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  • Title: Abdominal sacrocolpopexy and urinary incontinence: surgical planning based on urodynamics.
    Author: Elser DM, Moen MD, Stanford EJ, Keil K, Matthews CA, Kohli N, Mattox F, Tomezsko J, Urogynecology Network.
    Journal: Am J Obstet Gynecol; 2010 Apr; 202(4):375.e1-5. PubMed ID: 19683689.
    Abstract:
    OBJECTIVE: The objective of the study was to evaluate the use of urodynamics to determine the need for incontinence surgery at the time of abdominal sacrocolpopexy (ASC). STUDY DESIGN: The records of 441 women undergoing ASC during 2005-2007 were reviewed. Group 1 consisted of 204 women (46.3%) with urodynamic stress incontinence (USI), including occult USI, who underwent incontinence surgery with ASC. Group 2 consisted of 237 women (53.7%) without USI who underwent ASC alone. Primary outcome measures were any complaint of postoperative incontinence (stress or urge) or new-onset urgency/frequency (UF). RESULTS: At a mean follow-up of 46.6 weeks, the overall rate of incontinence was low and similar for both groups (13.4% in group 1 and 13.3% in group 2 [P = .967]), as was new-onset UF: 18.6% in group 1 and 11.5% in group 2 (P = .195). CONCLUSION: Urodynamic evaluation appears to be useful in determining the need for incontinence surgery at the time of ASC.
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