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Why do women have voiding dysfunction and de novo detrusor instability after colposuspension?
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| Zeitschriftentitel: | BJOG: An International Journal of Obstetrics & Gynaecology |
|---|---|
| Personen und Körperschaften: | , , , , |
| In: | BJOG: An International Journal of Obstetrics & Gynaecology, 109, 2002, 4, S. 402-412 |
| Format: | E-Article |
| Sprache: | Englisch |
| veröffentlicht: |
Wiley
|
| Schlagwörter: |
| author_facet |
Bombieri, L. Freeman, R.M. Perkins, E.P. Williams, M.P. Shaw, S.R. Bombieri, L. Freeman, R.M. Perkins, E.P. Williams, M.P. Shaw, S.R. |
|---|---|
| author |
Bombieri, L. Freeman, R.M. Perkins, E.P. Williams, M.P. Shaw, S.R. |
| spellingShingle |
Bombieri, L. Freeman, R.M. Perkins, E.P. Williams, M.P. Shaw, S.R. BJOG: An International Journal of Obstetrics & Gynaecology Why do women have voiding dysfunction and de novo detrusor instability after colposuspension? Obstetrics and Gynecology |
| author_sort |
bombieri, l. |
| spelling |
Bombieri, L. Freeman, R.M. Perkins, E.P. Williams, M.P. Shaw, S.R. 1470-0328 1471-0528 Wiley Obstetrics and Gynecology http://dx.doi.org/10.1111/j.1471-0528.2002.00142.x <jats:p><jats:bold>Objective </jats:bold> To investigate the causes of voiding dysfunction and new detrusor instability after colposuspension.</jats:p><jats:p><jats:bold>Design </jats:bold> Prospective, observational study.</jats:p><jats:p><jats:bold>Setting </jats:bold> Urogynaecology unit, district general hospital.</jats:p><jats:p><jats:bold>Population </jats:bold> Seventy‐seven women undergoing colposuspension for genuine stress incontinence.</jats:p><jats:p><jats:bold>Methods </jats:bold> The following factors were investigated: 1. bladder neck elevation by magnetic resonance imaging before and after surgery; 2. urethral compression by measuring bladder neck approximation to the pubis with magnetic resonance imaging after surgery (anterior compression) and the distance between the medial stitches during surgery (lateral compression); 3. clinical and urodynamic factors.</jats:p><jats:p><jats:bold>Main outcome measures </jats:bold> 1. Post‐operative voiding function (i.e. first day of voiding and day of catheter removal); 2. objective evidence of detrusor instability three months post‐operatively.</jats:p><jats:p><jats:bold>Results </jats:bold> Pre‐operative peak flow rate (<jats:styled-content><jats:italic>P</jats:italic>= 0.004</jats:styled-content>), straining during voiding (<jats:styled-content><jats:italic>P</jats:italic>= 0.005</jats:styled-content>), increasing age (<jats:italic>P</jats:italic>< 0.001), operative elevation (<jats:italic>P</jats:italic>< 0.001) and anterior urethral compression (<jats:styled-content><jats:italic>P</jats:italic>= 0.001</jats:styled-content>) were associated with the number of days of post‐operative catheterisation. Increasing age (<jats:styled-content><jats:italic>P</jats:italic>= 0.02</jats:styled-content>), previous bladder neck surgery (<jats:styled-content><jats:italic>P</jats:italic>= 0.04</jats:styled-content>), operative elevation (<jats:styled-content><jats:italic>P</jats:italic>= 0.049</jats:styled-content>) and anterior urethral compression (<jats:italic>P</jats:italic>< 0.001) were associated with detrusor instability at three months.</jats:p><jats:p><jats:bold>Conclusion </jats:bold> Surgical factors (bladder neck elevation and compression) are associated with voiding dysfunction and detrusor instability after colposuspension. These findings have implications for prevention.</jats:p> Why do women have voiding dysfunction and <i>de novo</i> detrusor instability after colposuspension? BJOG: An International Journal of Obstetrics & Gynaecology |
| doi_str_mv |
10.1111/j.1471-0528.2002.00142.x |
