ArticleInternational urogynecology journal2012
Clinical relevance of occult stress urinary incontinence (OSUI) following vaginal prolapse surgery: long-term follow-up.
Article in International urogynecology journal, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02050568 (Measuring the Mechanism of Incontinence With Urethral Pressure Reflectometry, Before and After Genital Prolapse Surgery), which is not on this map. Cited by 24 papers.
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Measuring the Mechanism of Incontinence With Urethral Pressure Reflectometry, Before and After Genital Prolapse Surgery
Who cites it
24 citing papers in PubMed, 48 citations in OpenAlex.
- The effect of sacrospinous ligament fixation during vaginal hysterectomy on postoperative de novo stress incontinence occurrence: a prospective study with 2-year follow-upTurkish journal of medical sciences · 2020Trial
- Vaginal prolapse repair with or without a midurethral sling in women with genital prolapse and occult stress urinary incontinence: a randomized trial.International urogynecology journal · 2016Trial
- Outcomes of Mid-Urethral Sling for Urodynamic Stress Incontinence Following Extensive Pelvic Reconstructive Surgery.International urogynecology journal · 2024Article
- International Urogynecology consultation chapter 2 committee 3: the clinical evaluation of pelvic organ prolapse including investigations into associated morbidity/pelvic floor dysfunction.International urogynecology journal · 2023Review
- Incidence of de novo stress urinary incontinence following minimally invasive sacrocolpopexy.International urogynecology journal · 2023Article
- Long-Term Outcomes after Pelvic Organ Prolapse Repair in Young Women.Journal of clinical medicine · 2022Article
- International Urogynecology Consultation Chapter 1 Committee 5: relationship of pelvic organ prolapse to associated pelvic floor dysfunction symptoms: lower urinary tract, bowel, sexual dysfunction and abdominopelvic pain.International urogynecology journal · 2021Article
- Change over time in the surgical management of pelvic organ prolapse between 2008 and 2014 in France: patient profiles, surgical approaches, and outcomes.International urogynecology journal · 2021Article
- Determining the risk factors and characteristics of de novo stress urinary incontinence in women undergoing pelvic organ prolapse surgery: A systematic review.Turkish journal of urology · 2020Review
- Complications and reoperation after pelvic organ prolapse, impact of hysterectomy, surgical approach and surgeon experience.International urogynecology journal · 2020Article
- De novo urinary incontinence after pelvic organ prolapse surgery-a national database study.International urogynecology journal · 2020Article
- What happens to urinary incontinence after pelvic organ prolapse surgery?International urogynecology journal · 2019Article
- Prolapse reduction deteriorates the urethral closure mechanism.International urogynecology journal · 2019Article
- The urethral closure mechanism is deteriorated after anterior colporrhaphy.International urogynecology journal · 2018Observational
- Management of Urinary Incontinence before and after Total Pelvic Reconstruction for Advanced Pelvic Organ Prolapse with and without Incontinence.Chinese medical journal · 2018Article
- Incidence and Management of De Novo Lower Urinary Tract Symptoms After Pelvic Organ Prolapse Repair.Current urology reports · 2017Review
- Urethral pressure reflectometry in women with pelvic organ prolapse: a study of reproducibility.International urogynecology journal · 2017Observational
- De novo stress urinary incontinence after pelvic organ prolapse surgery in women without occult incontinence.International urogynecology journal · 2017Article
- Incidence and Risk Factors ofChinese medical journal · 2017Article
- The value of the preoperative 1-h pad test with pessary insertion for predicting the need for a mid-urethral sling following pelvic prolapse surgery: a cohort study.World journal of urology · 2016Article
Corrections and comments
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Authors and funding
6 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introduction and hypothesisPatients with genital prolapse and occult stress urinary incontinence (OSUI) are typically treated with prolapse surgery and anti-incontinence surgery based on either a one-step approach or a two-step approach. The aim of our study was to determine whether anti-incontinence surgery is necessary based on the occurrence of OSUI in a study cohort with a long follow-up period.
methodsProlapse surgery was performed using a vaginal approach. Preoperatively, a stress test, a pad test and an assessment of the urodynamics were performed with and without prolapse reduction. Over a follow-up period of 2-8 years, the patients with preoperative evidence of OSUI underwent urogynaecological examinations, stress tests and pad tests.
resultsOf 113 patients with preoperative evidence of OSUI, 57 (50.4 %) were followed up for an average of 5.7 years (range 2-8) after prolapse surgery. Of 57 patients, 16 (28.1 %) had objective and/or subjective stress urinary incontinence (SUI) during the follow-up period, but only 3 patients (5.3 %) required subsequent tension-free vaginal tape (TVT) surgery. In 17 of 57 patients (29.8 %), prolapse recurred.
conclusionsDespite the preoperative evidence of OSUI, the manifestation of SUI rarely occurs, with 28.1 % of patients experiencing SUI over long-term follow-up after vaginal prolapse surgery. Anti-incontinence surgery was necessary in only three cases (5.3 %). These results indicate that with the one-step approach, 54 of 57 patients (94.7 %) would have received prophylactic anti-incontinence surgery unnecessarily. In conclusion, we recommend the two-step approach in the management of vaginal prolapse surgery in patients with OSUI.
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