OBJECTIVE: The aim of this study was to evaluate the value of urodynamic investigation in the preoperative workup of midurethral sling surgery and to identify risk factors for failure after 3 different midurethral sling procedures. STUDY DESIGN: Retrospective cohort study. 437 women who underwent a tension-free vaginal tape, Monarc, or tension-free vaginal tape-obturator procedure without other simultaneously performed urogynecological surgery were included. Preoperative data were collected from the medical files. Patients who reported any amount of leakage were considered failures. The mean follow-up of the study population was 14 months. RESULTS: After multivariate analysis, mixed urinary incontinence (P = .04), previous incontinence surgery (P = .022), and detrusor overactivity (P = .02) were significantly related to failure of midurethral sling procedures. There were no predictive urodynamic parameters for failure in patients with mixed urinary incontinence or previous incontinence surgery. CONCLUSION: The standard use of urodynamic investigation in the preoperative workup of midurethral sling surgery needs to be revisited.
OBJECTIVE: The aim of this study was to evaluate the value of urodynamic investigation in the preoperative workup of midurethral sling surgery and to identify risk factors for failure after 3 different midurethral sling procedures. STUDY DESIGN: Retrospective cohort study. 437 women who underwent a tension-free vaginal tape, Monarc, or tension-free vaginal tape-obturator procedure without other simultaneously performed urogynecological surgery were included. Preoperative data were collected from the medical files. Patients who reported any amount of leakage were considered failures. The mean follow-up of the study population was 14 months. RESULTS: After multivariate analysis, mixed urinary incontinence (P = .04), previous incontinence surgery (P = .022), and detrusor overactivity (P = .02) were significantly related to failure of midurethral sling procedures. There were no predictive urodynamic parameters for failure in patients with mixed urinary incontinence or previous incontinence surgery. CONCLUSION: The standard use of urodynamic investigation in the preoperative workup of midurethral sling surgery needs to be revisited.
Authors: Charles W Nager; Larry Sirls; Heather J Litman; Holly Richter; Ingrid Nygaard; Toby Chai; Stephen Kraus; Halina Zyczynski; Kim Kenton; Liyuan Huang; John Kusek; Gary Lemack Journal: J Urol Date: 2011-06-16 Impact factor: 7.450
Authors: Sherif R Aboseif; Pejvak Sassani; Ethan I Franke; Steven D Nash; Joel N Slutsky; Neil H Baum; Mai Le Tu; Niall T Galloway; Peter J Pommerville; Suzette E Sutherland Journal: World J Urol Date: 2010-10-20 Impact factor: 4.226
Authors: Sanne A L van Leijsen; Kirsten B Kluivers; Ben Willem J Mol; Suzan R Broekhuis; Fred L Milani; C Huub van der Vaart; Jan-Paul W R Roovers; Marlies Y Bongers; Jan den Boon; Wilbert A Spaans; Jan Willem de Leeuw; Viviane Dietz; Jan H Kleinjan; Hans A M Brölmann; Eveline J Roos; Judith Schaafstra; John P F A Heesakkers; Mark E Vierhout Journal: BMC Womens Health Date: 2009-07-21 Impact factor: 2.809
Authors: R Marijn Houwert; Jan Paul W R Roovers; Pieter L Venema; Hein W Bruinse; Marcel G W Dijkgraaf; Harry A M Vervest Journal: Int Urogynecol J Date: 2010-03 Impact factor: 2.894
Authors: R Marijn Houwert; Daphne N van Munster; Jan Paul W R Roovers; Pieter L Venema; Marcel G W Dijkgraaf; Hein W Bruinse; Harry A M Vervest Journal: Int Urogynecol J Date: 2010-04 Impact factor: 2.894