Skip Navigation LinksHome > July/August 2010 - Volume 16 - Issue 4 > Urodynamic Prediction of Occult Stress Urinary Incontinence...
Female Pelvic Medicine & Reconstructive Surgery:
doi: 10.1097/SPV.0b013e3181e4f11e
Original Articles

Urodynamic Prediction of Occult Stress Urinary Incontinence Before Vaginal Surgery for Advanced Pelvic Organ Prolapse: Evaluation of Postoperative Outcomes

Duecy, Erin E. MD*†; Pulvino, James Q. MD*; McNanley, Anna R. MD*; Buchsbaum, Gunhilde M. MD*†

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Abstract

Objectives: To evaluate the use of urodynamics for assessment of occult stress urinary incontinence (SUI) in women undergoing vaginal surgery for advanced pelvic organ prolapse (POP).

Methods: Retrospective chart review of women who underwent vaginal surgery for advanced POP at the University of Rochester Medical Center.

Results: The study sample was composed of 41 women (mean age: 65.6 years; range: 42-88 years). Prolapse was stage 3 or 4 in 40 (97.6%) women. Urodynamics identified 17 (41.5%) women with occult SUI. Postoperatively, 3 (7.3%) women reported urinary incontinence: 1 with stress and 2 with urge-related symptoms. The woman with postoperative SUI had been diagnosed with occult SUI, but declined continence repair. None of the women without occult SUI on urodynamics reported postoperative SUI.

Conclusions: Urodynamic evaluation prior to vaginal surgery for advanced POP can identify women at risk for SUI, who may benefit from concomitant continence repair.

© 2010 by Wolters Kluwer Health | Lippincott Williams & Wilkins

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