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Preoperative urethral parameters at rest and objective cure following laparoscopic colposuspension.

Andrada, Maria LU and Persson, Jan LU (2010) In International Urogynecology Journal 21(3). p.331-336
Abstract
INTRODUCTION AND HYPOTHESIS: The aim of this study is to investigate associations between preoperative resting urethral parameters and objective outcome of laparoscopic colposuspension. METHODS: Data from 219 stress incontinent women who underwent laparoscopic colposuspension, with leakage at standardized pad test repeated after surgery, were collected. Associations between objective cure and preoperative maximum urethral closure pressure, functional urethral length, and continence area were analyzed using receiving operator characteristics curves. The level for 75% cure for each parameter was identified. RESULTS: All parameters were positively associated with cure. Continence area showed the strongest association. No cut-off values for... (More)
INTRODUCTION AND HYPOTHESIS: The aim of this study is to investigate associations between preoperative resting urethral parameters and objective outcome of laparoscopic colposuspension. METHODS: Data from 219 stress incontinent women who underwent laparoscopic colposuspension, with leakage at standardized pad test repeated after surgery, were collected. Associations between objective cure and preoperative maximum urethral closure pressure, functional urethral length, and continence area were analyzed using receiving operator characteristics curves. The level for 75% cure for each parameter was identified. RESULTS: All parameters were positively associated with cure. Continence area showed the strongest association. No cut-off values for prediction of failure were found. Women having levels equal or higher than the "75% cure level" for all urethral parameters had a cure rate of 88% compared with 55% for women with all parameters lower than this level. CONCLUSIONS: A combination of the urethral parameters may be useful for identifying patients with excellent chance for cure after colposuspension. Further studies are needed on continence area. (Less)
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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
International Urogynecology Journal
volume
21
issue
3
pages
331 - 336
publisher
Springer
external identifiers
  • wos:000274251500012
  • pmid:19924371
  • scopus:76649110555
ISSN
1433-3023
DOI
10.1007/s00192-009-1034-3
language
English
LU publication?
yes
id
5c769399-0cca-44bc-ab11-8d54748f9aa6 (old id 1511763)
alternative location
http://www.ncbi.nlm.nih.gov/pubmed/19924371?dopt=Abstract
date added to LUP
2009-12-03 15:55:21
date last changed
2018-05-29 11:50:24
@article{5c769399-0cca-44bc-ab11-8d54748f9aa6,
  abstract     = {INTRODUCTION AND HYPOTHESIS: The aim of this study is to investigate associations between preoperative resting urethral parameters and objective outcome of laparoscopic colposuspension. METHODS: Data from 219 stress incontinent women who underwent laparoscopic colposuspension, with leakage at standardized pad test repeated after surgery, were collected. Associations between objective cure and preoperative maximum urethral closure pressure, functional urethral length, and continence area were analyzed using receiving operator characteristics curves. The level for 75% cure for each parameter was identified. RESULTS: All parameters were positively associated with cure. Continence area showed the strongest association. No cut-off values for prediction of failure were found. Women having levels equal or higher than the "75% cure level" for all urethral parameters had a cure rate of 88% compared with 55% for women with all parameters lower than this level. CONCLUSIONS: A combination of the urethral parameters may be useful for identifying patients with excellent chance for cure after colposuspension. Further studies are needed on continence area.},
  author       = {Andrada, Maria and Persson, Jan},
  issn         = {1433-3023},
  language     = {eng},
  number       = {3},
  pages        = {331--336},
  publisher    = {Springer},
  series       = {International Urogynecology Journal},
  title        = {Preoperative urethral parameters at rest and objective cure following laparoscopic colposuspension.},
  url          = {http://dx.doi.org/10.1007/s00192-009-1034-3},
  volume       = {21},
  year         = {2010},
}