Impact of preoperative urodynamics on women undergoing pelvic organ prolapse surgery
Introduction and hypothesis Preoperative urodynamic studies (UDS) are frequently performed before pelvic organ prolapse (POP) surgery to assess urethral and bladder function. The primary goal of this study is to examine how preoperative UDS are utilized and what value these studies have in patient t...
Gespeichert in:
Veröffentlicht in: | International Urogynecology Journal 2020-08, Vol.31 (8), p.1663-1668 |
---|---|
Hauptverfasser: | , , , , , , , , , |
Format: | Artikel |
Sprache: | eng |
Schlagworte: | |
Online-Zugang: | Volltext |
Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
container_end_page | 1668 |
---|---|
container_issue | 8 |
container_start_page | 1663 |
container_title | International Urogynecology Journal |
container_volume | 31 |
creator | Glass, Dianne Lin, Frank C. Khan, Aqsa A. Van Kuiken, Michelle Drain, Alice Siev, Michael Peyronett, Benoit Rosenblum, Nirit Brucker, Benjamin M. Nitti, Victor W. |
description | Introduction and hypothesis
Preoperative urodynamic studies (UDS) are frequently performed before pelvic organ prolapse (POP) surgery to assess urethral and bladder function. The primary goal of this study is to examine how preoperative UDS are utilized and what value these studies have in patient treatment and/or counseling.
Methods
We retrospectively reviewed patients who underwent prolapse surgery and had preoperative UDS between June 2010 and February 2015. Indications for UDS were classified into four categories: (1) occult stress urinary incontinence only, (2) overactive bladder symptoms, (3) mixed or insensible urinary incontinence, and (4) voiding symptoms and/or elevated post-void residual. We identified changes in management or counseling that were directly attributable to UDS results prior to surgery.
Results
Three hundred ninety-two patients underwent urodynamic testing for indications 2–4 above, and 316 met the inclusion criteria. Fifty-seven percent (180/316) had OAB symptoms (34.4% wet, 65.6% dry), 40.2% (127/316) had mixed incontinence, and 17.1% (54/316) had voiding symptoms and/or elevated PVR. A total of 3.5% (11/316) patients had alteration in their management or counseling based on the results of the UDS; 29.4% (50/170) of the women evaluated for occult SUI alone or with other symptoms demonstrated it and 41 underwent sling placement.
Conclusions
UDS did not have a significant impact on preoperative management or counseling in POP surgery if demonstration of occult SUI was not the indication for preoperative study in women committed to POP surgery. Major alterations in treatment were rare and occurred mostly in women with stress incontinence that also had concomitant voiding symptoms and/or elevated PVR. |
doi_str_mv | 10.1007/s00192-019-04084-8 |
format | Article |
fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2281845791</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2281845791</sourcerecordid><originalsourceid>FETCH-LOGICAL-c375t-20692bdbb684f17f9472bad2e911ca0ea0bd57e77d53e5db40a173ee992dda0a3</originalsourceid><addsrcrecordid>eNp9kMtOwzAQRS0EouXxAyyQJTZsAuNH6mSJKl5SJTawtpx4UgUldrCbov49LuUhsWAzs_C516NDyBmDKwagriMAK3mWRgYSCpkVe2TKpBCZAC72yRRKoTIhZ3xCjmJ8BUhYDodkIpjMZyBgSp4f-8HUK-obOgT0AwazatdIx-Dtxpm-rSP1jr77Hh0dncWw9K1b0gG7dVtTH5bGpaTvzBCRxjEsMWxOyEFjuoinX_uYvNzdPs8fssXT_eP8ZpHVQuWrjMOs5JWtqlkhG6aaUipeGcuxZKw2gAYqmytUyuYCc1tJMEwJxLLk1how4phc7nrTAW8jxpXu21hj1xmHfoya84IVMlclS-jFH_TVj8Gl67ZUElUICYniO6oOPsaAjR5C25uw0Qz01rneOddp6E_nukih86_qserR_kS-JSdA7ICYnlwS9Pv3P7UffYKNPA</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2280938340</pqid></control><display><type>article</type><title>Impact of preoperative urodynamics on women undergoing pelvic organ prolapse surgery</title><source>MEDLINE</source><source>SpringerNature Journals</source><creator>Glass, Dianne ; Lin, Frank C. ; Khan, Aqsa A. ; Van Kuiken, Michelle ; Drain, Alice ; Siev, Michael ; Peyronett, Benoit ; Rosenblum, Nirit ; Brucker, Benjamin M. ; Nitti, Victor W.</creator><creatorcontrib>Glass, Dianne ; Lin, Frank C. ; Khan, Aqsa A. ; Van Kuiken, Michelle ; Drain, Alice ; Siev, Michael ; Peyronett, Benoit ; Rosenblum, Nirit ; Brucker, Benjamin M. ; Nitti, Victor W.</creatorcontrib><description>Introduction and hypothesis
Preoperative urodynamic studies (UDS) are frequently performed before pelvic organ prolapse (POP) surgery to assess urethral and bladder function. The primary goal of this study is to examine how preoperative UDS are utilized and what value these studies have in patient treatment and/or counseling.
