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International Urogynecology Journal

Published in:

01-03-2013 | Original Article

Predictors of postoperative antimuscarinics in women with mixed urinary incontinence after transobturator surgery

Authors: Eun-Hee Yoo, Donguk Kim

Published in: International Urogynecology Journal | Issue 3/2013

Abstract

Introduction and hypothesis

The study sought to identify the risk factors of postoperative use of antimuscarinics after transobturator surgery in women with mixed urinary incontinence (MUI) displaying both urodynamic stress urinary incontinence (SUI) and involuntary detrusor contraction (IDC) with leakage in urodynamic study.

Methods

The clinical data of 103 patients with MUI who underwent transobturator tape (TOT) sling surgery were retrospectively reviewed. The patients were followed at least a year. To determine risk factors for postoperative use of antimuscarinics, variables of only those with P values < 0.05 on univariate analysis were included in the multivariate logistic regression analysis with forward stepwise building.

Results

Eight-four (81.6 %) of 103 patients were included in this study. The cure rate of urge urinary incontinence (UUI) was 69.0 % (58/84). Antimuscarinics were prescribed postoperatively in 22 (26.2 %) of 84 patients. Variables affecting postoperative use of antimuscarinics were age, parity, episode of any UUI, preoperative use of antimuscarinics, predominant urgency incontinence type, detrusor pressure at maximum flow, and Urogenital Distress Inventory 6. Increasing age and preoperative use of antimuscarinics increased the odds of postoperative use of antimuscarinics following TOT surgery.

Conclusion

Patients who were older and had taken antimuscarinics preoperatively were significantly associated with postoperative use of antimuscarinics.

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Title: Predictors of postoperative antimuscarinics in women with mixed urinary incontinence after transobturator surgery
Authors: Eun-Hee Yoo
Donguk Kim
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/s00192-012-1880-2

At a glance: The STEP trials

Springer Medicine

Predictors of postoperative antimuscarinics in women with mixed urinary incontinence after transobturator surgery

Abstract

Introduction and hypothesis

Methods

Results

Conclusion

At a glance: The STEP trials

Springer Medicine

Abstract

Introduction and hypothesis

Methods

Results

Conclusion

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