Details

Autor(en) / Beteiligte

• Houwert, R. Marijn
• Roovers, Jan Paul W. R.
• Venema, Pieter L.
• Bruinse, Hein W.
• Dijkgraaf, Marcel G. W.
• Vervest, Harry A. M.

Titel

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

Ist Teil von

• International Urogynecology Journal, 2010-03, Vol.21 (3), p.303-309

Ort / Verlag

London: Springer-Verlag

Erscheinungsjahr

2010

Quelle

MEDLINE

Beschreibungen/Notizen

• Introduction and hypothesis Development of a model that can predict in which group of women pre-operative urodynamics can be safely omitted. Methods 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 H 2 O) mean urethral closure pressure and, therefore, are likely to benefit from urodynamics. Results 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. Conclusion If urogynaecologists omitted pre-operative urodynamics in women in the low probability group, in our population, pre-operative urodynamics would be reduced by 29%.