Methods
We retrospectively reviewed patients who underwent prolapse surgery and had preoperative UDS between June 2010 and February 2015. Indications for UDS were classified into four categories: (1) occult stress urinary incontinence only, (2) overactive bladder symptoms, (3) mixed or insensible urinary incontinence, and (4) voiding symptoms and/or elevated post-void residual. We identified changes in management or counseling that were directly attributable to UDS results prior to surgery.
Results
Three hundred ninety-two patients underwent urodynamic testing for indications 2–4 above, and 316 met the inclusion criteria. Fifty-seven percent (180/316) had OAB symptoms (34.4% wet, 65.6% dry), 40.2% (127/316) had mixed incontinence, and 17.1% (54/316) had voiding symptoms and/or elevated PVR. A total of 3.5% (11/316) patients had alteration in their management or counseling based on the results of the UDS; 29.4% (50/170) of the women evaluated for occult SUI alone or with other symptoms demonstrated it and 41 underwent sling placement.
Conclusions
UDS did not have a significant impact on preoperative management or counseling in POP surgery if demonstration of occult SUI was not the indication for preoperative study in women committed to POP surgery. Major alterations in treatment were rare and occurred mostly in women with stress incontinence that also had concomitant voiding symptoms and/or elevated PVR.</description><identifier>ISSN: 0937-3462</identifier><identifier>EISSN: 1433-3023</identifier><identifier>DOI: 10.1007/s00192-019-04084-8</identifier><identifier>PMID: 31456030</identifier><language>eng</language><publisher>Cham: Springer International Publishing</publisher><subject>Counseling ; Female ; Gynecology ; Humans ; Medicine ; Medicine & Public Health ; Original Article ; Pelvic organ prolapse ; Pelvic Organ Prolapse - surgery ; Retrospective Studies ; Surgery ; Urinary incontinence ; Urinary Incontinence, Stress - surgery ; Urodynamics ; Urologic Surgical Procedures ; Urology</subject><ispartof>International Urogynecology Journal, 2020-08, Vol.31 (8), p.1663-1668</ispartof><rights>The International Urogynecological Association 2019</rights><rights>The International Urogynecological Association 2019.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c375t-20692bdbb684f17f9472bad2e911ca0ea0bd57e77d53e5db40a173ee992dda0a3</citedby><cites>FETCH-LOGICAL-c375t-20692bdbb684f17f9472bad2e911ca0ea0bd57e77d53e5db40a173ee992dda0a3</cites><orcidid>0000-0001-6010-3659</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00192-019-04084-8$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00192-019-04084-8$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,780,784,27924,27925,41488,42557,51319</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31456030$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Glass, Dianne</creatorcontrib><creatorcontrib>Lin, Frank C.</creatorcontrib><creatorcontrib>Khan, Aqsa A.</creatorcontrib><creatorcontrib>Van Kuiken, Michelle</creatorcontrib><creatorcontrib>Drain, Alice</creatorcontrib><creatorcontrib>Siev, Michael</creatorcontrib><creatorcontrib>Peyronett, Benoit</creatorcontrib><creatorcontrib>Rosenblum, Nirit</creatorcontrib><creatorcontrib>Brucker, Benjamin M.</creatorcontrib><creatorcontrib>Nitti, Victor W.</creatorcontrib><title>Impact of preoperative urodynamics on women undergoing pelvic organ prolapse surgery</title><title>International Urogynecology Journal</title><addtitle>Int Urogynecol J</addtitle><addtitle>Int Urogynecol J</addtitle><description>Introduction and hypothesis
Preoperative urodynamic studies (UDS) are frequently performed before pelvic organ prolapse (POP) surgery to assess urethral and bladder function. The primary goal of this study is to examine how preoperative UDS are utilized and what value these studies have in patient treatment and/or counseling.
