Document Detail


Urethral pressure measurement in stress incontinence: does it help?
MedLine Citation:
PMID:  19048384     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
INTRODUCTION AND OBJECTIVES: The resting urethral pressure profile (UPP), used for the assessment of women with stress incontinence, is routine in many urodynamic units. It is time- and effort-consuming, and its diagnostic value is controversial, as well as its value in the prediction of outcome of anti-incontinence surgery. Herein, we assessed its value in the prediction of the outcome of surgery. PATIENTS AND METHODS: Sixty women were randomized to fascial sling or TVT. Urodynamics were performed preoperatively, 6 months and annually thereafter. After filling and voiding cystometry, resting UPP was performed while sitting. Automated catheter pulling, at a rate of 1 mm/s, was adopted. Averaged readings were obtained. Comparison of maximum urethral closure pressure (MUCP) in success and failure, as well as in sling and TVT, was performed, utilizing ANOVA. RESULTS: Preoperative MUCP and functional urethral length (FUL) were 72.9 +/- 27.9 cmH2O and 2.4 +/- 0.7 cm. At last follow-up, they were 71.1 +/- 20.7 cmH2O and 2.7 +/- 0.7 cm, respectively. The differences between sling and TVT as regards value of MUCP and FUL were not significant. The relationship of the outcome of surgery and UPP parameters showed no statistical difference. No significant effect was shown for the success of surgery, duration of follow-up, and interaction of outcome and time over MUCP (P = 0.82, 0.56 and 0.69, respectively) or FUL (P = 0.82, 0.11 and 0.67, respectively). CONCLUSION: The routine use of resting UPP has no added value in terms of the prediction of success of incontinence surgery. It does not help with follow-up and adds to the time and cost of the examination.
Authors:
Bassem S Wadie; Ahmed S El-Hefnawy
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Publication Detail:
Type:  Journal Article; Randomized Controlled Trial     Date:  2008-12-02
Journal Detail:
Title:  International urology and nephrology     Volume:  41     ISSN:  1573-2584     ISO Abbreviation:  Int Urol Nephrol     Publication Date:  2009  
Date Detail:
Created Date:  2009-06-24     Completed Date:  2009-08-24     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0262521     Medline TA:  Int Urol Nephrol     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  491-5     Citation Subset:  IM    
Affiliation:
Female Urology and Voiding Dysfunction, Urology and Nephrology Center, Mansoura, Egypt.
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MeSH Terms
Descriptor/Qualifier:
Adult
Female
Humans
Middle Aged
Predictive Value of Tests
Pressure
Retrospective Studies
Suburethral Slings*
Treatment Outcome
Urethra / physiopathology*
Urinary Incontinence, Stress / physiopathology*,  surgery*
Urodynamics*

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


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