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Utilizing preoperative 20-minute pad testing with vaginal gauze packing for indicating concomitant midurethral sling during cystocele repair.
Eur J Obstet Gynecol Reprod Biol. 2014 Jan; 172:127-30.EJ

Abstract

OBJECTIVE

To investigate the feasibility of using preoperative 20-minute pad testing with vaginal gauze packing for cystocele reduction to indicate a concomitant midurethral sling during cystocele repair.

STUDY DESIGN

Retrospective review of the records of consecutive women with pelvic organ prolapse quantification≥stage II symptomatic cystocele who visited the urogynecologic outpatient clinics and underwent cystocele repair between July 2005 and December 2010. Only patients who underwent preoperative urodynamic studies and 20-minute pad testing with vaginal gauze packing for cystocele reduction were enrolled.

RESULTS

Twenty-one patients did not demonstrate any stress urinary incontinence. For evident stress urinary incontinence (>1g pad weight before reduction), the criterion of ≥8g pad weight before reduction was chosen for concomitant midurethral sling. For patients with occult stress urinary incontinence (≤1g pad weight before reduction), the criterion of ≥8g pad weight after reduction was chosen as an indication for concomitant midurethral sling. Among 22 patients with evident stress urinary incontinence (<8g) without concomitant midurethral sling, only one patient (4.5%) received a midurethral sling during the follow-up period (median follow-up interval: 30.5 months). Among 21 patients with occult stress incontinence but <8g after reduction without concomitant midurethral sling, only one patient (4.8%) received midurethral sling during the follow-up period (median follow-up interval: 38 months).

CONCLUSIONS

A preoperative 20-minute pad test with vaginal gauze packing for cystocele reduction is a feasible and practical method to decide for a concomitant midurethral sling.

Links

Publisher Full Text (DOI)

Authors+Show Affiliations

Chang TC
Department of Obstetrics and Gynecology, National Taiwan University College of Medicine and National Taiwan University Hospital, Taipei, Taiwan.
Hsiao SM
Department of Obstetrics and Gynecology, Far Eastern Memorial Hospital, Banqiao, New Taipei, Taiwan.
Chen CH
Department of Obstetrics and Gynecology, National Taiwan University College of Medicine and National Taiwan University Hospital, Taipei, Taiwan.
Wu WY
Department of Obstetrics and Gynecology, Far Eastern Memorial Hospital, Banqiao, New Taipei, Taiwan.
Lin HH
Department of Obstetrics and Gynecology, National Taiwan University College of Medicine and National Taiwan University Hospital, Taipei, Taiwan. Electronic address: hhlin@ntuh.gov.tw.

MeSH

AgedCystoceleFeasibility StudiesFemaleHumansMiddle AgedPreoperative PeriodRetrospective StudiesSuburethral SlingsUrinary Incontinence, Stress

Pub Type(s)

Journal Article

Language

eng

PubMed ID

24183347

Citation

Chang, Ting-Chen, et al. "Utilizing Preoperative 20-minute Pad Testing With Vaginal Gauze Packing for Indicating Concomitant Midurethral Sling During Cystocele Repair." European Journal of Obstetrics, Gynecology, and Reproductive Biology, vol. 172, 2014, pp. 127-30.
Chang TC, Hsiao SM, Chen CH, et al. Utilizing preoperative 20-minute pad testing with vaginal gauze packing for indicating concomitant midurethral sling during cystocele repair. Eur J Obstet Gynecol Reprod Biol. 2014;172:127-30.
Chang, T. C., Hsiao, S. M., Chen, C. H., Wu, W. Y., & Lin, H. H. (2014). Utilizing preoperative 20-minute pad testing with vaginal gauze packing for indicating concomitant midurethral sling during cystocele repair. European Journal of Obstetrics, Gynecology, and Reproductive Biology, 172, 127-30. https://doi.org/10.1016/j.ejogrb.2013.10.008
Chang TC, et al. Utilizing Preoperative 20-minute Pad Testing With Vaginal Gauze Packing for Indicating Concomitant Midurethral Sling During Cystocele Repair. Eur J Obstet Gynecol Reprod Biol. 2014;172:127-30. PubMed PMID: 24183347.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Utilizing preoperative 20-minute pad testing with vaginal gauze packing for indicating concomitant midurethral sling during cystocele repair. AU - Chang,Ting-Chen, AU - Hsiao,Sheng-Mou, AU - Chen,Chi-Hau, AU - Wu,Wen-Yih, AU - Lin,Ho-Hsiung, Y1 - 2013/10/12/ PY - 2013/04/29/received PY - 2013/08/26/revised PY - 2013/10/03/accepted PY - 2013/11/5/entrez PY - 2013/11/5/pubmed PY - 2014/9/1/medline KW - Cystocele KW - Midurethral sling KW - Pad test KW - Pelvic organ prolapse KW - Stress urinary incontinence SP - 127 EP - 30 JF - European journal of obstetrics, gynecology, and reproductive biology JO - Eur J Obstet Gynecol Reprod Biol VL - 172 N2 - OBJECTIVE: To investigate the feasibility of using preoperative 20-minute pad testing with vaginal gauze packing for cystocele reduction to indicate a concomitant midurethral sling during cystocele repair. STUDY DESIGN: Retrospective review of the records of consecutive women with pelvic organ prolapse quantification≥stage II symptomatic cystocele who visited the urogynecologic outpatient clinics and underwent cystocele repair between July 2005 and December 2010. Only patients who underwent preoperative urodynamic studies and 20-minute pad testing with vaginal gauze packing for cystocele reduction were enrolled. RESULTS: Twenty-one patients did not demonstrate any stress urinary incontinence. For evident stress urinary incontinence (>1g pad weight before reduction), the criterion of ≥8g pad weight before reduction was chosen for concomitant midurethral sling. For patients with occult stress urinary incontinence (≤1g pad weight before reduction), the criterion of ≥8g pad weight after reduction was chosen as an indication for concomitant midurethral sling. Among 22 patients with evident stress urinary incontinence (<8g) without concomitant midurethral sling, only one patient (4.5%) received a midurethral sling during the follow-up period (median follow-up interval: 30.5 months). Among 21 patients with occult stress incontinence but <8g after reduction without concomitant midurethral sling, only one patient (4.8%) received midurethral sling during the follow-up period (median follow-up interval: 38 months). CONCLUSIONS: A preoperative 20-minute pad test with vaginal gauze packing for cystocele reduction is a feasible and practical method to decide for a concomitant midurethral sling. SN - 1872-7654 UR - https://www.unboundmedicine.com/medline/citation/24183347/Utilizing_preoperative_20_minute_pad_testing_with_vaginal_gauze_packing_for_indicating_concomitant_midurethral_sling_during_cystocele_repair_ DB - PRIME DP - Unbound Medicine ER -