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International Urogynecology Journal

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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

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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.

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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

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

Abstract

Introduction and hypothesis

Methods

Results

Conclusions

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Springer Medizin

Abstract

Introduction and hypothesis

Methods

Results

Conclusions

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