Association of Empty Cough Stress Test with Midurethral Sling Outcomes and Intrinsic Sphincter Deficiency in Women with Stress Urinary Incontinence.

Emir Gurbuz, Esra Uyanik, Savci Bekir Telek, Oz Harmanli

Abstract read

In one paragraph

Article in International urogynecology journal, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

4 authors.

Emir GurbuzDepartment of Obstetrics, Gynecology, and Reproductive Sciences, Yale University, Yale School of Medicine, New Haven, CT, USA.

Esra UyanikDepartment of Obstetrics, Gynecology, and Reproductive Sciences, Yale University, Yale School of Medicine, New Haven, CT, USA.

Savci Bekir TelekDepartment of Obstetrics, Gynecology, and Reproductive Sciences, Yale University, Yale School of Medicine, New Haven, CT, USA.

Oz HarmanliDepartment of Obstetrics, Gynecology, and Reproductive Sciences, Yale University, Yale School of Medicine, New Haven, CT, USA. oz.harmanli@yale.edu.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introduction and hypothesisThe evaluation of surgical outcomes for mid-urethral sling (MUS) procedures in treating stress urinary incontinence (SUI) is critical for optimizing patient care. This study is aimed at evaluating the association between empty cough stress test (CST) results and surgical outcomes in MUS procedures, and its role in detecting intrinsic sphincter deficiency (ISD).

methodsThis was a retrospective cohort study of women who underwent MUS procedures at a single academic center between 2017 and 2023. Patient information including demographics, perioperative factors, urodynamic parameters, and postoperative outcomes were extracted from electronic medical records.

resultsA total of 1215 women underwent MUS procedures, with 347 (28.6%) testing positive on the empty CST. The median follow-up period was 12 months (range 8 to 16). Empty CST-positive women were younger (median age 53 vs 57 years, p < 0.001) and more likely premenopausal. No significant differences were observed between the groups in SUI recurrence after MUS procedures (3.2% vs 4.8%, p = 0.477) or in reoperation rates for persistent SUI. The empty CST showed high specificity for leak point pressure ≤ 60 cm H

conclusionsEmpty CST is not predictive of MUS success outcomes and shows high specificity with low sensitivity for detecting ISD, making it a useful yet limited diagnostic tool.

Indexed as

CoughExercise TestSuburethral SlingsUrinary Incontinence, StressAdultAgedFemaleHumansMiddle AgedRecurrenceRetrospective StudiesTreatment OutcomeUrodynamicsEmpty cough stress testIntrinsic sphincter deficiencyMid-urethral slingStress urinary incontinence

Identifiers

PMID41042316

DOI10.1007/s00192-025-06309-5

What OpenQuestion holds

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.