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Effect of pelvic organ prolapse repair on detrusor overactivity in women following incontinence surgery: A multivariate analysis.
Neurourol Urodyn. 2017 Nov; 36(8):2083-2088.NU

Abstract

AIMS

To determine the effect of pelvic organ prolapse (POP) repair on post-operative detrusor overactivity (DO) in women who have underwent incontinence surgery, using multivariate analysis.

METHODS

A retrospective study was carried out on a cohort of 105 women who underwent incontinence surgery. In 39 of the patients this surgery was associated with pelvic organ prolapse repair. Clinical and urodynamic data were collected pre- and 3 months post-operatively. A multivariate statistical analysis was performed to detect confounding factors which could influence on the risk factors associated with post-operative detrusor overactivity.

RESULTS

On univariate analysis, the following pre-operative factors were associated with post-operative detrusor overactivity: symptomatic mixed urinary incontinence, rectocele, detrusor overactivity, voided volume on free uroflowmetry, maximum cystomanometric capacity, and performing concomitant pelvic organ prolapse repair. Multivariate analysis, by means of confounding factors elimination, revealed that only pre-operative rectocele and detrusor overactivity were independent risk factors.

CONCLUSIONS

The pelvic organ prolapse repair acts as a confounding factor. Women with a pre-operative rectocele and detrusor overactivity are on a greater risk to develop post-operative detrusor overactivity and, therefore, they should be informed.

Authors+Show Affiliations

Department of Urology, Hospital Nacional de Parapléjicos, Toledo, Spain.Department of Urology, Hospital Clínico de San Carlos, Complutense University, Madrid, Spain.Department of Urology, Hospital Clínico de San Carlos, Complutense University, Madrid, Spain.Department of Urology, Hospital Clínico de San Carlos, Complutense University, Madrid, Spain.Department of Urology, Hospital Sanitas La moraleja, Madrid, Spain.Department of Urology, Hospital Nacional de Parapléjicos, Toledo, Spain.Department of Urology, Hospital Clínico de San Carlos, Complutense University, Madrid, Spain.Department of Urology, Hospital Clínico de San Carlos, Complutense University, Madrid, Spain.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

28244234

Citation

Virseda-Chamorro, Miguel, et al. "Effect of Pelvic Organ Prolapse Repair On Detrusor Overactivity in Women Following Incontinence Surgery: a Multivariate Analysis." Neurourology and Urodynamics, vol. 36, no. 8, 2017, pp. 2083-2088.
Virseda-Chamorro M, Salinas-Casado J, Tapia-Herrero AM, et al. Effect of pelvic organ prolapse repair on detrusor overactivity in women following incontinence surgery: A multivariate analysis. Neurourol Urodyn. 2017;36(8):2083-2088.
Virseda-Chamorro, M., Salinas-Casado, J., Tapia-Herrero, A. M., Pesquera, L., Méndez-Rubio, S., Esteban-Fuertes, M., Resel-Forskelma, L., & Moreno-Sierra, J. (2017). Effect of pelvic organ prolapse repair on detrusor overactivity in women following incontinence surgery: A multivariate analysis. Neurourology and Urodynamics, 36(8), 2083-2088. https://doi.org/10.1002/nau.23242
Virseda-Chamorro M, et al. Effect of Pelvic Organ Prolapse Repair On Detrusor Overactivity in Women Following Incontinence Surgery: a Multivariate Analysis. Neurourol Urodyn. 2017;36(8):2083-2088. PubMed PMID: 28244234.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Effect of pelvic organ prolapse repair on detrusor overactivity in women following incontinence surgery: A multivariate analysis. AU - Virseda-Chamorro,Miguel, AU - Salinas-Casado,Jesús, AU - Tapia-Herrero,Ana María, AU - Pesquera,Laura, AU - Méndez-Rubio,Santiago, AU - Esteban-Fuertes,Manuel, AU - Resel-Forskelma,Luis, AU - Moreno-Sierra,Jesús, Y1 - 2017/02/28/ PY - 2016/09/03/received PY - 2016/12/30/revised PY - 2017/01/16/accepted PY - 2017/3/1/pubmed PY - 2018/9/25/medline PY - 2017/3/1/entrez KW - overactive detrusor KW - pelvic organ prolapse KW - stress urinary incontinence KW - suburethral slings KW - urodynamics SP - 2083 EP - 2088 JF - Neurourology and urodynamics JO - Neurourol Urodyn VL - 36 IS - 8 N2 - AIMS: To determine the effect of pelvic organ prolapse (POP) repair on post-operative detrusor overactivity (DO) in women who have underwent incontinence surgery, using multivariate analysis. METHODS: A retrospective study was carried out on a cohort of 105 women who underwent incontinence surgery. In 39 of the patients this surgery was associated with pelvic organ prolapse repair. Clinical and urodynamic data were collected pre- and 3 months post-operatively. A multivariate statistical analysis was performed to detect confounding factors which could influence on the risk factors associated with post-operative detrusor overactivity. RESULTS: On univariate analysis, the following pre-operative factors were associated with post-operative detrusor overactivity: symptomatic mixed urinary incontinence, rectocele, detrusor overactivity, voided volume on free uroflowmetry, maximum cystomanometric capacity, and performing concomitant pelvic organ prolapse repair. Multivariate analysis, by means of confounding factors elimination, revealed that only pre-operative rectocele and detrusor overactivity were independent risk factors. CONCLUSIONS: The pelvic organ prolapse repair acts as a confounding factor. Women with a pre-operative rectocele and detrusor overactivity are on a greater risk to develop post-operative detrusor overactivity and, therefore, they should be informed. SN - 1520-6777 UR - https://www.unboundmedicine.com/medline/citation/28244234/Effect_of_pelvic_organ_prolapse_repair_on_detrusor_overactivity_in_women_following_incontinence_surgery:_A_multivariate_analysis_ DB - PRIME DP - Unbound Medicine ER -