Comparison of Cystographic Findings of Intrinsic Sphincteric Deficiency with Urethral Hypermobility Causing Urinary Incontinence

Park, Sang Woo; Sung, Deuk Jae; Choi, Eun Jung; Lee, Min Woo; Kim, Young Jun; Yi, Jeong Geun; Jeon, Hae Jeong; Park, Jeong Hee

doi:10.1159/000098067

Cited by 2 publications

(1 citation statement)

References 39 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The maximum urethral closure pressure (MUCP) and the Valsalva leak point pressure (VLPP) were used separately and in combination as parameters to study urethral integrity and as outcome predictors in patients who underwent mid-urethral sling operations for SUI [4,5] . At a 3-month follow-up, Miller et al [6] found that TOT was nearly 6 times more likely to fail than TVT when subjects had a preoperative MUCP at or below 42 cm H 2 O.…”

Section: Introductionmentioning

confidence: 99%

Preoperative MUCP and VLPP Did Not Predict Long-Term (4-Year) Outcome after Transobturator Mid-Urethral Sling

et al. 2009

View full text Add to dashboard Cite

Objective: Maximum urethral closure pressure (MUCP) and Valsalva leak point pressure (VLPP) have been considered objective parameters for studying the urethral integrity and predicting outcome after surgery for stress urinary incontinence (SUI). We test the hypothesis that preoperative MUCP and/or VLPP may predict long-term outcome after out-in transobturator tape (TOT) surgery for female SUI. Methods: 65 patients affected by stress or mixed urinary incontinence were enrolled in a prospective observational descriptive study conducted from May 2002 to November 2005 at a single tertiary urban teaching university urogynecological department. Preoperative MUCP and VLPP, stratified as ≤ or >40 cm H₂O and ≤ or >60 cm H₂O, respectively, were separately or in combination correlated with primary (continence status: dry or wet) and secondary outcome variables (quality of life questionnaires) after surgery. Results: Out of 65 patients, 6 (9.2%) did not attend the follow-up. The median follow-up was 46 months (mean 52 ± 18; range 36–82). The overall objective cure rates (dry) were 74.4% for patients with VLPP >60 cm H₂O and 65% for VLPP ≤60 cm H₂O (p < 0.654). The overall objective cure rates (dry) were 75% for patients with MUCP >40 cm H₂O and 68.6% for MUCP ≤40 cm H₂O (p < 0.808). The overall objective cure rates (dry) were 82.4% for patients with MUCP >40 cm H₂O and VLPP >60 cm H₂O and 69.2% for MUCP ≤40 cm H₂O and VLPP ≤60 cm H₂O (p < 0.956). Conclusions: These data seem to cast doubts on the predictive value of MUCP and VLPP in patients who underwent TOT.