Association between the Urinary Bladder Volume and the Incidence of 'De Novo' Overactive Bladder in Patients with Stress Urinary Incontinence Subjected to Sling Surgeries or Burch Procedure

Autor: Agnieszka Brodowska, Sylwester Ciećwież, Magdalena Ptak, Kornel Chełstowski, Dariusz Kotlęga, Andrzej Starczewski
Jazyk: angličtina
Rok vydání: 2019
Předmět:
medicine.medical_specialty
Sling (implant)
Article Subject
Urinary Incontinence
Stress
Urinary Bladder
030232 urology & nephrology
Urology
lcsh:Medicine
Urinary incontinence
urologic and male genital diseases
General Biochemistry
Genetics and Molecular Biology
03 medical and health sciences
0302 clinical medicine
medicine
Humans
Suburethral Slings
Urinary bladder
General Immunology and Microbiology
medicine.diagnostic_test
business.industry
Burch procedure
Urinary Bladder
Overactive
Incidence
lcsh:R
General Medicine
Organ Size
medicine.disease
female genital diseases and pregnancy complications
Clinical trial
medicine.anatomical_structure
Overactive bladder
030220 oncology & carcinogenesis
Clinical Study
Urodynamic testing
Urologic Surgical Procedures
Female
medicine.symptom
Complication
business
Zdroj: BioMed Research International
BioMed Research International, Vol 2019 (2019)
ISSN: 2314-6141
2314-6133
Popis: Aim. The aim of the study was to compare the incidence of “de novo” overactive bladder (OAB) after sling surgeries and Burch procedure and to analyze the effect of the preoperative bladder volume on the incidence of this condition. Methods. This prospective trial included 290 female patients with stress urinary incontinence (SUI) who were subjected to sling surgeries (TOT or TVT, n=170) or Burch procedure (n=120). Urodynamic testing was performed prior to the surgery and 6 months thereafter. The presence of OAB was diagnosed on the basis of subjective symptoms and urodynamic parameters. Results. The incidence of OAB 3 at 6 months postsurgery was the highest in patients who were subjected to the Burch procedure (14.2% and 17.5%, respectively). The incidence of OAB at 6 months turned out to be significantly higher in patients subjected to the Burch procedure with preoperative bladder volumes greater than 353 ml. We observed the significant postoperative decrease in the bladder volume of women who developed this complication following the Burch procedure. Conclusions. Among surgeries for stress urinary incontinence, Burch procedure is associated with the greatest risk of overactive bladder development. Probably, one reason for the higher incidence of overactive bladder after Burch procedure is the intraoperative reduction of the urinary bladder volume.
Databáze: OpenAIRE
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