Preoperative voiding detrusor pressures do not predict stress incontinence surgery outcomes

Anna C. Kirby, Charles W. Nager, Heather J. Litman, Mary P. FitzGerald, Stephen Kraus, Peggy Norton, Larry Sirls, Leslie Rickey, Tracey Wilson, Kimberly J. Dandreo, Jonathan P. Shepherd, Philippe Zimmern

Research output: Contribution to journalArticle

10 Scopus citations

Abstract

Introduction and hypothesis: The aim of this study was to determine whether preoperative voiding detrusor pressures were associated with postoperative outcomes after stress incontinence surgery. Methods: Opening detrusor pressure, detrusor pressure at maximum flow (pdet Qmax), and closing detrusor pressure were assessed from 280 valid preoperative urodynamic studies in subjects without advanced prolapse from a multicenter randomized trial comparing Burch and autologous fascia sling procedures. These pressures were compared between subjects with and without overall success, stress-specific success, postoperative detrusor overactivity, and postoperative urge incontinence using independent sample t tests. Results: There were no clinically or statistically significant differences in mean preoperative voiding detrusor pressures in any comparison of postoperative outcomes. Conclusions: We found no evidence that preoperative voiding detrusor pressures predict outcomes in women with stress predominant urinary incontinence undergoing Burch or autologous fascial sling procedures.

Original languageEnglish (US)
Pages (from-to)657-663
Number of pages7
JournalInternational Urogynecology Journal and Pelvic Floor Dysfunction
Volume22
Issue number6
DOIs
StatePublished - Jun 2011

    Fingerprint

Keywords

  • Closing detrusor pressure
  • Opening detrusor pressure
  • Urinary stress incontinence
  • Urinary urge incontinence
  • Urodynamics
  • Voiding detrusor pressure

ASJC Scopus subject areas

  • Urology
  • Obstetrics and Gynecology

Cite this

Kirby, A. C., Nager, C. W., Litman, H. J., FitzGerald, M. P., Kraus, S., Norton, P., Sirls, L., Rickey, L., Wilson, T., Dandreo, K. J., Shepherd, J. P., & Zimmern, P. (2011). Preoperative voiding detrusor pressures do not predict stress incontinence surgery outcomes. International Urogynecology Journal and Pelvic Floor Dysfunction, 22(6), 657-663. https://doi.org/10.1007/s00192-010-1336-5