Methods
We retrospectively reviewed patients who underwent prolapse surgery and had preoperative UDS between June 2010 and February 2015. Indications for UDS were classified into four categories: (1) occult stress urinary incontinence only, (2) overactive bladder symptoms, (3) mixed or insensible urinary incontinence, and (4) voiding symptoms and/or elevated post-void residual. We identified changes in management or counseling that were directly attributable to UDS results prior to surgery.
Results
Three hundred ninety-two patients underwent urodynamic testing for indications 2–4 above, and 316 met the inclusion criteria. Fifty-seven percent (180/316) had OAB symptoms (34.4% wet, 65.6% dry), 40.2% (127/316) had mixed incontinence, and 17.1% (54/316) had voiding symptoms and/or elevated PVR. A total of 3.5% (11/316) patients had alteration in their management or counseling based on the results of the UDS; 29.4% (50/170) of the women evaluated for occult SUI alone or with other symptoms demonstrated it and 41 underwent sling placement.
Conclusions
UDS did not have a significant impact on preoperative management or counseling in POP surgery if demonstration of occult SUI was not the indication for preoperative study in women committed to POP surgery. Major alterations in treatment were rare and occurred mostly in women with stress incontinence that also had concomitant voiding symptoms and/or elevated PVR.</description><subject>Counseling</subject><subject>Female</subject><subject>Gynecology</subject><subject>Humans</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Original Article</subject><subject>Pelvic organ prolapse</subject><subject>Pelvic Organ Prolapse - surgery</subject><subject>Retrospective Studies</subject><subject>Surgery</subject><subject>Urinary incontinence</subject><subject>Urinary Incontinence, Stress - surgery</subject><subject>Urodynamics</subject><subject>Urologic Surgical Procedures</subject><subject>Urology</subject><issn>0937-3462</issn><issn>1433-3023</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNp9kMtOwzAQRS0EouXxAyyQJTZsAuNH6mSJKl5SJTawtpx4UgUldrCbov49LuUhsWAzs_C516NDyBmDKwagriMAK3mWRgYSCpkVe2TKpBCZAC72yRRKoTIhZ3xCjmJ8BUhYDodkIpjMZyBgSp4f-8HUK-obOgT0AwazatdIx-Dtxpm-rSP1jr77Hh0dncWw9K1b0gG7dVtTH5bGpaTvzBCRxjEsMWxOyEFjuoinX_uYvNzdPs8fssXT_eP8ZpHVQuWrjMOs5JWtqlkhG6aaUipeGcuxZKw2gAYqmytUyuYCc1tJMEwJxLLk1how4phc7nrTAW8jxpXu21hj1xmHfoya84IVMlclS-jFH_TVj8Gl67ZUElUICYniO6oOPsaAjR5C25uw0Qz01rneOddp6E_nukih86_qserR_kS-JSdA7ICYnlwS9Pv3P7UffYKNPA</recordid><startdate>20200801</startdate><enddate>20200801</enddate><creator>Glass, Dianne</creator><creator>Lin, Frank C.</creator><creator>Khan, Aqsa A.</creator><creator>Van Kuiken, Michelle</creator><creator>Drain, Alice</creator><creator>Siev, Michael</creator><creator>Peyronett, Benoit</creator><creator>Rosenblum, Nirit</creator><creator>Brucker, Benjamin M.</creator><creator>Nitti, Victor W.</creator><general>Springer International Publishing</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0001-6010-3659</orcidid></search><sort><creationdate>20200801</creationdate><title>Impact of preoperative urodynamics on women undergoing pelvic organ prolapse surgery</title><author>Glass, Dianne ; Lin, Frank C. ; Khan, Aqsa A. ; Van Kuiken, Michelle ; Drain, Alice ; Siev, Michael ; Peyronett, Benoit ; Rosenblum, Nirit ; Brucker, Benjamin M. ; Nitti, Victor W.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c375t-20692bdbb684f17f9472bad2e911ca0ea0bd57e77d53e5db40a173ee992dda0a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Counseling</topic><topic>Female</topic><topic>Gynecology</topic><topic>Humans</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Original Article</topic><topic>Pelvic organ prolapse</topic><topic>Pelvic Organ Prolapse - surgery</topic><topic>Retrospective Studies</topic><topic>Surgery</topic><topic>Urinary incontinence</topic><topic>Urinary Incontinence, Stress - surgery</topic><topic>Urodynamics</topic><topic>Urologic Surgical Procedures</topic><topic>Urology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Glass, Dianne</creatorcontrib><creatorcontrib>Lin, Frank C.</creatorcontrib><creatorcontrib>Khan, Aqsa A.