Effect of Preoperative Urodynamic Study on Urinary Outcomes after Transobturator Sling.
| Autor: | da Cruz PRC; Hospital Universitário de Brasília, Brasília, DF, Brazil.; Hospital de Base do Distrito Federal, Brasília, DF, Brazil., Dias Filho AC; Hospital de Base do Distrito Federal, Brasília, DF, Brazil.; Universidade Estadual de Campinas, Campinas, SP, Brazil., Furtado GN; Hospital Universitário de Brasília, Brasília, DF, Brazil., Ferreira RS; Hospital Universitário de Brasília, Brasília, DF, Brazil., Resende CN; Hospital Universitário de Brasília, Brasília, DF, Brazil. |
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| Jazyk: | angličtina |
| Zdroj: | Revista brasileira de ginecologia e obstetricia : revista da Federacao Brasileira das Sociedades de Ginecologia e Obstetricia [Rev Bras Ginecol Obstet] 2021 Feb; Vol. 43 (2), pp. 131-136. Date of Electronic Publication: 2021 Jan 19. |
| DOI: | 10.1055/s-0040-1719148 |
| Abstrakt: | Objective: To evaluate whether performing preoperative urodynamic study influences postoperative urinary symptoms of women with stress urinary incontinence that underwent transobturator sling. Methods: Retrospective analysis of patients treated for stress urinary incontinence by transobturator sling from August 2011 to October 2018. Predictor variables included preoperative urodynamic study, age, incontinence severity, body mass index, preoperative storage symptoms and previous anti-urinary incontinence procedure. Outcome variables were postoperative subjective continence status, storage symptoms and complications. Logistic regression after propensity score was employed to compare outcomes between patients who underwent or not pre-operative urodynamic study. Results: The present study included 88 patients with an average follow-up of 269 days. Most patients ( n = 52; 59.1%) described storage symptoms other than stress urinary incontinence, and 38 patients (43.2%) underwent preoperative urodynamic studies. Logistic regression after propensity score did not reveal an association between urinary continence outcomes and performance of preoperative urodynamic study (odds ratio 0.57; confidence interval [CI]: 0.11-2.49). Among women that did not undergo urodynamic study, there was a subjective improvement in urinary incontinence in 92% of the cases versus 87% in those that underwent urodynamic study ( p = 0.461). Furthermore, postoperative storage symptoms were similar between women who did not undergo urodynamic study and those who underwent urodynamic study, 13.2% versus 18.4%, respectively ( p = 0.753). Conclusion: Preoperative urodynamic study had no impact on urinary incontinence cure outcomes as well as on urinary storage symptoms after the transobturator sling in women with stress urinary incontinence. Competing Interests: The authors have no conflict of interests to declare. (Federação Brasileira de Ginecologia e Obstetrícia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/).) |
| Databáze: | MEDLINE |
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