nach oben

International Urogynecology Journal

Erschienen in:

01.03.2013 | Original Article

Predictor of de novo stress urinary incontinence following TVM procedure: a further analysis of preoperative voiding function

verfasst von: Masato Kuribayashi, Yasuhide Kitagawa, Kazutaka Narimoto, Satoko Urata, Shohei Kawaguchi, Mikio Namiki

Erschienen in: International Urogynecology Journal | Ausgabe 3/2013

Einloggen, um Zugang zu erhalten

Abstract

Introduction and hypothesis

The purpose of this study was to evaluate the predictors of de novo stress urinary incontinence (SUI) in patients undergoing a tension-free vaginal mesh procedure (TVM) for pelvic organ prolapse (POP).

Methods

Sixty-five patients without SUI were assessed with regard to voiding function by a pressure flow study and clinical characteristics.

Results

The mean age of the patients was 67 ± 8.3. Of the 65 patients, 41 (63 %) maintained urinary continence postoperatively and 24 (37 %) showed de novo SUI. In univariate analysis, the de novo SUI group included a significantly higher proportion of patients with preoperative obstruction, defined as moderate or greater obstruction according to the Blaivas nomogram (29 vs 7 %, P = 0.035). In multivariate analysis, urethral obstruction was an independent predictor of de novo SUI with an odds ratio of 12.616 (95 % confidence interval 1.580–268.731).

Conclusions

Preoperative evaluation of urethral obstruction will contribute to prediction of de novo SUI combined with a conventional diagnosis of occult SUI.

Altman D, Väyrynen T, Engh ME et al (2011) Anterior colporrhaphy versus transvaginal mesh for pelvic-organ prolapse. N Engl J Med 364(19):1826–1836PubMedCrossRef

Caquant F, Collinet P, Debodinance P et al (2008) Safety of Trans Vaginal Mesh procedure: retrospective study of 684 patients. J Obstet Gynaecol Res 34(4):449–456PubMedCrossRef

Vaiyapuri GR, Han HC, Lee LC et al (2011) Use of the Gynecare Prolift® system in surgery for pelvic organ prolapse: 1-year outcome. Int Urogynecol J 22(7):869–877PubMedCrossRef

Latini JM, Kreder KJ Jr (2005) Associated pelvic organ prolapse in women with stress urinary incontinence: when to operate? Curr Opin Urol 15(6):380–385PubMedCrossRef

Bai SW, Jeon MJ, Kim J et al (2002) Relationship between stress urinary incontinence and pelvic organ prolapse. Int Urogynecol J Pelvic Floor Dysfunct 13:256–260PubMedCrossRef

Stanton SL, Hilton P, Norton C et al (1982) Clinical and urodynamic effects of anterior colporrhaphy and vaginal hysterectomy for prolapse with and without incontinence. Br J Obstet Gynaecol 89:459–463PubMedCrossRef

Borstad E, Rud T (1989) The risk of developing urinary stress-incontinence after vaginal repair in continent women: a clinical and urodynamic follow-up study. Acta Obstet Gynecol Scand 68:545–549PubMed

Colombo M, Maggioni A, Zanetta G et al (1996) Prevention of postoperative urinary stress incontinence after surgery for genitourinary prolapse. Obstet Gynecol 87:266–271PubMedCrossRef

Kleeman S, Vassallo B, Segal J et al (2006) The ability of history and a negative cough stress test to detect occult stress incontinence in patients undergoing surgical repair of advanced pelvic organ prolapse. Int Urogynecol J Pelvic Floor Dysfunct 17(1):27–29PubMedCrossRef

10.

Al-Mandeel H, Ross S, Robert M et al (2011) Incidence of stress urinary incontinence following vaginal repair of pelvic organ prolapse in objectively continent women. Neurourol Urodyn 30(3):390–394PubMedCrossRef

11.

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

12.

Bump R, Fantl J, Hurt W (1988) The mechanism of urinary continence in women with severe uterovaginal prolapse: results of barrier studies. Obstet Gynecol 72:291–295PubMed

13.

Kuribayashi M, Kitagawa Y, Narimoto K et al (2011) Postoperative voiding function in patients undergoing tension-free vaginal mesh procedure for pelvic organ prolapse. Int Urogynecol J 22(10):1299–1303PubMedCrossRef

14.

Blaivas JG, Groutz A (2000) Bladder outlet obstruction nomogram for women with lower urinary tract symptomatology. Neurourol Urodyn 19(5):553–564PubMedCrossRef

15.

Debodinance P, Berrocal J, Clavé H et al (2004) Changing attitudes on the surgical treatment of urogenital prolapse: birth of the tension-free vaginal mesh. J Gynecol Obstet Biol Reprod (Paris) 33(7):577–588CrossRef

16.

Takeyama M, Uesaka Y, Itoh S et al (2007) Feasibility of the tension-free vaginal mesh procedure using soft polypropylene mesh (Gynemesh PS) Japan. Int Urogynecol J Pelvic Floor Dysfunct 18(Suppl 1):S46–S47

17.

Kato K, Suzuki S, Yamamoto S et al (2009) Clinical pathway for tension-free vaginal mesh procedure: evaluation in 300 patients with pelvic organ prolapse. Int J Urol 16(3):314–317PubMedCrossRef

18.

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. Int Urogynecol J 21(1):5–26PubMedCrossRef

19.

Haessler AL, Lin LL, Ho MH et al (2005) Reevaluating occult incontinence. Curr Opin Obstet Gynecol 17:535–540PubMedCrossRef

20.

Araki I, Haneda Y, Mikami Y et al (2009) Incontinence and detrusor dysfunction associated with pelvic organ prolapse: clinical value of preoperative urodynamic evaluation. Int Urogynecol J Pelvic Floor Dysfunct 20(11):1301–1306PubMedCrossRef

21.

Karateke A, Tug N, Cam C et al (2011) Concomitant surgical correction of occult stress urinary incontinence by TOT in patients with pelvic organ prolapse. Eur J Obstet Gynecol Reprod Biol 154(1):105–107PubMedCrossRef

22.

Liapis A, Bakas P, Georgantopoulou C et al (2011) The use of the pessary test in preoperative assessment of women with severe genital prolapse. Eur J Obstet Gynecol Reprod Biol 155(1):110–113PubMedCrossRef

23.

McGuire EJ, Lytton B, Pepe V et al (1976) Stress urinary incontinence. Obstet Gynecol 47:255–264PubMed

24.

Blaivas JG, Olsson CA (1988) Stress incontinence: classification and surgical approach. J Urol 139(4):727–731PubMed

25.

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

26.

Brubaker L, Cundiff GW, Fine P et al (2006) Abdominal sacrocolpopexy with Burch colposuspension to reduce urinary stress incontinence. N Engl J Med 354(15):1557–1566PubMedCrossRef

Titel: Predictor of de novo stress urinary incontinence following TVM procedure: a further analysis of preoperative voiding function
verfasst von: Masato Kuribayashi
Yasuhide Kitagawa
Kazutaka Narimoto
Satoko Urata
Shohei Kawaguchi
Mikio Namiki
Publikationsdatum: 01.03.2013
Verlag: Springer-Verlag
Erschienen in: International Urogynecology Journal / Ausgabe 3/2013
Print ISSN: 0937-3462
Elektronische ISSN: 1433-3023
DOI: https://doi.org/10.1007/s00192-012-1882-0

Update Gynäkologie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert – ganz bequem per eMail.

Newsletter bestellen

Springer Medizin

Predictor of de novo stress urinary incontinence following TVM procedure: a further analysis of preoperative voiding function