Outcome of Coexistent Overactive Bladder Symptoms in Women with Urodynamic Urinary Incontinence Following Anti-incontinence Surgery

Overview

Journal Int Urogynecol J

Publisher Springer

Specialties Gynecology & Obstetrics
Urology

Date 2016 Sep 29

PMID 27678141

Citations 3

Authors

Ching-Chung Liang

Wu-Chiao Hsieh

Lulu Huang

Affiliations

Soon will be listed here.

Abstract

Introduction And Hypothesis: The objective was to investigate the outcome of stress urinary incontinence (SUI) and overactive bladder (OAB) symptoms in women with urodynamic stress incontinence (USI) after transobturator sling procedures (TOTs).

Methods: We evaluated 109 consecutive patients with USI, who had undergone TOT in a tertiary hospital between 2012 and 2014. All patients received evaluations, including structured urogynecological questionnaires and pelvic organ prolapse quantification examination before, and 3 and 12 months after surgery. One-hour pad test and urodynamic testing were performed before and 3-6 months postoperatively. Patient demographics, lower urinary tract symptoms, and urodynamic results were analyzed between pure USI and USI with OAB symptoms.

Results: Persistent SUI occurred in 8 patients at 3 months (7.3 %) and 7 patients at 12 months (6.4 %) postoperatively. The most common OAB symptom was frequency (54.1 %), followed by urgency urinary incontinence (52.3 %), urinary urgency (42.2 %), and nocturia (33 %). Most of these OAB symptoms were resolved at the 3-month and 12-month follow-ups both in patients treated with TOT only and in those treated with TOT combined with other pelvic surgeries. There was no significant difference in the preoperative urodynamic changes between patients with pure USI and USI without OAB groups. However, postoperative urodynamic results showed a significant decrease in the maximal urethral closure pressure in the group of patients with USI and OAB symptoms, but no significant urodynamic changes in the group with pure USI.

Conclusions: Coexistent OAB symptoms are common in women who were diagnosed with USI and most of these symptoms may resolve 3 and 12 months after TOT.

Citing Articles

Urgency and urgency incontinence following stress urinary incontinence surgery: A review of evaluation and management.

Gomelsky A, Steckenrider H, Dmochowski R Indian J Urol. 2022; 38(4):268-275.

PMID: 36568453 PMC: 9787445. DOI: 10.4103/iju.iju_147_22.

Does Pharmacological Treatment Reduce the Incidence of Lower Urinary Tract Symptoms (LUTS) after Transobturator Sling?.

Rechberger T, Wrobel A, Zietek A, Rechberger E, Kulik-Rechberger B, Bogusiewicz M Biomed Res Int. 2019; 2019:7271289.

PMID: 30956983 PMC: 6431360. DOI: 10.1155/2019/7271289.

Predictors for De Novo Overactive Bladder after Readjustable Mid-Urethral Sling Procedure in Women with Stress Urinary Incontinence due to Intrinsic Sphincter Deficiency.

No J, Choi K, Kim D, Kim T, Lee S Biomed Res Int. 2019; 2018:6934747.

PMID: 30598997 PMC: 6287142. DOI: 10.1155/2018/6934747.

References

Tang D, Colayco D, Khalaf K, Piercy J, Patel V, Globe D . Impact of urinary incontinence on healthcare resource utilization, health-related quality of life and productivity in patients with overactive bladder. BJU Int. 2014; 113(3):484-91. DOI: 10.1111/bju.12505. View

Jain P, Jirschele K, Botros S, Latthe P . Effectiveness of midurethral slings in mixed urinary incontinence: a systematic review and meta-analysis. Int Urogynecol J. 2011; 22(8):923-32. DOI: 10.1007/s00192-011-1406-3. View

Tommaselli G, Carlo C, Formisano C, Fabozzi A, Nappi C . Medium-term and long-term outcomes following placement of midurethral slings for stress urinary incontinence: a systematic review and metaanalysis. Int Urogynecol J. 2015; 26(9):1253-68. DOI: 10.1007/s00192-015-2645-5. View

Katsumi H, Rutman M . Can we predict if overactive bladder symptoms will resolve after sling surgery in women with mixed urinary incontinence?. Curr Urol Rep. 2010; 11(5):328-37. DOI: 10.1007/s11934-010-0133-5. View

Rezapour M, Ulmsten U . Tension-Free vaginal tape (TVT) in women with mixed urinary incontinence--a long-term follow-up. Int Urogynecol J Pelvic Floor Dysfunct. 2001; 12 Suppl 2:S15-18. DOI: 10.1007/s001920170006. View

