TY - JOUR
T1 - Preoperative voiding detrusor pressures do not predict stress incontinence surgery outcomes
AU - Kirby, Anna C.
AU - Nager, Charles W.
AU - Litman, Heather J.
AU - FitzGerald, Mary P.
AU - Kraus, Stephen
AU - Norton, Peggy
AU - Sirls, Larry
AU - Rickey, Leslie
AU - Wilson, Tracey
AU - Dandreo, Kimberly J.
AU - Shepherd, Jonathan P.
AU - Zimmern, Philippe
N1 - Funding Information:
Funding This study was supported by cooperative agreements (U01 DK58225, U01 DK58229, U01 DK58234, U01 DK58231, U01 DK60379, U01 DK60380, U01 DK60393, U01 DK60395, U01 DK60397, and U01 DK60401) with the National Institute of Diabetes and Digestive and Kidney Diseases and by the National Institute of Child Health and Human Development and Office of Research in Women’s Health of the National Institutes of Health.
PY - 2011/6
Y1 - 2011/6
N2 - Introduction and hypothesis: The aim of this study was to determine whether preoperative voiding detrusor pressures were associated with postoperative outcomes after stress incontinence surgery. Methods: Opening detrusor pressure, detrusor pressure at maximum flow (pdet Qmax), and closing detrusor pressure were assessed from 280 valid preoperative urodynamic studies in subjects without advanced prolapse from a multicenter randomized trial comparing Burch and autologous fascia sling procedures. These pressures were compared between subjects with and without overall success, stress-specific success, postoperative detrusor overactivity, and postoperative urge incontinence using independent sample t tests. Results: There were no clinically or statistically significant differences in mean preoperative voiding detrusor pressures in any comparison of postoperative outcomes. Conclusions: We found no evidence that preoperative voiding detrusor pressures predict outcomes in women with stress predominant urinary incontinence undergoing Burch or autologous fascial sling procedures.
AB - Introduction and hypothesis: The aim of this study was to determine whether preoperative voiding detrusor pressures were associated with postoperative outcomes after stress incontinence surgery. Methods: Opening detrusor pressure, detrusor pressure at maximum flow (pdet Qmax), and closing detrusor pressure were assessed from 280 valid preoperative urodynamic studies in subjects without advanced prolapse from a multicenter randomized trial comparing Burch and autologous fascia sling procedures. These pressures were compared between subjects with and without overall success, stress-specific success, postoperative detrusor overactivity, and postoperative urge incontinence using independent sample t tests. Results: There were no clinically or statistically significant differences in mean preoperative voiding detrusor pressures in any comparison of postoperative outcomes. Conclusions: We found no evidence that preoperative voiding detrusor pressures predict outcomes in women with stress predominant urinary incontinence undergoing Burch or autologous fascial sling procedures.
KW - Closing detrusor pressure
KW - Opening detrusor pressure
KW - Urinary stress incontinence
KW - Urinary urge incontinence
KW - Urodynamics
KW - Voiding detrusor pressure
UR - https://www.scopus.com/pages/publications/80052461116
UR - https://www.scopus.com/pages/publications/80052461116#tab=citedBy
U2 - 10.1007/s00192-010-1336-5
DO - 10.1007/s00192-010-1336-5
M3 - Article
C2 - 21153471
AN - SCOPUS:80052461116
SN - 0937-3462
VL - 22
SP - 657
EP - 663
JO - International Urogynecology Journal
JF - International Urogynecology Journal
IS - 6
ER -