Impact of urodynamic evaluation on the treatment of women with idiopathic overactive bladder: a systematic review

Serati, Maurizio; Iacovelli, Valerio; Cantaluppi, Simona; Braga, Andrea; Pletto, Simone; Soligo, Marco; Agrò, Enrico Finazzi

doi:10.23736/s0393-2249.20.03685-1

Cited by 7 publications

(2 citation statements)

References 24 publications

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Section: Discussionmentioning

confidence: 99%

“…Hence, several papers highlighted the role of UDS in changing and improving the clinical and surgical management of women with SUI and OAB and the recent urodynamic recommendations of the Italian Society of Urodynamics in the female population suggest that UDS may be performed in complicated patients with both symptoms and physical findings of SUI before invasive treatments or in uncomplicated patients, when UDS may help for counseling. [19][20][21] We still need to consider that OAB and urinary incontinence have a lifelong dynamic progression of symptoms (e.g. among women with OAB without UUI 28% reported OAB with UUI 16 years later) and that although symptom severity progresses dynamically, for many patients' symptoms also persist over long periods.…”

Section: Discussionmentioning

confidence: 99%

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Preoperative abdominal straining in uncomplicated stress urinary incontinence: is there a correlation with voiding dysfunction and de novo overactive bladder after mid-urethral sling procedures?

Iacovelli

Serati

Bianchi

et al. 2021

Therapeutic Advances in Urology

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Objectives: To evaluate the role of preoperative abdominal straining in predicting de novo overactive bladder (OAB) and voiding dysfunction in female patients undergoing suburethral taping by trans-obturator approach (TVT-O) for uncomplicated stress urinary incontinence (SUI). Methods: Data from patients who underwent TVT-O surgery for SUI were retrospectively analyzed. Inclusion criteria included: history of pure SUI. Exclusion criteria included previous surgery for urinary incontinence, pelvic radiation, pelvic surgery within the last 3 months, and anterior or apical pelvic organ prolapse (POP) ⩾ +1 cm. Voiding dysfunction has been defined through symptoms and or urodynamics (UDS) signs. Accordingly, patients were divided into group A and group B according to the presence of abdominal straining during UDS. Patients were observed clinically and with UDS at a 3-year follow-up. Results: A total of 192 patients underwent TVT-O surgery for uncomplicated SUI. Preoperative abdominal straining was identified in 60/192 patients (Group A: 31.2% vs Group B: 68.8%). Qmax was not different in the two groups (Group A: 19.5 vs Group B: 20.5 mL/s, p = 0.76). Demographics was similar for the two groups regarding age, parity. At 3-year follow-up, voiding dysfunction was reported in Group A: 9 and Group B: 8 patients ( p = 0.056), de novo OAB was significantly reported in Group A: 23 and Group B: 26 patients ( p = 0.007). Conclusion: Preoperative abdominal straining was found to be related to a significant incidence of de novo OAB. A significant correlation was not assessed for postoperative voiding dysfunction. Further studies may better define the impact of preoperative abdominal straining.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%