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Vessel-sparing Excision and Primary Anastomosis
Published on: January 7, 2019
Do urodynamic parameters predict persistent postoperative stress incontinence after midurethral sling? A systematic
Amie Kawasaki1, Jennifer M Wu, Cindy L Amundsen
1Department of Obstetrics & Gynecology, Division of Urogynecology, Duke University Medical Center, 5324 McFarland Drive, Suite 310, Durham, NC 27707, USA. amie.kawasaki@duke.edu
International Urogynecology Journal
|March 10, 2012
Summary
Preoperative urodynamic study values, specifically maximum urethral closure pressure and Valsalva leak point pressure, may predict stress urinary incontinence cure after midurethral sling surgery.
Area of Science:
- Urology
- Female Pelvic Medicine
Background:
- Midurethral slings are common surgical treatments for stress urinary incontinence (SUI).
- Predicting surgical success for SUI remains a clinical challenge.
Purpose of the Study:
- To determine if preoperative urodynamic study (UDS) values predict outcomes after midurethral sling procedures.
- To assess the correlation between UDS parameters and SUI cure rates.
Main Methods:
- Systematic review of English-language studies from 1989-2011.
- Meta-analysis of studies correlating UDS data with postoperative SUI outcomes.
- Calculation of relative risk ratios for SUI cure based on high maximum urethral closure pressure (MUCP) and Valsalva leak point pressure (VLPP).
Main Results:
- High preoperative MUCP was associated with SUI cure after both retropubic and transobturator slings.
- High preoperative VLPP showed a significant association with cure after retropubic slings but not transobturator slings.
Conclusions:
- Preoperative MUCP and VLPP values may offer valuable insights into predicting postoperative outcomes for SUI.
- Urodynamic parameters could aid in patient selection and counseling for midurethral sling surgery.
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