Occult stress urinary incontinence and the effect of vaginal vault prolapse on abdominal leak point pressures

Gallentine, Michael L.; Cespedes, R. Duane

doi:10.1016/s0090-4295(00)00856-6

Cited by 53 publications

(17 citation statements)

References 17 publications

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“…Many methods have been described to reduce prolapse during cough stress testing. Rates of urodynamic stress incontinence with prolapse reduction (using various methods) reported in symptomatically continent women with prolapse range from 25% to 100% [1,4,8,[17][18][19]. Rather than arbitrarily choosing one, we studied five common methods of prolapse reduction: manual, large cotton swab, ring forceps, pessary, and split speculum.…”

Section: Discussionmentioning

confidence: 99%

The role of preoperative urodynamic testing in stress-continent women undergoing sacrocolpopexy: the Colpopexy and Urinary Reduction Efforts (CARE) randomized surgical trial

et al. 2008

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The aim of this study is to describe results of reduction testing in stress-continent women undergoing sacrocolpopexy and to estimate whether stress leakage during urodynamic testing with prolapse reduction predicts postoperative stress incontinence. Three hundred twenty-two stress-continent women with stages II-IV prolapse underwent standardized urodynamics. Five prolapse reduction methods were tested: two at each site and both performed for each subject. Clinicians were masked to urodynamic results. At sacrocolpopexy, participants were randomized to Burch colposuspension or no Burch (control). P-values were computed by two-tailed Fisher's exact test or t-test. Preoperatively, only 12 of 313 (3.7%) subjects demonstrated urodynamic stress incontinence (USI) without prolapse reduction. More women leaked after the second method than after the first (22% vs. 16%; p = 0.012). Preoperative detection of USI with prolapse reduction at 300ml was pessary,

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Section: Discussionmentioning

confidence: 99%

The role of preoperative urodynamic testing in stress-continent women undergoing sacrocolpopexy: the Colpopexy and Urinary Reduction Efforts (CARE) randomized surgical trial

et al. 2008

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“…The studies that address urodynamic evaluation in women with POP have focused on uncovering urodynamic stress incontinence during prolapse reduction [1][2][3][4][5] or defining obstructive voiding on pressure flow studies. 6,7 Interpretation of these studies has been limited by their small sample sizes.…”

Section: Introductionmentioning

confidence: 99%

Does urethral competence affect urodynamic voiding parameters in women with prolapse?

Nygaard

Kreder

Brubaker

et al. 2007

Neurourology and Urodynamics

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“…13 According to a study done by Gallentine et al, 50% of women with severe POP developed OSUI. 18 Similarly in a study by Sinha et al who examined 32 women with severe POP using a ring pessary to reduce the prolapse, 10(31.3%) developed symptoms of SUI. 19 However, in our study the incidence of OSUI was only 7.5%.…”

Section: Discussionmentioning

confidence: 95%

Study of occult stress urinary incontinence in pelvic organ prolapse

Reddy

Ghose

2017

Int J Reprod Contracept Obstet Gynecol

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INTRODUCTIONPelvic organ prolapse (POP) and stress urinary incontinence (SUI) are two common health-related conditions. They affect up to 50% women worldwide individually.1 Stress urinary incontinence is a condition of involuntary loss of urine on effort, physical exertion, sneezing, or coughing that is often bothersome to the patient and frequently affects the quality of life. It is estimated to affect 15.7% of adult women.2 Many times this urinary incontinence is detected following corrective prolapse surgery. If a woman with pelvic organ prolapse leaks only when the prolapse is reduced, it is called occult stress urinary incontinence (OSUI). 3The prevalence of OSUI in women with severe genitourinary prolapse varies from 27-68% in literature. 4,5 If any previously continent woman develops urinary incontinence after vaginal hysterectomy and pelvic floor repair, it is a frustrating condition for both the patient and the physician.So it is important to counsel symptomatically continent women with POP for developing post-operative SUI (POSUI). Bump RC et al and Fianu et al have showed that POP, may mask SUI. 6,7 The colpopexy and urinary reduction efforts(CARE) study, the largest randomized trial, showed that 45% of women with POP developed POSUI subjectively and objectively as well. [8][9][10] In a study ABSTRACT Background: Pelvic organ prolapse and stress urinary incontinence are two common health-related conditions. If a woman with pelvic organ prolapse leaks only when the prolapse is reduced, it is called occult stress urinary incontinence (OSUI). The prevalence of OSUI in women with severe genitourinary prolapse varies from 27-68% in literature. In this study we want to find out the relationship between OSUI and stress urinary incontinence (SUI) following corrective surgery.The objectives of the study are to determine the number of women with urinary leak following reduction of prolapse before surgery; to determine the number women with occult stress urinary incontinence developing stress urinary incontinence following surgery and to determine the risk of developing stress urinary incontinence after vaginal hysterectomy and pelvic floor repair in these women. Methods: This is a longitudinal observational study. All women with pelvic organ prolapse (POP) of grade II or higher requiring corrective surgery were initially evaluated for OSUI using vaginal pack and followed up post operatively at 6 weeks and 12 weeks using QUID to look for post-operative stress urinary incontinence (POSUI). Results:The overall incidence of OSUI in our study was 7.5%. OSUI was significantly associated with factors like older age, higher BMI, high parity, short inter pregnancy interval and higher grade of prolapse and not significantly associated with factors like place of delivery, delivery events and mode of delivery. Conclusions:It is important to test all women with POP for OSUI and patients with OSUI need long term follow up to detect POSUI

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Occult stress urinary incontinence and the effect of vaginal vault prolapse on abdominal leak point pressures

Cited by 53 publications

References 17 publications

The role of preoperative urodynamic testing in stress-continent women undergoing sacrocolpopexy: the Colpopexy and Urinary Reduction Efforts (CARE) randomized surgical trial

The role of preoperative urodynamic testing in stress-continent women undergoing sacrocolpopexy: the Colpopexy and Urinary Reduction Efforts (CARE) randomized surgical trial

Does urethral competence affect urodynamic voiding parameters in women with prolapse?

Study of occult stress urinary incontinence in pelvic organ prolapse

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