Preoperative voiding detrusor pressures do not predict stress incontinence surgery outcomes

Academic Article

Abstract

  • Introduction and hypothesis: The aim of this study was to determine whether preoperative voiding detrusor pressures were associated with postoperative outcomes after stress incontinence surgery. Methods: Opening detrusor pressure, detrusor pressure at maximum flow (pdet Qmax), and closing detrusor pressure were assessed from 280 valid preoperative urodynamic studies in subjects without advanced prolapse from a multicenter randomized trial comparing Burch and autologous fascia sling procedures. These pressures were compared between subjects with and without overall success, stress-specific success, postoperative detrusor overactivity, and postoperative urge incontinence using independent sample t tests. Results: There were no clinically or statistically significant differences in mean preoperative voiding detrusor pressures in any comparison of postoperative outcomes. Conclusions: We found no evidence that preoperative voiding detrusor pressures predict outcomes in women with stress predominant urinary incontinence undergoing Burch or autologous fascial sling procedures. © The Author(s) 2010.
  • Authors

    Digital Object Identifier (doi)

    Author List

  • Kirby AC; Nager CW; Litman HJ; FitzGerald MP; Kraus S; Norton P; Sirls L; Rickey L; Wilson T; Dandreo KJ
  • Start Page

  • 657
  • End Page

  • 663
  • Volume

  • 22
  • Issue

  • 6