Document Detail


Does preoperative urodynamics change the management of prolapse?
MedLine Citation:
PMID:  18569478     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The objective of this study was to evaluate whether preoperative urodynamics (UDS) changed the management of patients undergoing prolapse surgery, and if so in what way. A retrospective study of 72 randomly selected cases was conducted. We assessed which women undergoing prolapse surgery were more likely to undergo UDS and in what way UDS altered management. SPSS version 13 was used to analyse the data. A total of 60% (43/72) of the patients underwent preoperative UDS and 53% (23/43) of the women undergoing UDS had an abnormal result with prolapse reduction; 19% (8/43) had pure urodynamic stress incontinence; 30% (13/43) had detrusor overactivity either in isolation or as mixed incontinence. The surgical management was altered in 7% (3/43), who had an additional continence procedure performed as a consequence of the UDS. Preoperative UDS changed management in 33% (14/43) patients and in 7% (3/43 undergoing UDS) of patients, the surgical procedure was changed.
Authors:
S Jha; P Toozs-Hobson; M Parsons; F Gull
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Publication Detail:
Type:  Journal Article; Randomized Controlled Trial    
Journal Detail:
Title:  Journal of obstetrics and gynaecology : the journal of the Institute of Obstetrics and Gynaecology     Volume:  28     ISSN:  1364-6893     ISO Abbreviation:  J Obstet Gynaecol     Publication Date:  2008 Apr 
Date Detail:
Created Date:  2008-06-23     Completed Date:  2008-08-28     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8309140     Medline TA:  J Obstet Gynaecol     Country:  England    
Other Details:
Languages:  eng     Pagination:  320-2     Citation Subset:  IM    
Affiliation:
Department of Urogynaecology, Birmingham Women's Hospital, Birmingham, UK. swatijha83@hotmail.com
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Female
Follow-Up Studies
Humans
Middle Aged
Patient Satisfaction
Pilot Projects
Predictive Value of Tests
Preoperative Care / methods*
Probability
Prospective Studies
Reference Values
Risk Assessment
Severity of Illness Index
Treatment Outcome
Urinary Incontinence, Stress / etiology,  surgery
Urinary Incontinence, Urge / etiology,  surgery
Urodynamics / physiology*
Urogenital Surgical Procedures / methods*
Uterine Prolapse / complications,  diagnosis,  surgery*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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