief CG, et al. Urodynamic parameters after retrourethral transobturator male sling and their influence on outcome. Urology. 2011;78(3):708-12.
Soljanik, I., Becker, A. J., Stief, C. G., Gozzi, C., & Bauer, R. M. (2011). Urodynamic parameters after retrourethral transobturator male sling and their influence on outcome. Urology, 78(3), 708-12. https://doi.org/10.1016/j.urology.2011.03.068
Soljanik I, et al. Urodynamic Parameters After Retrourethral Transobturator Male Sling and Their Influence On Outcome. Urology. 2011;78(3):708-12. PubMed PMID: 21777955.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Urodynamic parameters after retrourethral transobturator male sling and their influence on outcome. AU - Soljanik,Irina, AU - Becker,Armin J, AU - Stief,Christian G, AU - Gozzi,Christian, AU - Bauer,Ricarda M, Y1 - 2011/07/20/ PY - 2010/12/14/received PY - 2011/03/18/revised PY - 2011/03/22/accepted PY - 2011/7/23/entrez PY - 2011/7/23/pubmed PY - 2011/11/9/medline SP - 708 EP - 12 JF - Urology JO - Urology VL - 78 IS - 3 N2 - OBJECTIVE: To evaluate prospectively detailed urodynamic parameters before and after retrourethral transobturator sling (RTS) placement and the impact of adverse preoperative urodynamic parameters on postoperative outcome. METHODS: Fifty-five consecutive patients with postprostatectomy stress urinary incontinence (SUI) underwent urodynamics with pressure flow and abdominal leak point pressure (ALPP) measurements, quality of life, 1-hour pad test, and daily pad use assessment before RTS (AdVance) and 12 months postoperatively. Volume of first sensation and first desire to void, maximum cystometric capacity (MCC), ALPP, maximum flow rate (Qmax.), average flow rate, time to Qmax., detrusor voiding pressure at Qmax., voiding time, and postvoid residual urine volume (PVR) were assessed. The success rate was defined as cure (no or one dry "security" pad) or improvement (1-2 pads or pad reduction≥50%). Adverse parameters included ALPP≤30 cm H2O, Qmax.≤10 mdL/s, and MCC≤200 mL. RESULTS: Success rate after RTS was 73% (40/55 patients). Mean follow-up was 21±11.7 (range, 12-41) months. Only ALPP changed significantly (61±14.2 vs 79±20.4 cm H2O). No PVR>30 mL, de novo reduced bladder compliance and hypo- or overactivity were observed. Urine loss by 1-hour pad test (136.1±119.4 vs 39.4±77.0) and daily pad use (4.6±2.0 vs 1.9±2.1) decreased significantly. Adverse preoperative urodynamic parameters were not associated with postoperative outcome. CONCLUSION: The RTS is an effective and safe device for SUI treatment without signs of compression or obstruction of the urethra or any influence on voiding parameters. Adverse preoperative urodynamic parameters have no influence on postoperative outcome. SN - 1527-9995 UR - https://www.unboundmedicine.com/medline/citation/21777955/Urodynamic_parameters_after_retrourethral_transobturator_male_sling_and_their_influence_on_outcome_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0090-4295(11)00524-3 DB - PRIME DP - Unbound Medicine ER -