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01-02-2015 | Review Article

Clinical risk factors and urodynamic predictors prior to surgical treatment for stress urinary incontinence: a narrative review

Authors: Mette Hornum Bing, Helga Gimbel, Susanne Greisen, Lene Birgitte Paulsen, Helle Christina Soerensen, Gunnar Lose

Published in: International Urogynecology Journal | Issue 2/2015

Abstract

Introduction and hypothesis

Knowledge about clinical risk factors and the value of urodynamic testing is important to optimize treatment strategy and secure true informed consent.

Methods

We reviewed the relevant literature to clarify the evidence regarding clinical risk factors and the predictive value of urodynamic testing in patients with urinary incontinence, where surgery is considered. Because of the paucity of evidence based on randomized controlled trials, we conducted a narrative review of the published literature.

Results

Clinical risk factors in terms of mixed urinary incontinence, previous incontinence surgery, body mass index (BMI) ≥ 35, age ≥ 75, and presence of diabetes mellitus were significantly related to decreased outcome of incontinence surgery. Furthermore, noninvasive and invasive urodynamic parameters indicating detrusor overactivity, voiding difficulties, low urethral pressure, and bladder-neck immobility were related to poorer outcome of surgery.

Conclusions

This study summarized the available evidence regarding preoperative clinical risk factors and urodynamic parameters indicating decreased or adverse outcome of surgery, and this report also provides clinical recommendations.

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Title: Clinical risk factors and urodynamic predictors prior to surgical treatment for stress urinary incontinence: a narrative review
Authors: Mette Hornum Bing
Helga Gimbel
Susanne Greisen
Lene Birgitte Paulsen
Helle Christina Soerensen
Gunnar Lose
Publication date: 01-02-2015
Publisher: Springer London
Published in: International Urogynecology Journal / Issue 2/2015
Print ISSN: 0937-3462
Electronic ISSN: 1433-3023
DOI: https://doi.org/10.1007/s00192-014-2489-4

At a glance: The STEP trials

Springer Medicine

Clinical risk factors and urodynamic predictors prior to surgical treatment for stress urinary incontinence: a narrative review

Abstract

Introduction and hypothesis

Methods

Results

Conclusions

At a glance: The STEP trials

Springer Medicine

Abstract

Introduction and hypothesis

Methods

Results

Conclusions

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