Clinical relevance of occult stress urinary incontinence (OSUI) following vaginal prolapse surgery: long-term follow-up.

International Urogynecology Journal
Stefanie EnnemoserK Jundt

Abstract

Patients with genital prolapse and occult stress urinary incontinence (OSUI) are typically treated with prolapse surgery and anti-incontinence surgery based on either a one-step approach or a two-step approach. The aim of our study was to determine whether anti-incontinence surgery is necessary based on the occurrence of OSUI in a study cohort with a long follow-up period. Prolapse surgery was performed using a vaginal approach. Preoperatively, a stress test, a pad test and an assessment of the urodynamics were performed with and without prolapse reduction. Over a follow-up period of 2-8 years, the patients with preoperative evidence of OSUI underwent urogynaecological examinations, stress tests and pad tests. Of 113 patients with preoperative evidence of OSUI, 57 (50.4 %) were followed up for an average of 5.7 years (range 2-8) after prolapse surgery. Of 57 patients, 16 (28.1 %) had objective and/or subjective stress urinary incontinence (SUI) during the follow-up period, but only 3 patients (5.3 %) required subsequent tension-free vaginal tape (TVT) surgery. In 17 of 57 patients (29.8 %), prolapse recurred. Despite the preoperative evidence of OSUI, the manifestation of SUI rarely occurs, with 28.1 % of patients experiencing ...Continue Reading

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Citations

Apr 9, 2013·Clinical Obstetrics and Gynecology·Anna C Kirby, Charles W Nager
Feb 12, 2014·International Urogynecology Journal·H F BontjeW A Spaans
Jan 8, 2016·International Urogynecology Journal·J Marinus van der PloegUNKNOWN Dutch Urogynaecology Consortium
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Sep 30, 2016·International Urogynecology Journal·Alexandriah N AlasVivian C Aguilar
Nov 9, 2016·International Urogynecology Journal·Yasmine KhayyamiNiels Klarskov
Jan 16, 2018·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·Matteo FrigerioRodolfo Milani
Jun 6, 2018·International Urogynecology Journal·Aiste UgianskieneKarin Glavind
Nov 6, 2017·International Urogynecology Journal·Yasmine KhayyamiNiels Klarskov
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Jul 16, 2019·International Urogynecology Journal·Yasmine KhayyamiNiels Klarskov
Jan 10, 2014·Obstetrics and Gynecology·J Eric JelovsekUNKNOWN Pelvic Floor Disorders Network

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