title: The long term predictive value of preoperative pressure flow studies in the resolution of overactive bladder after insertion of a retropubic midurethral sling.
abstract: OBJECTIVE
  To identify if the short term association of pressure flow rates with resolution of overactive bladder (OAB) is maintained in the long term in patients with mixed urodynamic incontinence treated with a retropubic midurethral sling. To assess if other demographic factors are associated with the long term resolution of OAB.
  
  
  METHODS
  This was follow up study of a consecutive case series of 100 patients treated with a MUS at a single center followed up with questionnaires. Preoperative pressure flow studies were compared to the resolution of urgency and urgency incontinence after surgery.
  
  
  RESULTS
  A total of 6.25 years after surgery, resolution of urgency and urgency incontinence was associated with a higher preoperative flow rate (26.7 mL/s vs 19.1 mL/s P = 0.02) and a higher flow rate centile (33.1 vs 14.0 P = 0.01). No other demographic parameters were associated with resolution of OAB.
  
  
  CONCLUSIONS
  The long term outcome and resolution of urgency and urgency incontinence can be predicted by preoperative pressure flow studies over 6 years after surgery.
authors.affiliation: Department of Obstetrics and Gynaecology, Medway Maritime Hospital, Gillingham, Kent, UK.
authors.forename: Jonathan
authors.initials: J
authors.lastname: Duckett
authors.affiliation: Department of Obstetrics and Gynaecology, Medway Maritime Hospital, Gillingham, Kent, UK.
authors.forename: Aswini
authors.initials: A
authors.lastname: Balachandran
mesh_terms: D000328:Adult; D000368:Aged; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008875:Middle Aged; D011312:Pressure; D053825:Suburethral Slings; D011795:Surveys and Questionnaires; D053201:Urinary Bladder, Overactive / Q000503:physiopathology / Q000601:surgery*; D014549:Urinary Incontinence / Q000601:surgery; D014550:Urinary Incontinence, Stress / Q000150:complications / Q000503:physiopathology / Q000601:surgery*; D053202:Urinary Incontinence, Urge / Q000150:complications / Q000503:physiopathology / Q000601:surgery*; D014563:Urodynamics
keywords: OAB; TVT; detrusor overactivity; mixed urodynamic incontinence; persistence