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The correlation between retrograde leak point pressure and 24-hour pad weight.
Neurourol Urodyn. 2017 04; 36(4):1119-1123.NU

Abstract

AIM

To assess the correlation between retrograde leak point pressure (RLPP) and 24-hr pad weight (24PW) in men with post-prostatectomy incontinence.

METHODS

We performed RLPP and 24PW measurements on 61 patients with a history of post-prostatectomy stress urinary incontinence (SUI). We examined the relationship of RLPP and 24PW. We also reviewed the urodynamic and clinical data of these patients to explain our findings.

RESULTS

The mean age was 70 years (SD ± 7.4, range: 51-87). The mean RLPP was 36.8 cmH2 O (SD ± 15.3, range: 9-76), the mean 24PW was 499 g (±677 g, range: 16.5-3,177 g). There was a good and significant negative correlation between RLPP and 24PW (r = 0.56, P < 0.01). RLPP was able to differentiate between cases of mild/moderate (<400 g) and severe (≥400 g) incontinence. Patients with RLPP <30 cmH2 O had significantly higher 24PW (mean 825 g, median 768 g) when compared with patients with RLPP >30 cmH2 O (mean 257.8 g, median 100 g, P < 0.01).

CONCLUSIONS

RLPP could be used as an objective and potentially more reliable substitute to pad weight to objectify and stratify SUI in post-prostatectomy patients. Neurourol. Urodynam. 36:1119-1123, 2017. © 2016 Wiley Periodicals, Inc.

Authors+Show Affiliations

University College London Hospital, London, United Kingdom.University College London Hospital, London, United Kingdom.University College London Hospital, London, United Kingdom.University College London Hospital, London, United Kingdom.University College London Hospital, London, United Kingdom.University College London Hospital, London, United Kingdom.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

27376718

Citation

Solomon, Eskinder, et al. "The Correlation Between Retrograde Leak Point Pressure and 24-hour Pad Weight." Neurourology and Urodynamics, vol. 36, no. 4, 2017, pp. 1119-1123.
Solomon E, Kass-Iliyya A, Malde S, et al. The correlation between retrograde leak point pressure and 24-hour pad weight. Neurourol Urodyn. 2017;36(4):1119-1123.
Solomon, E., Kass-Iliyya, A., Malde, S., Kirkham, A. P. S., Greenwell, T. J., & Ockrim, J. L. (2017). The correlation between retrograde leak point pressure and 24-hour pad weight. Neurourology and Urodynamics, 36(4), 1119-1123. https://doi.org/10.1002/nau.23063
Solomon E, et al. The Correlation Between Retrograde Leak Point Pressure and 24-hour Pad Weight. Neurourol Urodyn. 2017;36(4):1119-1123. PubMed PMID: 27376718.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - The correlation between retrograde leak point pressure and 24-hour pad weight. AU - Solomon,Eskinder, AU - Kass-Iliyya,Antoine, AU - Malde,Sachin, AU - Kirkham,Alexander Paul Squire, AU - Greenwell,Tamsin Jillian, AU - Ockrim,Jeremy Louis, Y1 - 2016/07/04/ PY - 2016/04/01/received PY - 2016/06/17/accepted PY - 2016/7/5/pubmed PY - 2017/6/8/medline PY - 2016/7/5/entrez KW - artificial urinary sphincter KW - prostatectomy KW - radiotherapy KW - urinary incontinence KW - urodynamics SP - 1119 EP - 1123 JF - Neurourology and urodynamics JO - Neurourol Urodyn VL - 36 IS - 4 N2 - AIM: To assess the correlation between retrograde leak point pressure (RLPP) and 24-hr pad weight (24PW) in men with post-prostatectomy incontinence. METHODS: We performed RLPP and 24PW measurements on 61 patients with a history of post-prostatectomy stress urinary incontinence (SUI). We examined the relationship of RLPP and 24PW. We also reviewed the urodynamic and clinical data of these patients to explain our findings. RESULTS: The mean age was 70 years (SD ± 7.4, range: 51-87). The mean RLPP was 36.8 cmH2 O (SD ± 15.3, range: 9-76), the mean 24PW was 499 g (±677 g, range: 16.5-3,177 g). There was a good and significant negative correlation between RLPP and 24PW (r = 0.56, P < 0.01). RLPP was able to differentiate between cases of mild/moderate (<400 g) and severe (≥400 g) incontinence. Patients with RLPP <30 cmH2 O had significantly higher 24PW (mean 825 g, median 768 g) when compared with patients with RLPP >30 cmH2 O (mean 257.8 g, median 100 g, P < 0.01). CONCLUSIONS: RLPP could be used as an objective and potentially more reliable substitute to pad weight to objectify and stratify SUI in post-prostatectomy patients. Neurourol. Urodynam. 36:1119-1123, 2017. © 2016 Wiley Periodicals, Inc. SN - 1520-6777 UR - https://www.unboundmedicine.com/medline/citation/27376718/The_correlation_between_retrograde_leak_point_pressure_and_24_hour_pad_weight_ L2 - https://doi.org/10.1002/nau.23063 DB - PRIME DP - Unbound Medicine ER -