Preoperative Urodynamic Parameters (Valsalva Leak Point Pressure and Maximum Urethral Closure Pressure), Urinary Collagen and Plasma Vitamin D Levels as Predictors of Mid Urethral Sling Surgery Outcome

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Prognostic value of urethral mobility and valsalva leak point pressure for female transobturator sling procedure.

PURPOSE To analyze the influence of urethral mobility and Valsalva leak point pressure on postoperative outcomes of transobturator sling (TOT) for female stress urinary incontinence. MATERIALS AND METHODS A prospective cohort was conducted including 66 patients submitted to TOT from March 2006 to May 2009. Urethral hypermobility was defined as mobility ≥ 30° on Q-tip test, and Valsalva leak p...

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Preoperative Valsalva leak point pressure may not predict outcome of mid-urethral slings. Analysis from a randomized controlled trial of retropubic versus transobturator mid-urethral slings.

OBJECTIVE To test the hypothesis that preoperative Valsalva leak point pressure (VLPP) predicts long-term outcome of mid-urethra slings for female stress urinary incontinence (SUI). MATERIALS AND METHODS One hundred and forty-five patients with SUI were prospectively randomized to two mid-urethra sling treatments: Tension free vaginal tape (TVT) or transobturator tape (TOT). They were followe...

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Predicting the outcome of mid-urethral tape surgery for stress urinary incontinence using preoperative urodynamics - a systematic review.

Urodynamics are currently widely used in most of urogynecology services, mainly as a diagnostic tool routinely preoperatively or for complicated cases. The urodynamic parameters, mainly Valsalva leak point pressure (VLPP) and maximum urethral closure pressure (MUCP), are increasingly researched for the promising value in predicting the outcome of urinary incontinence surgery. Despite the increa...

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Valsalva Leak Point Pressure Measurement in Women with Stress Urinary Incontinence: At What Bladder Volume?

Submit Manuscript | http://medcraveonline.com Abbreviations: LPP: Leak Point Pressure; DLPP: Detrusor Leak Point Pressure; ALPP: Abdominal Leak Point Pressure; SLPP: Stress Leak Point Pressure; VLPP: Valsalva Leak Point Pressure; CLPP: Cough Leak Point Pressure; SUI: Stress Urinary Incontinence; UDS: Urodynamic Study; ISD: Intrinsic Sphincter Dysfunction; IUS: Internal Urethral Sphincter, EUS: ...

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Predictors of Voiding Dysfunction after Mid-urethral Sling Surgery for Stress Urinary Incontinence

PURPOSE Postoperative voiding dysfunction is a bothersome complication after mid-urethral sling surgery. The current study presents multiple repeated postoperative voiding trials against a urine load of preoperative functional bladder capacity, as estimated by a preoperative frequency volume chart, to identify the relevance of preoperative and immediate factors to the outcome. METHODS A total...

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ژورنال

عنوان ژورنال: Journal of Urology

سال: 2016

ISSN: 0022-5347,1527-3792

DOI: 10.1016/j.juro.2016.03.177