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International Urogynecology Journal
Erschienen in: International Urogynecology Journal 7/2012

01.07.2012 | Original Article

Occult incontinence as predictor for postoperative stress urinary incontinence following pelvic organ prolapse surgery

verfasst von: Rune Svenningsen, Ellen Borstad, Anny Elisabeth Spydslaug, Leiv Sandvik, Anne Cathrine Staff

Erschienen in: International Urogynecology Journal | Ausgabe 7/2012

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Abstract

Introduction and hypothesis

Recommending prophylactic anti-incontinence procedures to continent women undergoing surgery for pelvic organ prolapse (POP) is controversial. We hypothesized that testing for occult incontinence before surgery using four different tests and three defined test combinations would identify individual women at risk for postoperative stress urinary incontinence (POSUI). The diagnostic accuracy of these tests and test combinations were evaluated.

Methods

We tested 137 women before and after surgery. Fisher’s exact test was used when evaluating associations between test results and outcomes. The validity of each test and test combinations was calculated.

Results

We found a statistically significant association between occult incontinence and POSUI in two tests and all test combinations. However, all tests and test combinations displayed poor performance when predicting at individual levels.

Conclusions

This study confirms a positive association between occult incontinence and POSUI. Occult incontinence does not, however, adequately identify individual women in need of prophylactic anti-incontinence surgery when undergoing POP repair.
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Metadaten
Titel
Occult incontinence as predictor for postoperative stress urinary incontinence following pelvic organ prolapse surgery
verfasst von
Rune Svenningsen
Ellen Borstad
Anny Elisabeth Spydslaug
Leiv Sandvik
Anne Cathrine Staff
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/s00192-012-1764-5

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