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Online Free |
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ElectronicArticle |
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Wiley, 2002 |
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Wiley, 2002 |
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1470-0328 1471-0528 |
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1470-0328 1471-0528 |
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2002 |
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Wiley |
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BJOG: An International Journal of Obstetrics & Gynaecology |
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49 |
| title |
Why do women have voiding dysfunction and de novo detrusor instability after colposuspension? |
| title_unstemmed |
Why do women have voiding dysfunction and de novo detrusor instability after colposuspension? |
| title_full |
Why do women have voiding dysfunction and de novo detrusor instability after colposuspension? |
| title_fullStr |
Why do women have voiding dysfunction and de novo detrusor instability after colposuspension? |
| title_full_unstemmed |
Why do women have voiding dysfunction and de novo detrusor instability after colposuspension? |
| title_short |
Why do women have voiding dysfunction and de novo detrusor instability after colposuspension? |
| title_sort |
why do women have voiding dysfunction and <i>de novo</i> detrusor instability after colposuspension? |
| topic |
Obstetrics and Gynecology |
| url |
http://dx.doi.org/10.1111/j.1471-0528.2002.00142.x |
| publishDate |
2002 |
| physical |
402-412 |
| description |
<jats:p><jats:bold>Objective
</jats:bold> To investigate the causes of voiding dysfunction and new detrusor instability after colposuspension.</jats:p><jats:p><jats:bold>Design
</jats:bold> Prospective, observational study.</jats:p><jats:p><jats:bold>Setting
</jats:bold> Urogynaecology unit, district general hospital.</jats:p><jats:p><jats:bold>Population
</jats:bold> Seventy‐seven women undergoing colposuspension for genuine stress incontinence.</jats:p><jats:p><jats:bold>Methods
</jats:bold> The following factors were investigated: 1. bladder neck elevation by magnetic resonance imaging before and after surgery; 2. urethral compression by measuring bladder neck approximation to the pubis with magnetic resonance imaging after surgery (anterior compression) and the distance between the medial stitches during surgery (lateral compression); 3. clinical and urodynamic factors.</jats:p><jats:p><jats:bold>Main outcome measures
</jats:bold> 1. Post‐operative voiding function (i.e. first day of voiding and day of catheter removal); 2. objective evidence of detrusor instability three months post‐operatively.</jats:p><jats:p><jats:bold>Results
</jats:bold> Pre‐operative peak flow rate (<jats:styled-content><jats:italic>P</jats:italic>= 0.004</jats:styled-content>), straining during voiding (<jats:styled-content><jats:italic>P</jats:italic>= 0.005</jats:styled-content>), increasing age (<jats:italic>P</jats:italic>< 0.001), operative elevation (<jats:italic>P</jats:italic>< 0.001) and anterior urethral compression (<jats:styled-content><jats:italic>P</jats:italic>= 0.001</jats:styled-content>) were associated with the number of days of post‐operative catheterisation. Increasing age (<jats:styled-content><jats:italic>P</jats:italic>= 0.02</jats:styled-content>), previous bladder neck surgery (<jats:styled-content><jats:italic>P</jats:italic>= 0.04</jats:styled-content>), operative elevation (<jats:styled-content><jats:italic>P</jats:italic>= 0.049</jats:styled-content>) and anterior urethral compression (<jats:italic>P</jats:italic>< 0.001) were associated with detrusor instability at three months.</jats:p><jats:p><jats:bold>Conclusion
