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01-07-2012 | Review Article

Do urodynamic parameters predict persistent postoperative stress incontinence after midurethral sling? A systematic review

Authors: Amie Kawasaki, Jennifer M. Wu, Cindy L. Amundsen, Alison C. Weidner, John P. Judd, Ethan M. Balk, Nazema Y. Siddiqui

Published in: International Urogynecology Journal | Issue 7/2012

Abstract

Introduction and hypothesis

It is unclear whether preoperative urodynamic study (UDS) values are predictive of outcomes after midurethral sling.

Materials and methods

We systematically reviewed multiple databases from January 1989 to October 2011 for English-language studies correlating UDS data with postoperative outcomes after midurethral slings. We performed random effects model meta-analyses, as indicated. Relative risk (RR) ratios for the outcome of stress urinary incontinence (SUI) cure were calculated using high maximum urethral closure pressure (MUCP) and Valsalva leak point pressure (VLPP) values as the reference group.

Results

High preoperative MUCP was associated with cure after retropubic [RR 0.67; 95% confidence interval (CI) 0.47–0.97)] and transobturator slings (RR 0.65; 95% CI 0.49–0.90). High preoperative VLPP was also associated with cure after retropubic sling (RR 0.89; 95% CI 0.82–0.96), but this relationship did not achieve statistical significance for cure after transobturator sling (RR 0.86; 95% CI 0.74–1.00).

Conclusions

Preoperative MUCP and VLPP values may add insight into postoperative outcomes after surgical treatment for SUI.

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Title: Do urodynamic parameters predict persistent postoperative stress incontinence after midurethral sling? A systematic review
Authors: Amie Kawasaki
Jennifer M. Wu
Cindy L. Amundsen
Alison C. Weidner
John P. Judd
Ethan M. Balk
Nazema Y. Siddiqui
Publication date: 01-07-2012
Publisher: Springer-Verlag
Published in: International Urogynecology Journal / Issue 7/2012
Print ISSN: 0937-3462
Electronic ISSN: 1433-3023
DOI: https://doi.org/10.1007/s00192-012-1693-3

At a glance: The STEP trials

Springer Medicine

Do urodynamic parameters predict persistent postoperative stress incontinence after midurethral sling? A systematic review

Abstract

Introduction and hypothesis

Materials and methods

Results

Conclusions

At a glance: The STEP trials

Springer Medicine

Abstract

Introduction and hypothesis

Materials and methods

Results

Conclusions

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