Toptas Kübra Keskin, Goksu Mustafa, Karadeniz Ozan, Özlü Deniz Noyan, Akca Aysu
Department of Gynecology and Obstetrics, Cam and Sakura City Hospital, Istanbul, Turkey.
Department of Gynecology and Obstetrics, Kanuni Sultan Suleyman Training and Research Hospital, Health Sciences University, Istanbul, Turkey.
Can Urol Assoc J. 2025 May;19(5):E183-E188. doi: 10.5489/cuaj.8818.
We aimed to assess the predictivity of preoperative urodynamics (UDS) on de novo stress urinary incontinence (SUI) in patients having advanced pelvic organ prolapse (POP).
Between January 2016 and June 2019, 133 patients with symptomatic POP at stage 3 or higher were included in the study. The presence of postoperative SUI symptoms after a minimum of six months of followup was considered the primary outcome. The results of all patients' preoperative UDS were compared to their postoperative SUI symptoms. In addition, patients were divided into two groups based on whether SUI was detected during preoperative UDS testing (group 1) or not (group 2).
Although preoperative measurements, such as bladder capacity and residual urine volume, were not different between groups, group 1 had lower maximal urethral closure pressures (p=0.001). Preoperative SUI symptoms had a sensitivity of 32.1% and a specificity of 91.4% for predicting de novo SUI. In patients with advanced POP, preoperative UDS had a sensitivity of 60.7% and a specificity of 87.6% for predicting de novo SUI.
Urodynamic examination with a pessary can significantly predict the development of de novo SUI.
我们旨在评估术前尿动力学检查（UDS）对晚期盆腔器官脱垂（POP）患者新发压力性尿失禁（SUI）的预测性。
2016年1月至2019年6月期间，133例有症状的3期或更高期POP患者纳入本研究。至少随访6个月后出现术后SUI症状被视为主要结局。将所有患者术前UDS结果与其术后SUI症状进行比较。此外，根据术前UDS检查是否检测到SUI将患者分为两组（第1组）或未检测到SUI的组（第2组）。
尽管两组间术前测量指标如膀胱容量和残余尿量无差异，但第1组的最大尿道闭合压较低（p = 0.001）。术前SUI症状预测新发SUI的敏感性为32.1%，特异性为91.4%。在晚期POP患者中，术前UDS预测新发SUI的敏感性为60.7%，特异性为87.6%。
使用子宫托进行尿动力学检查可显著预测新发SUI的发生。