Black N, Bowling A, Griffiths J, Pope C, Abel P . Impact of surgery for stress incontinence on the social lives of women. Br J Obstet Gynaecol. 1998; 105(6):605-12. DOI: 10.1111/j.1471-0528.1998.tb10174.x. View

Gamble T, Botros S, Beaumont J, Goldberg R, Miller J, Adeyanju O . Predictors of persistent detrusor overactivity after transvaginal sling procedures. Am J Obstet Gynecol. 2008; 199(6):696.e1-7. DOI: 10.1016/j.ajog.2008.07.059. View

Abrams P, Cardozo L, Fall M, Griffiths D, Rosier P, Ulmsten U . The standardisation of terminology of lower urinary tract function: report from the Standardisation Sub-committee of the International Continence Society. Neurourol Urodyn. 2002; 21(2):167-78. DOI: 10.1002/nau.10052. View

Haylen B, Ridder D, Freeman R, Swift S, Berghmans B, Lee J . An International Urogynecological Association (IUGA)/International Continence Society (ICS) joint report on the terminology for female pelvic floor dysfunction. Int Urogynecol J. 2009; 21(1):5-26. DOI: 10.1007/s00192-009-0976-9. View

10.

Paick J, Oh S, Kim S, Ku J . Tension-free vaginal tape, suprapubic arc sling, and transobturator tape in the treatment of mixed urinary incontinence in women. Int Urogynecol J Pelvic Floor Dysfunct. 2007; 19(1):123-9. DOI: 10.1007/s00192-007-0401-1. View

11.

Bump R, Mattiasson A, Bo K, Brubaker L, DeLancey J, Klarskov P . The standardization of terminology of female pelvic organ prolapse and pelvic floor dysfunction. Am J Obstet Gynecol. 1996; 175(1):10-7. DOI: 10.1016/s0002-9378(96)70243-0. View

12.

Ankardal M, Heiwall B, Lausten-Thomsen N, Carnelid J, Milsom I . Short- and long-term results of the tension-free vaginal tape procedure in the treatment of female urinary incontinence. Acta Obstet Gynecol Scand. 2006; 85(8):986-92. DOI: 10.1080/00016340600753091. View

13.

Abdel-Fattah M, Hopper L, Mostafa A . Evaluation of transobturator tension-free vaginal tapes in the surgical management of mixed urinary incontinence: 3-year outcomes of a randomized controlled trial. J Urol. 2013; 191(1):114-9. DOI: 10.1016/j.juro.2013.07.035. View

14.

Lee J, Dwyer P, Rosamilia A, Lim Y, Polyakov A, Stav K . Persistence of urgency and urge urinary incontinence in women with mixed urinary symptoms after midurethral slings: a multivariate analysis. BJOG. 2011; 118(7):798-805. DOI: 10.1111/j.1471-0528.2011.02915.x. View

15.

McGuire E . Mixed symptomatology. BJU Int. 2002; 85 Suppl 3:47-52; discussion 55-6. DOI: 10.1111/j.1464-410x.2000.tb16948.x. View

16.

Sun M, Sun R, Li Y . A comparative study of a single-incision sling and a transobturator sling: clinical efficacy and urodynamic changes. Int Urogynecol J. 2012; 24(5):823-9. DOI: 10.1007/s00192-012-1942-5. View

17.

Wang Y, Xu K, Hu H, Zhang X, Wang X, Na Y . Prevalence, risk factors, and impact on health related quality of life of overactive bladder in China. Neurourol Urodyn. 2011; 30(8):1448-55. DOI: 10.1002/nau.21072. View

18.

Dooley Y, Kenton K, Cao G, Luke A, Durazo-Arvizu R, Kramer H . Urinary incontinence prevalence: results from the National Health and Nutrition Examination Survey. J Urol. 2007; 179(2):656-61. DOI: 10.1016/j.juro.2007.09.081. View

19.

Ellerkmann R, Cundiff G, Melick C, Nihira M, Leffler K, Bent A . Correlation of symptoms with location and severity of pelvic organ prolapse. Am J Obstet Gynecol. 2001; 185(6):1332-7; discussion 1337-8. DOI: 10.1067/mob.2001.119078. View

20.

Chun J, Song M, Yoo D, Han J, Hong B, Choo M . A Comparative Study of Outside-In and Inside-Out Transobturator Tape Procedures for Female Stress Urinary Incontinence: 7-Year Outcomes. Low Urin Tract Symptoms. 2015; 6(3):145-50. DOI: 10.1111/luts.12052. View