Can preoperative urodynamic studies predict de novo stress urinary incontinence following advanced pelvic organ prolapse surgery?

IF 1.9 4区医学 Q3 UROLOGY & NEPHROLOGY

Cuaj-Canadian Urological Association Journal Pub Date : 2025-05-01 DOI:10.5489/cuaj.8818

Kübra Keskin Toptas, Mustafa Goksu, Ozan Karadeniz, Deniz Noyan Özlü, Aysu Akca

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引用次数: 0

Abstract

Introduction: We aimed to assess the predictivity of preoperative urodynamics (UDS) on de novo stress urinary incontinence (SUI) in patients having advanced pelvic organ prolapse (POP).

Methods: Between January 2016 and June 2019, 133 patients with symptomatic POP at stage 3 or higher were included in the study. The presence of postoperative SUI symptoms after a minimum of six months of followup was considered the primary outcome. The results of all patients' preoperative UDS were compared to their postoperative SUI symptoms. In addition, patients were divided into two groups based on whether SUI was detected during preoperative UDS testing (group 1) or not (group 2).

Results: Although preoperative measurements, such as bladder capacity and residual urine volume, were not different between groups, group 1 had lower maximal urethral closure pressures (p=0.001). Preoperative SUI symptoms had a sensitivity of 32.1% and a specificity of 91.4% for predicting de novo SUI. In patients with advanced POP, preoperative UDS had a sensitivity of 60.7% and a specificity of 87.6% for predicting de novo SUI.

Conclusions: Urodynamic examination with a pessary can significantly predict the development of de novo SUI.

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术前尿动力学研究能否预测晚期盆腔器官脱垂手术后新发应激性尿失禁？

前言：我们旨在评估术前尿动力学（UDS）对晚期盆腔器官脱垂（POP）患者新发应激性尿失禁（SUI）的预测作用。方法：在2016年1月至2019年6月期间，133例3期或以上症状性POP患者纳入研究。在至少6个月的随访后出现术后SUI症状被认为是主要结局。将所有患者术前UDS的结果与术后SUI症状进行比较。此外，根据术前UDS检测中是否检测到SUI，将患者分为两组（1组）和2组（2组）。结果：虽然术前测量，如膀胱容量和残余尿量，组间无差异，但组1最大尿道关闭压力较低（p=0.001）。术前SUI症状预测SUI复发的敏感性为32.1%，特异性为91.4%。在晚期POP患者中，术前UDS预测SUI复发的敏感性为60.7%，特异性为87.6%。结论：尿动力学检查伴子宫托可显著预测新生SUI的发展。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Cuaj-Canadian Urological Association Journal 医学-泌尿学与肾脏学

CiteScore

2.80

自引率

10.50%

发文量

167

审稿时长

>12 weeks

期刊介绍： CUAJ is a a peer-reviewed, open-access journal devoted to promoting the highest standard of urological patient care through the publication of timely, relevant, evidence-based research and advocacy information.