The correlation between retrograde leak point pressure and 24‐hour pad weight

Solomon, Eskinder; Kass-Iliyya, Antoine; Malde, Sachin; Kirkham, Alex; Greenwell, Tamsin; Ockrim, Jeremy

doi:10.1002/nau.23063

Cited by 5 publications

(5 citation statements)

References 26 publications

(46 reference statements)

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“…Retrograde perfusion (RLPP) Fig. 2 Frequency of preoperative urodynamic parameters grouped by surgical outcome eliminates the storage bladder function and as result is a more direct measurement of residual sphincteric function [15]. RLPP was performed at one of the three institutions (in 60/130 men).…”

Section: Discussionmentioning

confidence: 99%

“…Moreover, pad number (weight) may represent an indirect measurement of overall bladder function rather than sphincter function (weakness), given the impact of low bladder capacity and DO on surgical outcomes. Retrograde perfusion (RLPP) eliminates the storage bladder function and as result is a more direct measurement of residual sphincteric function [ 15 ]. RLPP was performed at one of the three institutions (in 60/130 men).…”

Section: Discussionmentioning

confidence: 99%

“…RLPP was performed immediately before video-urodynamic testing in one of the three centres. The technique utilised was described by Comiter et al [ 14 ] and included the modifications suggested by Solomon et al [ 15 ]. Subsequently video-urodynamics were performed utilising a 6F dual lumen transurethral catheter at all institutions according to ICS protocols [ 16 ].…”

Section: Methodsmentioning

confidence: 99%

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Is pre-operative urodynamic bladder function the true predictor of outcome of male sling for post prostatectomy incontinence?

et al. 2020

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Purpose To investigate pre-operative urodynamic parameters in male sling patients to ascertain whether this might better predict surgical outcomes and facilitate patient selection. Methods We performed a retrospective, case notes and video-urodynamics, review of men who underwent AdVanceXP male sling in three London hospitals between 2012 and 2019. Urodynamics were performed in all centres, while retrograde leak point pressure (RLPP) was performed in one centre. Results Successful outcome was seen in 99/130 (76%) of men who required one pad or less per day. The dry rate was 51%. Pad usage was linked to worse surgical outcomes, mean 2.6 (range 1-6.5) for success vs 3.6 (range 1-10) although the ranges were wide (p = 0.002). 24 h pad weight also reached statistical significance (p = 0.05), with a mean of 181 g for success group versus 475 g for the non-successful group. The incidence of DO in the non-successful group was significantly higher than in successful group (55% versus 29%, p = 0.0009). Bladder capacity less than 250 ml was also associated with worse outcomes (p = 0.003). Reduced compliance was not correlated with outcomes (31% for success groups vs 45% for non-successful group, p = 0.15). Preoperative RLPP was performed in 60/130 patients but did not independently reach statistical significance (p = 0.25). Conclusion Urodynamic parameters related to bladder function-detrusor overactivity and reduced maximum cystometric capacity predict male sling outcomes and may help in patient selection for male sling (or sphincter) surgery; whereas urodynamic parameters of sphincter incompetency (RLPP) were not predictive. Further larger scale studies are required to confirm these findings.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

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Is pre-operative urodynamic bladder function the true predictor of outcome of male sling for post prostatectomy incontinence?

et al. 2020

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“…4 Our recent data have demonstrated that RLPP is also correlated with 24-hour pad weight and may be a better objective assessment of sphincter weakness than the subjective collection of pad number or pad weight. 6 RLPP measurement was performed as described by Comiter et al 3 with some minor modifications to improve reliability and patient comfort. A 6 Fr double lumen catheter is introduced up to the distal bulbar urethra with the patient in the supine position.…”

Section: Video Urodynamics and Rlppmentioning

confidence: 99%

Section: What Are the Important Aspects Of The History In Deciding Fumentioning

confidence: 99%

Male post-prostatectomy incontinence MDT

Fairbanks

Duffy

Hamid

et al. 2017

Journal of Clinical Urology

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A 69-year-old man presents with symptomatic stress incontinence following a robotic-assisted radical prostatectomy in 2011 for prostate cancer. He is generally continent throughout the day and night if sedentary; however, when he becomes physically active he requires the use of a pad. He is currently using one to two pads per day and his quality of life is markedly affected by his incontinence, with a reluctance to leave the house or socialise.

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