Introduction and hypothesis: Development of a model that can predict in which group of women pre-operative urodynamics can be safely omitted. Methods: Three hundred and eighty-one uncomplicated women who underwent pre-operative urodynamics were evaluated. A multivariate logistic regression model was developed based on medical history and physical examination predicting a high probability group of women with detrusor overactivity or a low (<20 cm H 2O) mean urethral closure pressure and, therefore, are likely to benefit from urodynamics. Results: Women are likely to benefit from pre-operative urodynamics if they (1) are 53 years of age or older or (2) have a history of prior incontinence surgery and are at least 29 years of age or (3) have nocturia complaints and are at least 36 years of age. Conclusion: If urogynaecologists omitted pre-operative urodynamics in women in the low probability group, in our population, pre-operative urodynamics would be reduced by 29%.
CITATION STYLE
Houwert, R. M., Roovers, J. P. W. R., Venema, P. L., Bruinse, H. W., Dijkgraaf, M. G. W., & Vervest, H. A. M. (2010). When to perform urodynamics before mid-urethral sling surgery for female stress urinary incontinence? International Urogynecology Journal, 21(3), 303–309. https://doi.org/10.1007/s00192-009-1035-2
Mendeley helps you to discover research relevant for your work.