International Urogynecology Journal

, Volume 24, Issue 3, pp 407–411

Predictor of de novo stress urinary incontinence following TVM procedure: a further analysis of preoperative voiding function

  • Masato Kuribayashi
  • Yasuhide Kitagawa
  • Kazutaka Narimoto
  • Satoko Urata
  • Shohei Kawaguchi
  • Mikio Namiki
Original Article

Abstract

Introduction and hypothesis

The purpose of this study was to evaluate the predictors of de novo stress urinary incontinence (SUI) in patients undergoing a tension-free vaginal mesh procedure (TVM) for pelvic organ prolapse (POP).

Methods

Sixty-five patients without SUI were assessed with regard to voiding function by a pressure flow study and clinical characteristics.

Results

The mean age of the patients was 67 ± 8.3. Of the 65 patients, 41 (63 %) maintained urinary continence postoperatively and 24 (37 %) showed de novo SUI. In univariate analysis, the de novo SUI group included a significantly higher proportion of patients with preoperative obstruction, defined as moderate or greater obstruction according to the Blaivas nomogram (29 vs 7 %, P = 0.035). In multivariate analysis, urethral obstruction was an independent predictor of de novo SUI with an odds ratio of 12.616 (95 % confidence interval 1.580–268.731).

Conclusions

Preoperative evaluation of urethral obstruction will contribute to prediction of de novo SUI combined with a conventional diagnosis of occult SUI.

Keywords

De novo SUI Pelvic organ prolapse Pressure flow study TVM procedure 

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Copyright information

© The International Urogynecological Association 2012

Authors and Affiliations

  • Masato Kuribayashi
    • 1
  • Yasuhide Kitagawa
    • 1
  • Kazutaka Narimoto
    • 1
  • Satoko Urata
    • 1
  • Shohei Kawaguchi
    • 1
  • Mikio Namiki
    • 1
  1. 1.Department of Integrative Cancer Therapy and UrologyKanazawa University, Graduate School of Medical ScienceKanazawaJapan

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