When to perform urodynamics before mid-urethral sling surgery for female stress urinary incontinence?

International Urogynecology Journal
R Marijn HouwertHarry A M Vervest

Abstract

Development of a model that can predict in which group of women pre-operative urodynamics can be safely omitted. Three hundred and eighty-one uncomplicated women who underwent pre-operative urodynamics were evaluated. A multivariate logistic regression model was developed based on medical history and physical examination predicting a high probability group of women with detrusor overactivity or a low (<20 cm H2O) mean urethral closure pressure and, therefore, are likely to benefit from urodynamics. Women are likely to benefit from pre-operative urodynamics if they (1) are 53 years of age or older or (2) have a history of prior incontinence surgery and are at least 29 years of age or (3) have nocturia complaints and are at least 36 years of age. If urogynaecologists omitted pre-operative urodynamics in women in the low probability group, in our population, pre-operative urodynamics would be reduced by 29%.

References

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Apr 7, 2009·American Journal of Obstetrics and Gynecology·R Marijn HouwertHarry A M Vervest
Jun 30, 2009·American Journal of Obstetrics and Gynecology·R Marijn HouwertHarry A M Vervest

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Citations

Oct 8, 2011·Journal of Addiction Medicine·Song WuZhiming Cai
Dec 8, 2009·Maturitas·P Riss, S Hinterholzer
Jul 22, 2014·BJOG : an International Journal of Obstetrics and Gynaecology·S Rachaneni, P Latthe
Feb 24, 2015·Der Urologe. Ausg. A·S Bross
Jun 20, 2012·Urologia Internationalis·Yongqing LaiJiongxian Ye

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