Abstract | PURPOSE: METHODS: Two hundred and six patients were enrolled for advanced prolapse without complaining of urinary incontinence (UI) in this prospective cohort study. Exclusion criteria included prior or concomitant anti-incontinence surgery. Preoperatively, a stress test, the 1-h pad test and uroflowmetry were performed with prolapse reduction. Primary outcome was postoperative de novo UI. Median follow-up was 31 months (range 12-48 months). RESULTS: Of the 206 patients, 45 (21.8 %) had evidence of occult SUI preoperatively, 62 (30.1 %) exhibited de novo UI postoperatively, and only 13 (6.3 %) opted MUSs. Patients with occult SUI experienced higher de novo UI rate (53.3 vs. 23.6 %; P = 0.000). The OSUI and concomitant hysterectomy were identified as independent risk factors related to de novo UI (P = 0.000, P = 0.044). We performed receiver operating characteristic (ROC) curve analysis to evaluate the value of preoperative 1-h pad test. The area under ROC curve was 0.816 ± 0.085 (95 % CI 0.649-0.983); the cutoff value was 1.9 g (sensitivity 80.0 %, specificity 83.9 %). CONCLUSIONS: The preoperative 1-h pad test with prolapse reduction is feasible for screening occult SUI, and more than 1.9 g may be a practical indicator of a postoperative subsequent MUS.
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Authors | Xiaochen Song, Lan Zhu, Jing Ding |
Journal | World journal of urology
(World J Urol)
Vol. 34
Issue 3
Pg. 361-7
(Mar 2016)
ISSN: 1433-8726 [Electronic] Germany |
PMID | 26032966
(Publication Type: Journal Article)
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Topics |
- China
(epidemiology)
- Female
- Follow-Up Studies
- Humans
- Incidence
- Middle Aged
- Pelvic Organ Prolapse
(surgery)
- Postoperative Complications
(epidemiology, etiology, physiopathology)
- Preoperative Period
- Prospective Studies
- Reoperation
- Risk Assessment
(methods)
- Risk Factors
- Suburethral Slings
- Time Factors
- Treatment Outcome
- Urinary Incontinence, Stress
(epidemiology, etiology, physiopathology)
- Urodynamics
- Urologic Surgical Procedures
(adverse effects)
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