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International Urogynecology Journal

Erschienen in:

01.07.2012 | Original Article

Use of preoperative prolapse reduction stress testing and the risk of a second surgery for urinary symptoms following laparoscopic sacral colpoperineopexy

verfasst von: Jean Park, Colleen D. McDermott, Colin L. Terry, Richard C. Bump, Patrick J. Woodman, Douglass S. Hale

Erschienen in: International Urogynecology Journal | Ausgabe 7/2012

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Abstract

Introduction and hypothesis

The aim of this study was to determine the reoperation rate for sling placement or revision in patients who had primary continence procedures based on prolapse reduction stress testing (RST) prior to laparoscopic sacral colpoperineopexy (LSCP).

Methods

This was a retrospective cohort study of women who had RST prior to LSCP for symptomatic pelvic organ prolapse. Patients with positive test (Pos RST) had a concomitant midurethral sling procedure and those with negative test (Neg RST) did not. Variables were compared with either Student’s t test or Fisher’s exact test.

Results

In Neg RST group (n = 70), the rate of surgery for de novo urodynamic stress incontinence was 18.6%. In Pos RST group (n = 82), the rate of sling revision for bladder outlet obstruction was 7.3%. Overall, 88% of patients did not require a second surgery.

Conclusions

The use of RST to recommend concomitant continence procedures during LSCP results in a single surgery for the majority of our patients.

Nur mit Berechtigung zugänglich

Details of the LSCP can be found in the appendix.

Bump RC, Fantl JA, Hurt WG (1988) The mechanism of urinary continence in women with severe uterovaginal prolapse: results of barrier studies. Obstet Gynecol 72(3 Pt 1):291–295PubMed

Richardson DA, Bent AE, Ostergard DR (1983) The effect of uterovaginal prolapse on urethrovesical pressure dynamics. Am J Obstet Gynecol 146(8):901–905PubMed

Bergman A, Koonings PP, Ballard CA (1988) Predicting postoperative urinary incontinence development in women undergoing operation for genitourinary prolapse. Am J Obstet Gynecol 158(5):1171–1175PubMed

Rosenzweig BA, Pushkin S, Blumenfeld D, Bhatia NN (1992) Prevalence of abnormal urodynamic test results in continent women with severe genitourinary prolapse. Obstet Gynecol 79(4):539–542PubMed

Visco AG, Brubaker L, Nygaard I et al (2008) The role of preoperative urodynamic testing in stress-continent women undergoing sacrocolpopexy: the Colpopexy and Urinary Reduction Efforts (CARE) randomized surgical trial. Int Urogynecol J Pelvic Floor Dysfunct 19(5):607–614PubMedCrossRef

Elser DM, Moen MD, Stanford EJ et al (2010) Abdominal sacrocolpopexy and urinary incontinence: surgical planning based on urodynamics. Am J Obstet Gynecol 202(4):375.e1–375.e5CrossRef

American Urological Association Education and Research, Inc. (2009) Outcomes analysis for the surgical management of stress urinary incontinence. Guideline for the Surgical Management of Female Urinary Incontinence: 2009 Update: American Urological Association Education and Research, Inc., Linthicum

Daneshgari F, Kong W, Swartz M (2008) Complications of mid urethral slings: important outcomes for future clinical trials. J Urol 180(5):1890–1897PubMedCrossRef

Dmochowski RR, Blaivas JM, Gormley EA et al (2010) Update of AUA guideline on the surgical management of female stress urinary incontinence. J Urol 183(5):1906–1914PubMedCrossRef

10.

Barber MD, Gustilo-Ashby AM, Chen CC, Kaplan P, Paraiso MF, Walters MD (2006) Perioperative complications and adverse events of the MONARC transobturator tape, compared with the tension-free vaginal tape. [Comparative study]. Am J Obstet Gynecol 195(6):1820–1825PubMedCrossRef

11.

Bump RC, Mattiasson A, Bo K et al (1996) The standardization of terminology of female pelvic organ prolapse and pelvic floor dysfunction. Am J Obstet Gynecol 175(1):10–17PubMedCrossRef

12.

Haylen BT, de Ridder D, Freeman RM et al (2010) An International Urogynecological Association (IUGA)/International Continence Society (ICS) joint report on the terminology for female pelvic floor dysfunction. [Practice guideline review]. Neurourol Urodyn 29(1):4–20PubMed

13.

Misrai V, Roupret M, Xylinas E et al (2009) Surgical resection for suburethral sling complications after treatment for stress urinary incontinence. J Urol 181(5):2198–2202, discussion 2203PubMedCrossRef

14.

Fatton B (2009) Is there any evidence to advocate SUI prevention in continent women undergoing prolapse repair? An overview. Int Urogynecol J Pelvic Floor Dysfunct 20(2):235–245PubMedCrossRef

15.

Stanford EJ, Paraiso MF (2008) A comprehensive review of suburethral sling procedure complications. J Minim Invasive Gynecol 15(2):132–145PubMedCrossRef

16.

Barber MD, Kleeman S, Karram MM et al (2008) Transobturator tape compared with tension-free vaginal tape for the treatment of stress urinary incontinence: a randomized controlled trial. Obstet Gynecol 111(3):611–621PubMedCrossRef

17.

Natale F, Weir JM, Cervigni M (2006) Pelvic floor reconstructive surgery: which aspects remain controversial? Curr Opin Urol 16(6):407–412PubMedCrossRef

18.

Mishra VC, Mishra N, Karim OM, Motiwala HG (2005) Voiding dysfunction after tension-free vaginal tape: a conservative approach is often successful. Int Urogynecol J Pelvic Floor Dysfunct 16(3):210–214, discussion 214PubMedCrossRef

Titel: Use of preoperative prolapse reduction stress testing and the risk of a second surgery for urinary symptoms following laparoscopic sacral colpoperineopexy
verfasst von: Jean Park
Colleen D. McDermott
Colin L. Terry
Richard C. Bump
Patrick J. Woodman
Douglass S. Hale
Publikationsdatum: 01.07.2012
Verlag: Springer-Verlag
Erschienen in: International Urogynecology Journal / Ausgabe 7/2012
Print ISSN: 0937-3462
Elektronische ISSN: 1433-3023
DOI: https://doi.org/10.1007/s00192-011-1648-0

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Use of preoperative prolapse reduction stress testing and the risk of a second surgery for urinary symptoms following laparoscopic sacral colpoperineopexy