The role of conventional urodynamic in diagnosing specific types of urinary incontinence in women

Pilsetniece, Zane; Vjaters, Egils

doi:10.5152/tud.2020.19218

Cited by 3 publications

(4 citation statements)

References 8 publications

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“…Similarly, Kawaguchi et al reported that high flow rate was associated with postoperative SUI [37]. High flow rate was associated with SUI [38][39][40]. Therefore, it seems reasonable that Qmax is a predictor of postoperative SUI.…”

Section: Discussionmentioning

confidence: 90%

Predictors of Clinical Outcome in Women with Pelvic Organ Prolapse Who Underwent Transvaginal Mesh Reconstruction Surgery

Lin

et al. 2022

Medicina

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Background and Objectives: To identify the predictors of clinical outcomes in women with pelvic organ prolapse (POP) who underwent transvaginal reconstruction surgery, especially with transobturator mesh fixation or sacrospinous mesh fixation. Materials and Methods: All women with POP who underwent transvaginal reconstruction surgery, especially with transobturator mesh fixation or sacrospinous mesh fixation, were reviewed. Results: Between January 2011 and May 2019, a total of 206 consecutive women were reviewed, including 68 women receiving POP reconstruction with transobturator mesh fixation and 138 women who underwent POP reconstruction with sacrospinous mesh fixation. The least experienced surgeon (hazard ratio = 804.6) and advanced stage of cystocele (hazard ratio = 8.80) were the predictors of POP recurrence, especially those women with stage 4 of cystocele. Young age (hazard ratio = 0.94) was a predictor for mesh extrusion, especially those women with age ≤67 years. Follow-up interval (odds ratio = 1.03, p = 0.02) was also an independent predictor of mesh extrusion. High maximum flow rate (Qmax, hazard ratio = 1.03) was the sole predictor of postoperative stress urinary incontinence, especially those women with Qmax ≥19.2 mL/s. Preoperative overactive bladder syndrome (hazard ratio = 3.22) were a predictor for postoperative overactive bladder syndrome. In addition, overactive bladder syndrome rate improved after surgery in the sacrospinous group (p = 0.0001). Voiding dysfunction rates improved after surgery in both sacrospinous and transobturator groups. Conclusions: Predictors of clinical outcome in women who underwent transvaginal POP mesh reconstruction are identified. The findings can serve as a guide for preoperative consultation of similar procedures.

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Section: Discussionmentioning

confidence: 90%

Predictors of Clinical Outcome in Women with Pelvic Organ Prolapse Who Underwent Transvaginal Mesh Reconstruction Surgery

Lin

et al. 2022

Medicina

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“…Another research group recognized UPP as a substantial factor for determining the severity of SUI [ 20 ]. In our previous studies, when we analysed the role of UDS in the algorithm for the diagnostics of specific type of UI, we concluded that the p det open and PTR parameters describing urethral function may help to differentiate between different types of UI [ 21 ]. None of the functional parameters for urethra showed an effect on the postoperative outcome during this analysis.…”

Section: Discussionmentioning

confidence: 99%

Can conventional urodynamic variables help to predict the necessity of overactive bladder symptomatic therapy in women after transobturator tape surgery?

Pilsetniece

Vjaters

2020

Cent european J Urol

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Introduction The aim of this study was to find out if there are any conventional urodynamic (UDS) variables that would help to predict the necessity of overactive bladder (OAB) symptomatic therapy in women after transobturator tape surgery (TOT). Material and methods A total of 487 females after TOT were enrolled in this retrospective study. Inclusion criteria (UDS before surgery, follow-up visit within 2–6 month after TOT) were met in 169 women. Based on patient history, questionnaires and physical examination, two groups were distinguished: pure stress urinary incontinence (SUI) and stress-predominant mixed urinary incontinence (MixUI). A statistical analysis was performed including age and UDS variables. T-test was used for continuous data and Chi-squared test for categorical data. Combinations of these factors were analyzed using binary logistic regression and surgery outcome as the target variable. Results Significant correlations between the probability of a need for OAB therapy after TOT were observed with age (higher age increases OAB therapy necessity, p <0.001) and such UDS variables as cystometric capacity (CC) p <0.001; maximum flow rate (Qmax) p <0.001; detrusor contractility index (DCI) p <0.015 – higher value decreased the need for OAB therapy. Critical limit for these values: 60 years for age, 300 ml for CC, 15 ml/s for Qmax, but no specific value for DCI was observed. Binary logistic regression showed that the UI Group (p <0.01) and CC (p = 0.01) allow correctly classify 78.9% of TOT outcome (increased CC and SUI group are factors for TOT normal outcome). Conclusions UI group, age, CC, Qmax, DCI can help to predict the necessity of OAB symptomatic therapy in women after TOT.