</jats:bold> Surgical factors (bladder neck elevation and compression) are associated with voiding dysfunction and detrusor instability after colposuspension. These findings have implications for prevention.</jats:p> |
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| author | Bombieri, L., Freeman, R.M., Perkins, E.P., Williams, M.P., Shaw, S.R. |
| author_facet | Bombieri, L., Freeman, R.M., Perkins, E.P., Williams, M.P., Shaw, S.R., Bombieri, L., Freeman, R.M., Perkins, E.P., Williams, M.P., Shaw, S.R. |
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| description | <jats:p><jats:bold>Objective </jats:bold> To investigate the causes of voiding dysfunction and new detrusor instability after colposuspension.</jats:p><jats:p><jats:bold>Design </jats:bold> Prospective, observational study.</jats:p><jats:p><jats:bold>Setting </jats:bold> Urogynaecology unit, district general hospital.</jats:p><jats:p><jats:bold>Population </jats:bold> Seventy‐seven women undergoing colposuspension for genuine stress incontinence.</jats:p><jats:p><jats:bold>Methods </jats:bold> The following factors were investigated: 1. bladder neck elevation by magnetic resonance imaging before and after surgery; 2. urethral compression by measuring bladder neck approximation to the pubis with magnetic resonance imaging after surgery (anterior compression) and the distance between the medial stitches during surgery (lateral compression); 3. clinical and urodynamic factors.</jats:p><jats:p><jats:bold>Main outcome measures </jats:bold> 1. Post‐operative voiding function (i.e. first day of voiding and day of catheter removal); 2. objective evidence of detrusor instability three months post‐operatively.</jats:p><jats:p><jats:bold>Results </jats:bold> Pre‐operative peak flow rate (<jats:styled-content><jats:italic>P</jats:italic>= 0.004</jats:styled-content>), straining during voiding (<jats:styled-content><jats:italic>P</jats:italic>= 0.005</jats:styled-content>), increasing age (<jats:italic>P</jats:italic>< 0.001), operative elevation (<jats:italic>P</jats:italic>< 0.001) and anterior urethral compression (<jats:styled-content><jats:italic>P</jats:italic>= 0.001</jats:styled-content>) were associated with the number of days of post‐operative catheterisation. Increasing age (<jats:styled-content><jats:italic>P</jats:italic>= 0.02</jats:styled-content>), previous bladder neck surgery (<jats:styled-content><jats:italic>P</jats:italic>= 0.04</jats:styled-content>), operative elevation (<jats:styled-content><jats:italic>P</jats:italic>= 0.049</jats:styled-content>) and anterior urethral compression (<jats:italic>P</jats:italic>< 0.001) were associated with detrusor instability at three months.</jats:p><jats:p><jats:bold>Conclusion </jats:bold> Surgical factors (bladder neck elevation and compression) are associated with voiding dysfunction and detrusor instability after colposuspension. These findings have implications for prevention.</jats:p> |
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| id | ai-49-aHR0cDovL2R4LmRvaS5vcmcvMTAuMTExMS9qLjE0NzEtMDUyOC4yMDAyLjAwMTQyLng |
| imprint | Wiley, 2002 |
| imprint_str_mv | Wiley, 2002 |
| institution | DE-D275, DE-Bn3, DE-Brt1, DE-Zwi2, DE-D161, DE-Gla1, DE-Zi4, DE-15, DE-Pl11, DE-Rs1, DE-105, DE-14, DE-Ch1, DE-L229 |
| issn | 1470-0328, 1471-0528 |
| issn_str_mv | 1470-0328, 1471-0528 |
| language | English |
| last_indexed | 2024-03-01T15:40:22.548Z |
| match_str | bombieri2002whydowomenhavevoidingdysfunctionanddenovodetrusorinstabilityaftercolposuspension |
| mega_collection | Wiley (CrossRef) |
| physical | 402-412 |
| publishDate | 2002 |
| publishDateSort | 2002 |
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| series | BJOG: An International Journal of Obstetrics & Gynaecology |
| source_id | 49 |
