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International Urogynecology Journal

Published in:

01-07-2012 | Original Article

Use of preoperative prolapse reduction stress testing and the risk of a second surgery for urinary symptoms following laparoscopic sacral colpoperineopexy

Authors: Jean Park, Colleen D. McDermott, Colin L. Terry, Richard C. Bump, Patrick J. Woodman, Douglass S. Hale

Published in: International Urogynecology Journal | Issue 7/2012

Abstract

Introduction and hypothesis

The aim of this study was to determine the reoperation rate for sling placement or revision in patients who had primary continence procedures based on prolapse reduction stress testing (RST) prior to laparoscopic sacral colpoperineopexy (LSCP).

Methods

This was a retrospective cohort study of women who had RST prior to LSCP for symptomatic pelvic organ prolapse. Patients with positive test (Pos RST) had a concomitant midurethral sling procedure and those with negative test (Neg RST) did not. Variables were compared with either Student’s t test or Fisher’s exact test.

Results

In Neg RST group (n = 70), the rate of surgery for de novo urodynamic stress incontinence was 18.6%. In Pos RST group (n = 82), the rate of sling revision for bladder outlet obstruction was 7.3%. Overall, 88% of patients did not require a second surgery.

Conclusions

The use of RST to recommend concomitant continence procedures during LSCP results in a single surgery for the majority of our patients.

Available only for authorised users

Details of the LSCP can be found in the appendix.

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Title: Use of preoperative prolapse reduction stress testing and the risk of a second surgery for urinary symptoms following laparoscopic sacral colpoperineopexy
Authors: Jean Park
Colleen D. McDermott
Colin L. Terry
Richard C. Bump
Patrick J. Woodman
Douglass S. Hale
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/s00192-011-1648-0

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Use of preoperative prolapse reduction stress testing and the risk of a second surgery for urinary symptoms following laparoscopic sacral colpoperineopexy

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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The role of anti-incontinence surgery in management of occult urinary stress incontinence

Incontinence during intercourse: myths unravelled: reply to Serati et al.

Occult incontinence as predictor for postoperative stress urinary incontinence following pelvic organ prolapse surgery