Abdominal sacrocolpopexy and urinary incontinence: surgical planning based on urodynamics

作者：Elser Denise M^*; Moen Michael D; Stanford Edward J; Keil Kristinell; Matthews Catherine A; Kohli Neeraj; Mattox Fleming; Tomezsko Janet

来源：American Journal of Obstetrics and Gynecology, 2010, 202(4).

DOI：10.1016/j.ajog.2009.06.022

• abdominal sacrocolpopexy
• Burch urethropexy
• midurethral sling
• pelvic organ prolapse surgery
• stress incontinence

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.

• 出版日期2010-4
• 单位西北大学