International urogynecology journal · 2010
Mixed incontinence and cystocele: postoperative urge symptoms are not predicted by preoperative urodynamics.
СтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
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Ошибки и ограничения
История · было → стало
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Wolter Christopher E, Kaufman Melissa R, Duffy John W, Scarpero Harriette M, Dmochowski Roger R
Аннотация
INTRODUCTION AND HYPOTHESIS: Pelvic organ prolapse (POP) frequently presents with urinary incontinence, either urge (UUI), stress (SUI), or mixed (MUI). We sought to determine the effect of high-grade prolapse repair on MUI.
METHODS: A retrospective review was performed for 111 patients with anterior POP repair and sling over 4 years.
RESULTS: Sixty patients (54%) presented symptomatically with MUI, 25% with SUI, and 9% with UUI, 12% asymptomatic. Occult SUI was found in 21% (UUI plus asymptomatic). Success was seen for SUI in 92% and for POP in 89%. Urge symptoms were present in 63% pre-op and 30% post-op. MUI patients were significantly more likely to experience post-op urgency (p = 0.033). Detrusor overactivity (DO) was seen in 22 MUI patients, but was not predictive of post-op urgency (p = 0.91).
CONCLUSIONS: Cystocele patients with MUI are at significant risk for postoperative urge symptoms regardless of DO, and counseling regarding persistent urgency is imperative.
METHODS: A retrospective review was performed for 111 patients with anterior POP repair and sling over 4 years.
RESULTS: Sixty patients (54%) presented symptomatically with MUI, 25% with SUI, and 9% with UUI, 12% asymptomatic. Occult SUI was found in 21% (UUI plus asymptomatic). Success was seen for SUI in 92% and for POP in 89%. Urge symptoms were present in 63% pre-op and 30% post-op. MUI patients were significantly more likely to experience post-op urgency (p = 0.033). Detrusor overactivity (DO) was seen in 22 MUI patients, but was not predictive of post-op urgency (p = 0.91).
CONCLUSIONS: Cystocele patients with MUI are at significant risk for postoperative urge symptoms regardless of DO, and counseling regarding persistent urgency is imperative.
Предметные рубрики MeSH
AdultAgedAged, 80 and overCystoceleFemaleGynecologic Surgical ProceduresHumansMiddle AgedPelvic Organ ProlapsePostoperative PeriodPredictive Value of TestsPreoperative PeriodRetrospective StudiesRisk FactorsSuburethral SlingsTreatment OutcomeUrinary Bladder, OveractiveUrinary Incontinence, UrgeUrodynamics