Urodynamics in pelvic organ prolapse: when are they helpful and how do we use them?

The routine use of preoperative urodynamics in the woman considering surgery for pelvic organ prolapse is a topic of much debate. This article addresses the use of urodynamics in patients with pelvic organ prolapse. It specifically discusses the utility of urodynamics in the evaluation stress incontinence on prolapse reduction (occult stress urinary incontinence) as well as concomitant storage and voiding symptoms in these patients.

The Association of Chronic Back Pain and Stress Urinary Incontinence: A Cross-Sectional Study.

Objective: The objective of this study was to investigate the association between chronic back pain and urinary incontinence in women.

Study Design: This study was a cross-sectional, observational study.

Background: There are numerous factors associated with the development of back pain, yet little consideration has been given to the pelvic floor musculature and dysfunction of this musculature which may also cause urinary incontinence.

Outcomes of patients lost to followup after mid urethral synthetic slings--successes or failures?

Purpose: We classified patients lost to followup after mid urethral synthetic sling placement as examples of treatment success or failure based on the Patient Global Impression of Improvement, and compared the outcomes of those who followed up to the outcomes of those who did not.

Materials And Methods: We reviewed the charts of 217 patients who underwent mid urethral synthetic sling placement. Telephone interviews including the Patient Global Impression of Improvement and the Medical, Epidemiological, and Social Aspects of Aging questionnaires were conducted for patients lacking 3-month followup.

Association between detrusor overactivity and postoperative outcomes in patients undergoing male bone anchored perineal sling.

Purpose: In this study we determined if there was an association between the presence of preoperative detrusor overactivity and patient outcomes after bone anchored perineal sling.

Materials And Methods: A total of 85 men underwent a male perineal sling procedure for urodynamically proven stress urinary incontinence. Preoperative history and physical examination were performed, and patients completed self-assessment questionnaires.

Fistulization between ectopic ureteral stump and uterus following nephroureterectomy: case report.

Ureterouterine fistulas are rare surgical complications with fewer than 30 reported cases in the literature to date. Rarer yet is a fistula between an ectopic ureter and the uterus, with only one case described previously (Shibata et al. in J Urol 153: 1208-1210, 1995).

Artificial urinary sphincter versus male sling for post-prostatectomy incontinence--what do patients choose?

Purpose: Early outcomes of the male sling to correct post-prostatectomy incontinence have been promising in select patients. Long-term data are lacking to determine whether the male sling is as effective as the artificial urinary sphincter, which is the current gold standard. Because the male sling offers the significant advantage of avoiding a mechanical device but without established success, we determined the patient preference for the male sling vs the artificial urinary sphincter.

Patient-reported outcomes for tension-free vaginal tape-obturator in women treated with a previous anti-incontinence procedure.

Our purpose was to evaluate the outcome of a subset of patients that had a tension-free vaginal tape-obturator (TVT-O) placed following a previous anti-incontinence procedure. We performed a retrospective analysis of 27 consecutive women who had a TVT-O placed from January 2004 to December 2007. Patients were given the Patient Global Impression of Improvement (PGI-I) questionnaire starting at the 3-month follow-up.

Managing the urethra at transvaginal pelvic organ prolapse repair: a urodynamic approach.

Purpose: We evaluated the protocol that we use to determine whether a mid urethral synthetic sling will be placed at transvaginal pelvic organ prolapse repair.

Materials And Methods: A total of 140 patients underwent transvaginal repair for stage 2 to 4 pelvic organ prolapse, of whom 105 were treated according to the protocol and had a minimum 3 months of followup or required earlier intervention. Urodynamics were performed without prolapse reduction.

Effect of tension-free vaginal tape and TVT-obturator on lower urinary tract symptoms other than stress urinary incontinence.

Variable effects on lower urinary tract symptoms (LUTS) other than stress urinary incontinence (SUI) have been reported after tension-free vaginal tape (TVT). We measured the effect of TVT on LUTS using the American Urological Association Symptom Index (AUASI). Patients undergoing TVT completed the AUASI pre- and post-operatively.