Abdominal sacrocolpopexy and urinary incontinence: surgical planning based on urodynamics.
OBJECTIVE
The objective of the study was to evaluate the use of urodynamics to determine the need for incontinence surgery at the time of abdominal sacrocolpopexy (ASC).


METHODS
The records of 441 women undergoing ASC during 2005-2007 were reviewed. Group 1 consisted of 204 women (46.3%) with urodynamic stress incontinence (USI), including occult USI, who underwent incontinence surgery with ASC. Group 2 consisted of 237 women (53.7%) without USI who underwent ASC alone. Primary outcome measures were any complaint of postoperative incontinence (stress or urge) or new-onset urgency/frequency (UF).


RESULTS
At a mean follow-up of 46.6 weeks, the overall rate of incontinence was low and similar for both groups (13.4% in group 1 and 13.3% in group 2 [P = .967]), as was new-onset UF: 18.6% in group 1 and 11.5% in group 2 (P = .195).


CONCLUSIONS
Urodynamic evaluation appears to be useful in determining the need for incontinence surgery at the time of ASC.
Elser
Denise M
DM
Illinois Urogynecology, Ltd, Oak Lawn, IL, USA.
Moen
Michael D
MD
Stanford
Edward J
EJ
Keil
Kristinell
K
Matthews
Catherine A
CA
Kohli
Neeraj
N
Mattox
Fleming
F
Tomezsko
Janet
J
D000005:Abdomen; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008875:Middle Aged; D056887:Pelvic Organ Prolapse / Q000150:complications / Q000503:physiopathology / Q000601:surgery*; D012189:Retrospective Studies; D012445:Sacrococcygeal Region; D001743:Urinary Bladder / Q000502:physiology; D014550:Urinary Incontinence, Stress / Q000209:etiology / Q000503:physiopathology / Q000601:surgery*; D014563:Urodynamics; D013520:Urologic Surgical Procedures / Q000379:methods*