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Updated: Mar 23, 2026
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Ultrasonography of the Adult Male Urinary Tract for Urinary Functional Testing
Published on: August 14, 2019
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Is Occult Stress Urinary Incontinence a Reliable Predictive Marker?
Stefano Manodoro1, Federico Spelzini, Matteo Frigerio
1From the *Department of Obstetrics and Gynecology, San Gerardo Hospital; and †School of Medicine, University of Milano-Bicocca, Monza, Italy.
Female Pelvic Medicine & Reconstructive Surgery
|April 8, 2016
Summary
Occult stress urinary incontinence (SI) before pelvic prolapse repair does not reliably predict postoperative SI. This study found no increased risk of SI in patients with occult SI compared to those without, suggesting it
Area of Science:
- Urogynecology
- Pelvic reconstructive surgery
- Urodynamics
Background:
- Pelvic reconstructive surgery for prolapse can lead to new-onset or persistent stress urinary incontinence (SI).
- Urodynamic testing is used to assess bladder function before surgery.
- Identifying occult SI preoperatively is crucial for surgical planning.
Purpose of the Study:
- To evaluate the incidence of postoperative SI after prolapse repair.
- To determine if preoperative urodynamic findings, specifically occult SI, can predict postoperative SI.
- To assess the impact on quality of life.
Main Methods:
- Retrospective analysis of 150 patients undergoing vaginal hysterectomy, uterosacral ligament colposuspension, and anterior repair.
- Patients were categorized into three groups based on preoperative urodynamic findings: SI, occult SI, and continence.
- Postoperative SI rates and quality of life (using ICIQ-SF) were assessed.
Main Results:
- No significant difference in postoperative SI rates was observed between the occult SI group and the continence group.
- Quality of life scores did not differ significantly among symptomatic women across the groups.
- Mean follow-up was 18.4 months.
Conclusions:
- Occult stress urinary incontinence identified via preoperative urodynamics is not a reliable predictor of postoperative SI after prolapse repair.
- Further research may be needed to identify better predictive markers for postoperative SI.
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