| spelling | Bombieri, L. Freeman, R.M. Perkins, E.P. Williams, M.P. Shaw, S.R. 1470-0328 1471-0528 Wiley Obstetrics and Gynecology http://dx.doi.org/10.1111/j.1471-0528.2002.00142.x <jats:p><jats:bold>Objective </jats:bold> To investigate the causes of voiding dysfunction and new detrusor instability after colposuspension.</jats:p><jats:p><jats:bold>Design </jats:bold> Prospective, observational study.</jats:p><jats:p><jats:bold>Setting </jats:bold> Urogynaecology unit, district general hospital.</jats:p><jats:p><jats:bold>Population </jats:bold> Seventy‐seven women undergoing colposuspension for genuine stress incontinence.</jats:p><jats:p><jats:bold>Methods </jats:bold> The following factors were investigated: 1. bladder neck elevation by magnetic resonance imaging before and after surgery; 2. urethral compression by measuring bladder neck approximation to the pubis with magnetic resonance imaging after surgery (anterior compression) and the distance between the medial stitches during surgery (lateral compression); 3. clinical and urodynamic factors.</jats:p><jats:p><jats:bold>Main outcome measures </jats:bold> 1. Post‐operative voiding function (i.e. first day of voiding and day of catheter removal); 2. objective evidence of detrusor instability three months post‐operatively.</jats:p><jats:p><jats:bold>Results </jats:bold> Pre‐operative peak flow rate (<jats:styled-content><jats:italic>P</jats:italic>= 0.004</jats:styled-content>), straining during voiding (<jats:styled-content><jats:italic>P</jats:italic>= 0.005</jats:styled-content>), increasing age (<jats:italic>P</jats:italic>< 0.001), operative elevation (<jats:italic>P</jats:italic>< 0.001) and anterior urethral compression (<jats:styled-content><jats:italic>P</jats:italic>= 0.001</jats:styled-content>) were associated with the number of days of post‐operative catheterisation. Increasing age (<jats:styled-content><jats:italic>P</jats:italic>= 0.02</jats:styled-content>), previous bladder neck surgery (<jats:styled-content><jats:italic>P</jats:italic>= 0.04</jats:styled-content>), operative elevation (<jats:styled-content><jats:italic>P</jats:italic>= 0.049</jats:styled-content>) and anterior urethral compression (<jats:italic>P</jats:italic>< 0.001) were associated with detrusor instability at three months.</jats:p><jats:p><jats:bold>Conclusion </jats:bold> Surgical factors (bladder neck elevation and compression) are associated with voiding dysfunction and detrusor instability after colposuspension. These findings have implications for prevention.</jats:p> Why do women have voiding dysfunction and <i>de novo</i> detrusor instability after colposuspension? BJOG: An International Journal of Obstetrics & Gynaecology |
| spellingShingle | Bombieri, L., Freeman, R.M., Perkins, E.P., Williams, M.P., Shaw, S.R., BJOG: An International Journal of Obstetrics & Gynaecology, Why do women have voiding dysfunction and de novo detrusor instability after colposuspension?, Obstetrics and Gynecology |
| title | Why do women have voiding dysfunction and de novo detrusor instability after colposuspension? |
| title_full | Why do women have voiding dysfunction and de novo detrusor instability after colposuspension? |
| title_fullStr | Why do women have voiding dysfunction and de novo detrusor instability after colposuspension? |
| title_full_unstemmed | Why do women have voiding dysfunction and de novo detrusor instability after colposuspension? |
| title_short | Why do women have voiding dysfunction and de novo detrusor instability after colposuspension? |
| title_sort | why do women have voiding dysfunction and <i>de novo</i> detrusor instability after colposuspension? |
| title_unstemmed | Why do women have voiding dysfunction and de novo detrusor instability after colposuspension? |
| topic | Obstetrics and Gynecology |
| url | http://dx.doi.org/10.1111/j.1471-0528.2002.00142.x |