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

International Urogynecology Journal and Pelvic Floor Dysfunction
Anthony ViscoPelvic Floor Disorders Network

Abstract

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, 6% (5 of 88); manual, 16% (19 of 122); forceps, 21% (21 of 98); swab, 20% (32 of 158); and speculum, 30% (35 of 118). Women who demonstrated preoperative USI during prolapse reduction were more likely to report postoperative stress incontinence, regardless of concomitant colposuspensio...Continue Reading

References

May 1, 1988·American Journal of Obstetrics and Gynecology·A BergmanC A Ballard
Aug 15, 1983·American Journal of Obstetrics and Gynecology·D A RichardsonD R Ostergard
Dec 15, 1983·American Journal of Obstetrics and Gynecology·N N BhatiaJ E Gunning
Jul 1, 1996·American Journal of Obstetrics and Gynecology·R C BumpA R Smith
Jun 28, 2000·American Journal of Obstetrics and Gynecology·J J Klutke, S Ramos
Jun 20, 2002·Current Opinion in Urology·Lauri J Romanzi
Sep 23, 2003·Controlled Clinical Trials·Linda BrubakerUNKNOWN Pelvic Floor Disorders Network
Oct 2, 2004·Obstetrics and Gynecology·Ching-Chung LiangYung-Kuei Soong
Sep 6, 2005·Current Opinion in Obstetrics & Gynecology·Alexandra L HaesslerNarender N Bhatia
Apr 14, 2006·The New England Journal of Medicine·Linda BrubakerUNKNOWN Pelvic Floor Disorders Network

❮ Previous
Next ❯

Citations

May 8, 2019·Neurourology and Urodynamics·Autumn EdenfieldSteven Swift
Sep 20, 2011·International Urogynecology Journal·Mark Malak
Sep 20, 2011·International Urogynecology Journal·Christopher M MaherCathryn M A Glazener
Aug 30, 2012·International Urogynecology Journal·Candace Y Parker-AutryHolly E Richter
Apr 25, 2012·International Urogynecology Journal·Rune SvenningsenAnne Cathrine Staff
Dec 2, 2014·Obstetrics and Gynecology·Alan D Garely, Nabila Noor
May 4, 2011·Current Opinion in Urology·John P F A Heesakkers, Mark E Vierhout
May 16, 2019·Minerva urologica e nefrologica = The Italian journal of urology and nephrology·Andrea BragaMaurizio Serati
Oct 19, 2019·BJU International·Rachael D SussmanBenjamin M Brucker
Apr 9, 2013·Clinical Obstetrics and Gynecology·Anna C Kirby, Charles W Nager
Oct 30, 2013·The Cochrane Database of Systematic Reviews·Keiran David ClementCathryn M A Glazener
Apr 8, 2016·Female Pelvic Medicine & Reconstructive Surgery·Stefano ManodoroRodolfo Milani
Sep 3, 2014·Female Pelvic Medicine & Reconstructive Surgery·UNKNOWN American Urogynecologic Society and American College of Obstetricians and Gynecologists
Jul 8, 2009·International Urogynecology Journal and Pelvic Floor Dysfunction·Matthew J AungstJohn R Fischer
May 15, 2012·International Urogynecology Journal·Stefanie EnnemoserKatharina Jundt
Oct 16, 2012·Current Bladder Dysfunction Reports·Saya SegalAriana L Smith
Jan 8, 2016·International Urogynecology Journal·J Marinus van der PloegUNKNOWN Dutch Urogynaecology Consortium
Oct 22, 2008·International Urogynecology Journal and Pelvic Floor Dysfunction·B Fatton
Jan 5, 2010·Yonsei Medical Journal·Myung Jae JeonSang Wook Bai
Sep 29, 2011·Obstetrics and Gynecology International·Bilal ChughtaiElise De
Apr 9, 2011·Current Opinion in Urology·Joanna M TogamiJ Christian Winters
Feb 11, 2011·Acta Obstetricia Et Gynecologica Scandinavica·Anna Marie Ellström EnghGun Tobiasson
Aug 11, 2012·Current Urology Reports·Benjamin E Dillon, Philippe E Zimmern
Mar 22, 2014·International Urogynecology Journal·Edgar L LeClaireLieschen H Quiroz
Jan 3, 2014·BJOG : an International Journal of Obstetrics and Gynaecology·J M van der PloegJ P Roovers
Nov 9, 2016·International Urogynecology Journal·Yasmine KhayyamiNiels Klarskov
May 21, 2015·World Journal of Urology·Ashley B King, Howard B Goldman
Apr 12, 2015·International Urogynecology Journal·Tsia-Shu LoZalina Nusee
Mar 8, 2016·Neurourology and Urodynamics·Carlos A MedinaStergios K Doumouchtsis
Aug 9, 2016·Current Opinion in Obstetrics & Gynecology·John E Jelovsek
Jul 7, 2017·Nature Reviews. Disease Primers·Yoshitaka AokiRufus Cartwright
Jul 12, 2017·International Urogynecology Journal·Yasmine KhayyamiNiels Klarskov

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.