Preoperative abdominal straining in uncomplicated stress urinary incontinence: is there a correlation with voiding dysfunction and overactive bladder after mid-urethral sling procedures?

Objectives: To evaluate the role of preoperative abdominal straining in predicting de novo overactive bladder (OAB) and voiding dysfunction in female patients undergoing suburethral taping by trans-obturator approach (TVT-O) for uncomplicated stress urinary incontinence (SUI). Methods: Data from pat...

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Autores principales:	Valerio Lacovelli, Maurizio Serati, Daniele Bianchi, Andrea Braga, Andrea Turbanti, Enrico Finazzi Agrò
Formato:	article
Lenguaje:	EN
Publicado:	SAGE Publishing 2021
Materias:	Diseases of the genitourinary system. Urology RC870-923
Acceso en línea:	https://doaj.org/article/b8e4b211138845e6991bafb6c3def658
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spelling	oai:doaj.org-article:b8e4b211138845e6991bafb6c3def6582021-12-04T10:03:19ZPreoperative abdominal straining in uncomplicated stress urinary incontinence: is there a correlation with voiding dysfunction and overactive bladder after mid-urethral sling procedures?1756-288010.1177/17562872211058243https://doaj.org/article/b8e4b211138845e6991bafb6c3def6582021-11-01T00:00:00Zhttps://doi.org/10.1177/17562872211058243https://doaj.org/toc/1756-2880Objectives: To evaluate the role of preoperative abdominal straining in predicting de novo overactive bladder (OAB) and voiding dysfunction in female patients undergoing suburethral taping by trans-obturator approach (TVT-O) for uncomplicated stress urinary incontinence (SUI). Methods: Data from patients who underwent TVT-O surgery for SUI were retrospectively analyzed. Inclusion criteria included: history of pure SUI. Exclusion criteria included previous surgery for urinary incontinence, pelvic radiation, pelvic surgery within the last 3 months, and anterior or apical pelvic organ prolapse (POP) ⩾ +1 cm. Voiding dysfunction has been defined through symptoms and or urodynamics (UDS) signs. Accordingly, patients were divided into group A and group B according to the presence of abdominal straining during UDS. Patients were observed clinically and with UDS at a 3-year follow-up. Results: A total of 192 patients underwent TVT-O surgery for uncomplicated SUI. Preoperative abdominal straining was identified in 60/192 patients (Group A: 31.2% vs Group B: 68.8%). Qmax was not different in the two groups (Group A: 19.5 vs Group B: 20.5 mL/s, p = 0.76). Demographics was similar for the two groups regarding age, parity. At 3-year follow-up, voiding dysfunction was reported in Group A: 9 and Group B: 8 patients ( p = 0.056), de novo OAB was significantly reported in Group A: 23 and Group B: 26 patients ( p = 0.007). Conclusion: Preoperative abdominal straining was found to be related to a significant incidence of de novo OAB. A significant correlation was not assessed for postoperative voiding dysfunction. Further studies may better define the impact of preoperative abdominal straining.Valerio LacovelliMaurizio SeratiDaniele BianchiAndrea BragaAndrea TurbantiEnrico Finazzi AgròSAGE PublishingarticleDiseases of the genitourinary system. UrologyRC870-923ENTherapeutic Advances in Urology, Vol 13 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Diseases of the genitourinary system. Urology RC870-923
spellingShingle	Diseases of the genitourinary system. Urology RC870-923 Valerio Lacovelli Maurizio Serati Daniele Bianchi Andrea Braga Andrea Turbanti Enrico Finazzi Agrò Preoperative abdominal straining in uncomplicated stress urinary incontinence: is there a correlation with voiding dysfunction and overactive bladder after mid-urethral sling procedures?
description	Objectives: To evaluate the role of preoperative abdominal straining in predicting de novo overactive bladder (OAB) and voiding dysfunction in female patients undergoing suburethral taping by trans-obturator approach (TVT-O) for uncomplicated stress urinary incontinence (SUI). Methods: Data from patients who underwent TVT-O surgery for SUI were retrospectively analyzed. Inclusion criteria included: history of pure SUI. Exclusion criteria included previous surgery for urinary incontinence, pelvic radiation, pelvic surgery within the last 3 months, and anterior or apical pelvic organ prolapse (POP) ⩾ +1 cm. Voiding dysfunction has been defined through symptoms and or urodynamics (UDS) signs. Accordingly, patients were divided into group A and group B according to the presence of abdominal straining during UDS. Patients were observed clinically and with UDS at a 3-year follow-up. Results: A total of 192 patients underwent TVT-O surgery for uncomplicated SUI. Preoperative abdominal straining was identified in 60/192 patients (Group A: 31.2% vs Group B: 68.8%). Qmax was not different in the two groups (Group A: 19.5 vs Group B: 20.5 mL/s, p = 0.76). Demographics was similar for the two groups regarding age, parity. At 3-year follow-up, voiding dysfunction was reported in Group A: 9 and Group B: 8 patients ( p = 0.056), de novo OAB was significantly reported in Group A: 23 and Group B: 26 patients ( p = 0.007). Conclusion: Preoperative abdominal straining was found to be related to a significant incidence of de novo OAB. A significant correlation was not assessed for postoperative voiding dysfunction. Further studies may better define the impact of preoperative abdominal straining.
format	article
author	Valerio Lacovelli Maurizio Serati Daniele Bianchi Andrea Braga Andrea Turbanti Enrico Finazzi Agrò
author_facet	Valerio Lacovelli Maurizio Serati Daniele Bianchi Andrea Braga Andrea Turbanti Enrico Finazzi Agrò
author_sort	Valerio Lacovelli
title	Preoperative abdominal straining in uncomplicated stress urinary incontinence: is there a correlation with voiding dysfunction and overactive bladder after mid-urethral sling procedures?
title_short	Preoperative abdominal straining in uncomplicated stress urinary incontinence: is there a correlation with voiding dysfunction and overactive bladder after mid-urethral sling procedures?
title_full	Preoperative abdominal straining in uncomplicated stress urinary incontinence: is there a correlation with voiding dysfunction and overactive bladder after mid-urethral sling procedures?
title_fullStr	Preoperative abdominal straining in uncomplicated stress urinary incontinence: is there a correlation with voiding dysfunction and overactive bladder after mid-urethral sling procedures?
title_full_unstemmed	Preoperative abdominal straining in uncomplicated stress urinary incontinence: is there a correlation with voiding dysfunction and overactive bladder after mid-urethral sling procedures?
title_sort	preoperative abdominal straining in uncomplicated stress urinary incontinence: is there a correlation with voiding dysfunction and overactive bladder after mid-urethral sling procedures?
publisher	SAGE Publishing
publishDate	2021
url	https://doaj.org/article/b8e4b211138845e6991bafb6c3def658
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Preoperative abdominal straining in uncomplicated stress urinary incontinence: is there a correlation with voiding dysfunction and overactive bladder after mid-urethral sling procedures?

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