When to perform urodynamics before mid-urethral sling surgery for female stress urinary incontinence?
Introduction and hypothesis
Development of a model that can predict in which group of women pre-operative urodynamics can be safely omitted.
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 H2O) mean urethral closure pressure and, therefore, are likely to benefit from urodynamics.
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.
If urogynaecologists omitted pre-operative urodynamics in women in the low probability group, in our population, pre-operative urodynamics would be reduced by 29%.
- When to perform urodynamics before mid-urethral sling surgery for female stress urinary incontinence?
- Open Access
- Available under Open Access This content is freely available online to anyone, anywhere at any time.
International Urogynecology Journal
Volume 21, Issue 3 , pp 303-309
- Cover Date
- Print ISSN
- Online ISSN
- Additional Links
- Midurethral sling
- Stress urinary incontinence
- Industry Sectors
- Author Affiliations
- 1. Department of Obstetrics and Gynecology, St. Elisabeth Hospital Tilburg, Rooseveltlaan 35 III, 1079 AC, Amsterdam, The Netherlands
- 2. Department of Obstetrics and Gynecology, Academic Medical Centre Amsterdam, Amsterdam, The Netherlands
- 3. Department of Urology, Haga Ziekenhuizen, The Hague, The Netherlands
- 4. Department of Obstetrics and Gynecology, University Medical Centre Utrecht, Utrecht, The Netherlands
- 5. Department of Clinical Epidemiology, Biostatistics & Bioinformatics, Academic Medical Centre Amsterdam, Amsterdam, The Netherlands