Pre‐operative opening detrusor pressure is predictive of detrusor overactivity following TVT in patients with pre‐operative mixed urinary incontinence

Panayi, Demetri; Duckett, Jonathan; Digesu, G. Alessandro; Camarata, Michelle; Basu, Maya; Khullar, Vik

doi:10.1002/nau.20576

Cited by 42 publications

(29 citation statements)

References 22 publications

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“…Recently, other investigators have also looked at predicting detrusor overactivity (DO) or voiding dysfunction after TVT. Panayi et al [28] found that the median preoperative opening detrusor pressure was higher in women with overactive bladder symptoms postoperatively. The median preoperative opening detrusor pressure also was higher in women with postoperative DO than those with a normal study.…”

Section: Can Urodynamics Assess For Risk Factors Related To Treatmentmentioning

confidence: 99%

Are Multichannel Urodynamics Required Prior to Surgery in a Woman with Stress Urinary Incontinence?

Mourtzinos

2010

Curr Urol Rep

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The National Institute for Clinical Excellence recommends that cystometry need not be performed before conservative therapy for incontinence in women, nor is cystometry routinely recommended in the small group of women with a clearly defined diagnosis of pure stress incontinence. Nonetheless, it is frequently utilized in the assessment of women with stress urinary incontinence in the hope that results will shed light on preoperative risk factors for failure or postoperative voiding dysfunction. The ability of urodynamic studies to characterize these parameters reliably remains under investigation. Because urodynamic studies are invasive, costly, and not always available, it is imperative that its benefit be carefully explored. This review highlights the recent arguments for and against this recommendation.

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Section: Can Urodynamics Assess For Risk Factors Related To Treatmentmentioning

confidence: 99%

Are Multichannel Urodynamics Required Prior to Surgery in a Woman with Stress Urinary Incontinence?

Mourtzinos

2010

Curr Urol Rep

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“…In a retrospective study of 51 patients, Panayi et al found that higher opening detrusor pressure, lower volume at DO during cystometry and higher detrusor pressure were predictive of persistent DO. (Panayi et al, 2009) Schrepferman et al evaluated 84 women undergoing a pubovaginal sling surgery for MUI. (Schrepferman et al, 2000) Of those patients, 69 had urgency symptoms.…”

Section: Preoperative Risk Factors For Mixed Urinary Incontinencementioning

confidence: 99%

Preoperative Factors as Predictors of Outcome of Midurethral Sling in Women with Mixed Urinary Incontinence

Kim¹,

Oh²,

Lee³

2012

Urinary Incontinence

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“…Women reporting symptoms of OAB postoperatively had a higher preoperative opening detrusor pressure than those without OAB symptoms (33.0 cmH2O vs. 16.0 cmH2O, respectively ( P <0.05)). [22]…”

Section: Special Situationsmentioning

confidence: 99%

Mid-urethral slings in female incontinence: Current status

et al. 2011

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The advent of the mid-urethral sling (MUS) 15 years ago has drastically changed the surgical management of stress urinary incontinence (SUI). Both retropubic and transobturator MUS can be placed in the ambulatory setting with excellent results. The tension-free vaginal tape (TVT) sling has the most robust and long-term data, but more recent literature suggests that the transobturator tape sling may offer comparable efficacy in appropriately selected patients. Single incision sling (SIS) is the newest addition to the MUS group and was developed in an attempt to minimize morbidity and create an anti-incontinence procedure that could be performed in the office. The efficacy of SIS remains unknown as the current literature regarding SIS lacks long-term results and comparative trials. The suprapubic arc sling appears to have equally effective outcomes in at least the short-term when compared with TVT. Although evolution of the SIS has led to a less invasive procedure with decreased post-op pain and reduced recovery time, durability of efficacy could be the endpoint we are sacrificing. Until longer-term data and more quality comparison trials are available, tailoring one's choice of MUS to the individual patient and her unique clinical parameters remains the best option.

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Pre‐operative opening detrusor pressure is predictive of detrusor overactivity following TVT in patients with pre‐operative mixed urinary incontinence

Abstract: Higher numbers of patients are required to demonstrate the value of opening detrusor pressure in predicting post-operative overactive bladder symptoms. Opening detrusor pressure is predictive of post-operative DO after TVT.

Cited by 42 publications

References 22 publications

Are Multichannel Urodynamics Required Prior to Surgery in a Woman with Stress Urinary Incontinence?

Are Multichannel Urodynamics Required Prior to Surgery in a Woman with Stress Urinary Incontinence?

Preoperative Factors as Predictors of Outcome of Midurethral Sling in Women with Mixed Urinary Incontinence

Mid-urethral slings in female incontinence: Current status

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