A urodynamics protocol to optimally assess men with post‐prostatectomy incontinence

Huckabay, Chad; Twiss, Christian O.; Berger, Aaron D.; Νitti, Victor W.

doi:10.1002/nau.20182

Cited by 55 publications

(23 citation statements)

References 22 publications

(24 reference statements)

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…In the current study, the ALPP was measured without a urethral catheter because this method is believed to be more natural. 17,18 The correlation coefficient between the ALPP after RARP and ULR (r = -0.480, P < 0.001) was higher than that between MUCP after RARP and ULR (r = -0.409, P < 0.001) in the present study. MUCP is measured in the static state, and the ALPP is measured in the dynamic state with abdominal pressure.…”

Section: Commentcontrasting

confidence: 69%

Urodynamic Evaluation Before and Immediately After Robot-assisted Radical Prostatectomy

Kadono

Ueno

Yaegashi

et al. 2014

Urology

View full text Add to dashboard Cite

Section: Commentcontrasting

confidence: 69%

Urodynamic Evaluation Before and Immediately After Robot-assisted Radical Prostatectomy

Kadono

Ueno

Yaegashi

et al. 2014

Urology

View full text Add to dashboard Cite

“…Each patient was evaluated with a history and physical examination, a voiding diary, and a 24-hr pad test. The diagnosis of stress incontinence was con¢rmed via video-urodynamics using our previously described protocol [Huckabay et al, 2005] and the standards of the International Continence Society [Abrams et al, 2002]. Patients were excluded if the primary etiology of their incontinence was detrusor overactivity.…”

Section: Methodsmentioning

confidence: 99%

Comparison between reduction in 24‐hour pad weight, International Consultation on Incontinence‐Short Form (ICIQ‐SF) score, International Prostate Symptom Score (IPSS), and Post‐Operative Patient Global Impression of Improvement (PGI‐I) score in patient evaluation after male perineal sling

Twiss

Fischer

Νitti

2006

Neurourology and Urodynamics

Self Cite

View full text Add to dashboard Cite

Aims:We assessed the utility of three self-assessment instruments: the International Consultation on Incontinence Questionnaire-Short Form (ICIQ-SF), the post-operative Patient Global Impression of Improvement (PGI-I) score, and the International Prostate Symptom Score (IPSS) by correlating them with an objective outcome, the change in 24-hr pad weight, after a male perineal sling. Methods: Twenty-six men with urodynamically con¢rmed stress incontinence underwent a male perineal sling. Patients were evaluated pre-operatively and post-operatively with a 24-hr pad test, IPSS and ICIQ-SF. Patients also completed the PGI-I post-operatively. Changes in study parameters were compared via the paired t-test, and correlations were performed using Spearman's rho. Results: There were signi¢cant reductions in 24-hr pad weight (À274 g, P < 0.001), percentage 24-hr pad weight (54.2%), ICIQ-SF score (À6.3, P < 0.001), and the three ICIQ-SF subscores (À1.2, À1.7, À3.4 for Questions 3, 4, and 5, respectively, P < 0.001 for all). The change in total ICIQ-SF score and the post-operative PGI-I score correlated strongly with percentage reduction in 24-hr pad weight (r ¼ À0.68, P < 0.001; r ¼ À0.81, P < 0.001, respectively) and with each other (r ¼ 0.79, P < 0.001). The change in all three ICIQ-SF subscores correlated signi¢cantly with percentage reduction in 24-hr pad weight and with post-operative PGI-I score. There was no signi¢cant change in the IPSS or the voiding or storage subscores, and none correlated with any other study parameter. Conclusions: This study validates the construct validity of the ICIQ-SF and PGI-I in the assessment of treatment for male stress incontinence and should make clinicians con¢dent in comparing studies of incontinence treatment utilizing the change ICIQ-SF score, the post-operative PGI-I score, and percentage reduction in 24-hr pad weight as outcome measures.