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“…8 Coexistence of these two conditions is defined as urodynamic mixed incontinence (UMI). 9 Additionally, the pressure in which the patient passes urine at the maximum flow rate during the pressure-flow study is called PdetQmax. 10 Evaluation of pelvic floor muscle strength (PFMS) may play an important role in diagnosis and treatment of urinary incontinence affecting women.…”

Section: Introductionmentioning

confidence: 99%

“…A diagnosis of urodynamic stress incontinence (USI), along with consideration of the symptoms, signs and urodynamic investigations, is made following involuntary leakage of urine during filling cystometry due to increased intra‐abdominal pressure, in the absence of a detrusor contraction 8 . Coexistence of these two conditions is defined as urodynamic mixed incontinence (UMI) 9 . Additionally, the pressure in which the patient passes urine at the maximum flow rate during the pressure‐flow study is called PdetQmax 10 …”

Section: Introductionmentioning

confidence: 99%

Relationship between the types of urinary incontinence, handgrip strength, and pelvic floor muscle strength in adult women

Soytaş

Danacıoğlu

et al. 2021

Neurourology and Urodynamics

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To investigate the relationship between handgrip strength with types of urinary incontinence (UI) and pelvic floor muscle strength (PFMS) in women.Methods: Ninety-two women, who presented to the geriatric and urology outpatient clinics complaining of UI between July 2019 and February 2020 and had indicated to undergo urodynamic assessment after basic neurourological evaluation, were included in this cross-sectional study. The presence and types of UI were identified by clinical examination and urodynamic studies. Demographic parameters, anthropometric data, comorbidities and medications were recorded. The International Consultation on Incontinence Questionnaire-Short Form was applied. Handgrip strength (HGS) was measured by a hand dynamometer. The PFMS was subjectively assessed via vaginal digital palpation and measured quantitatively by the vaginal probe of the perineometer.Results: Thirty-eight urodynamic stress, 28 detrusor overactivity, 26 urodynamic mixed UI patients were reported. Perineometer measurements were significantly lower in the urodynamic stress UI group compared to the other two groups (p = 0.020). There was no relationship between the types of urinary incontinence and HGS. However, a positive correlation was found between PFMS and HGS (p = 0.045, r = 0.298). Conclusion:The positive correlation between HGS and PFMS indicates that low HGS may be a marker for PFMS weakness. Furthermore, the association between sarcopenia and UI may be explained by this condition.

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The role of conventional urodynamic in diagnosing specific types of urinary incontinence in women

Abstract: I n d e x e d i n P u b M e d , W e b o f S c i e n c e a n d S c o p u s Pankaj M. Joshi and Sanjay B. Kulkarni. A new technique of double-face buccal graft urethroplasty for female urethral strictures.

Cited by 3 publications

References 8 publications

Predictors of Clinical Outcome in Women with Pelvic Organ Prolapse Who Underwent Transvaginal Mesh Reconstruction Surgery

Predictors of Clinical Outcome in Women with Pelvic Organ Prolapse Who Underwent Transvaginal Mesh Reconstruction Surgery

Can conventional urodynamic variables help to predict the necessity of overactive bladder symptomatic therapy in women after transobturator tape surgery?

Relationship between the types of urinary incontinence, handgrip strength, and pelvic floor muscle strength in adult women

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