</creatorcontrib><creatorcontrib>Van Kuiken, Michelle</creatorcontrib><creatorcontrib>Drain, Alice</creatorcontrib><creatorcontrib>Siev, Michael</creatorcontrib><creatorcontrib>Peyronett, Benoit</creatorcontrib><creatorcontrib>Rosenblum, Nirit</creatorcontrib><creatorcontrib>Brucker, Benjamin M.</creatorcontrib><creatorcontrib>Nitti, Victor W.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>International Urogynecology Journal</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Glass, Dianne</au><au>Lin, Frank C.</au><au>Khan, Aqsa A.</au><au>Van Kuiken, Michelle</au><au>Drain, Alice</au><au>Siev, Michael</au><au>Peyronett, Benoit</au><au>Rosenblum, Nirit</au><au>Brucker, Benjamin M.</au><au>Nitti, Victor W.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Impact of preoperative urodynamics on women undergoing pelvic organ prolapse surgery</atitle><jtitle>International Urogynecology Journal</jtitle><stitle>Int Urogynecol J</stitle><addtitle>Int Urogynecol J</addtitle><date>2020-08-01</date><risdate>2020</risdate><volume>31</volume><issue>8</issue><spage>1663</spage><epage>1668</epage><pages>1663-1668</pages><issn>0937-3462</issn><eissn>1433-3023</eissn><abstract>Introduction and hypothesis
Preoperative urodynamic studies (UDS) are frequently performed before pelvic organ prolapse (POP) surgery to assess urethral and bladder function. The primary goal of this study is to examine how preoperative UDS are utilized and what value these studies have in patient treatment and/or counseling.
Methods
We retrospectively reviewed patients who underwent prolapse surgery and had preoperative UDS between June 2010 and February 2015. Indications for UDS were classified into four categories: (1) occult stress urinary incontinence only, (2) overactive bladder symptoms, (3) mixed or insensible urinary incontinence, and (4) voiding symptoms and/or elevated post-void residual. We identified changes in management or counseling that were directly attributable to UDS results prior to surgery.
Results
Three hundred ninety-two patients underwent urodynamic testing for indications 2–4 above, and 316 met the inclusion criteria. Fifty-seven percent (180/316) had OAB symptoms (34.4% wet, 65.6% dry), 40.2% (127/316) had mixed incontinence, and 17.1% (54/316) had voiding symptoms and/or elevated PVR. A total of 3.5% (11/316) patients had alteration in their management or counseling based on the results of the UDS; 29.4% (50/170) of the women evaluated for occult SUI alone or with other symptoms demonstrated it and 41 underwent sling placement.
Conclusions
UDS did not have a significant impact on preoperative management or counseling in POP surgery if demonstration of occult SUI was not the indication for preoperative study in women committed to POP surgery. Major alterations in treatment were rare and occurred mostly in women with stress incontinence that also had concomitant voiding symptoms and/or elevated PVR.</abstract><cop>Cham</cop><pub>Springer International Publishing</pub><pmid>31456030</pmid><doi>10.1007/s00192-019-04084-8</doi><tpages>6</tpages><orcidid>https://orcid.org/0000-0001-6010-3659</orcidid></addata></record> |
fulltext | fulltext |
identifier | ISSN: 0937-3462 |
ispartof | International Urogynecology Journal, 2020-08, Vol.31 (8), p.1663-1668 |
issn | 0937-3462 1433-3023 |
language | eng |
recordid | cdi_proquest_miscellaneous_2281845791 |
source | MEDLINE; SpringerNature Journals |
subjects | Counseling Female Gynecology Humans Medicine Medicine & Public Health Original Article Pelvic organ prolapse Pelvic Organ Prolapse - surgery Retrospective Studies Surgery Urinary incontinence Urinary Incontinence, Stress - surgery Urodynamics Urologic Surgical Procedures Urology |
title | Impact of preoperative urodynamics on women undergoing pelvic organ prolapse surgery |
url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-24T17%3A06%3A46IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Impact%20of%20preoperative%20urodynamics%20on%20women%20undergoing%20pelvic%20organ%20prolapse%20surgery&rft.jtitle=International%20Urogynecology%20Journal&rft.au=Glass,%20Dianne&rft.date=2020-08-01&rft.volume=31&rft.issue=8&rft.spage=1663&rft.epage=1668&rft.pages=1663-1668&rft.issn=0937-3462&rft.eissn=1433-3023&rft_id=info:doi/10.1007/s00192-019-04084-8&rft_dat=%3Cproquest_cross%3E2281845791%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2280938340&rft_id=info:pmid/31456030&rfr_iscdi=true |