show abstract

“…Studies have suggested that the utmost common etiology in patients with persisting UI symptoms was sphincter incompetence (causing stress urinary incontinence-SUI). 6 There exists evidence, however, that sphincter incompetence can occur in conjunction with detrusor overactivity (DO), and also that DO with adequate sphincter function, low compliance, and urethral stricture are prevalent as the cause for UI or other LUT symptoms or dysfunction after radical prostatectomy. 7,8 The ICI-CDT recommends to perform complete UDS including cystometry and pressure flow analysis and PVR in patients with persisting incontinence or other LUT dysfunction following radical prostatectomy.…”

mentioning

confidence: 99%

Executive summary: The International Consultation on Incontinence 2008—committee on: “Dynamic Testing”; for urinary or fecal incontinence. Part 2: Urodynamic Testing in male patients with symptoms of urinary incontinence, in patients with relevant neurological abnormalities, and in children and in frail elderly with symptoms of urinary incontinence

Szabo

Capewell

Gajewski

et al. 2009

Neurourology and Urodynamics

View full text Add to dashboard Cite

Aims:The members of 'The International Consultation on Incontinence 2008 (Paris) Committee on Dynamic Testing' provide an executive summary of the chapter 'Dynamic Testing' that discusses (urodynamic) testing methods for patients with signs and or symptoms of urinary incontinence. Testing of patients with signs and or symptoms of fecal incontinence is also discussed. Methods: Evidence based and consensus committee report. Results: The chapter 'Dynamic Testing' is a continuation of previous Consultation reports added with a new systematic literature search and expert discussion. Conclusions, based on the published evidence and recommendations, based on the integration of evidence with expert experience and discussion are provided separately, for transparency. Conclusion: This second part of a series of three articles summarizes the committee's recommendations about: 'Urodynamic testing of male patients with symptoms of incontinence, of patients with relevant neurological abnormalities, testing of children and of frail elderly with symptoms of incontinence' and includes only the most recent and relevant literature references. Neurourol. Urodynam. 29:146-152, 2010. ß 2009 Wiley-Liss, Inc.Key words: consensus committee; incontinence (children); incontinence (frail elderly); incontinence (male); incontinence (neurologic); urodynamics INTRODUCTIONSubsequent to the first two reports of the International Consultation on Incontinence (ICI) 1,2 the chapter ''Urodynamic Testing'' was renamed ''Dynamic Testing'' in the third and fourth reports because of the additional inclusion of recommendations on the (diagnostic) management of fecal incontinence. 3 We (members of ''The ICI 2008 Committee on Dynamic Testing'': ICI-CDT) provide an executive summary of the chapter ''Dynamic Testing'' in the fourth ICI-report on incontinence. 4 The ICI-report, with the ICI-CDT chapter discussed here, has the intention to provide recommendations on the basis of the most reliable evidence for the current state of assessment of the patient with urinary or fecal incontinence. To this aim, dedicated and systematic literature searches were performed on the basis of keywords and on the basis of articles related to references in the previous ICI-reports. Throughout the chapters' text ''conclusion(s)'': solely and entirely based on the published scientific evidence, and ''recommendation(s)'' are highlighted. The ''recommendations'' are the integration of scientific evidence with the expert group consensus, together with the discussion with the attendees during the ICI meeting. Conclusions are separated from recommendations to produce maximum transparency about the ''evidence base'' of the recommendations. Likewise obtained ''topics(s) for research'' are also highlighted in the text of the ICI-report. In this executive summary, we discuss the chapter ''Dynamic Testing'' from the ICI-report in three parts: The innovations in urodynamic techniques ''in general,'' the test characteristics and normal values of urodynamic studies (UDS) as well as the asse...

show abstract

A urodynamics protocol to optimally assess men with post‐prostatectomy incontinence

Abstract: The proposed urodynamic protocol allows for an optimal assessment of bladder and sphincter dysfunction and outlet obstruction in men with PPI.

Cited by 55 publications

References 22 publications

Urodynamic Evaluation Before and Immediately After Robot-assisted Radical Prostatectomy

Urodynamic Evaluation Before and Immediately After Robot-assisted Radical Prostatectomy

Comparison between reduction in 24‐hour pad weight, International Consultation on Incontinence‐Short Form (ICIQ‐SF) score, International Prostate Symptom Score (IPSS), and Post‐Operative Patient Global Impression of Improvement (PGI‐I) score in patient evaluation after male perineal sling

Contact Info

Product

Resources

About