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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

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

Published in: International Urogynecology Journal | Issue 3/2013

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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Title: Predictor of de novo stress urinary incontinence following TVM procedure: a further analysis of preoperative voiding function
Authors: Masato Kuribayashi
Yasuhide Kitagawa
Kazutaka Narimoto
Satoko Urata
Shohei Kawaguchi
Mikio Namiki
Publication date: 01-03-2013
Publisher: Springer-Verlag
Published in: International Urogynecology Journal / Issue 3/2013
Print ISSN: 0937-3462
Electronic ISSN: 1433-3023
DOI: https://doi.org/10.1007/s00192-012-1882-0

Keynote webinar | Spotlight on medication adherence

Springer Medicine

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

Abstract

Introduction and hypothesis

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Introduction and hypothesis

Methods

Results

Conclusions

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