Does urethral competence affect urodynamic voiding parameters in women with prolapse?
dc.contributor.author | Nygaard, Ingrid E. | en_US |
dc.contributor.author | Kreder, Karl | en_US |
dc.contributor.author | Mueller, Elizabeth R. | en_US |
dc.contributor.author | Brubaker, Linda | en_US |
dc.contributor.author | Goode, Patricia S. | en_US |
dc.contributor.author | Visco, Anthony G. | en_US |
dc.contributor.author | Weber, Anne M. | en_US |
dc.contributor.author | Cundiff, Geoffrey W. | en_US |
dc.contributor.author | Wei, John | en_US |
dc.date.accessioned | 2007-12-04T18:31:16Z | |
dc.date.available | 2008-11-05T15:05:43Z | en_US |
dc.date.issued | 2007-11 | en_US |
dc.identifier.citation | Nygaard, Ingrid; Kreder, Karl; Mueller, Elizabeth; Brubaker, Linda; Goode, Patricia; Visco, Anthony; Weber, Anne M.; Cundiff, Geoff; Wei, John (2007). "Does urethral competence affect urodynamic voiding parameters in women with prolapse?." Neurourology and Urodynamics 26(7): 1030-1035. <http://hdl.handle.net/2027.42/57365> | en_US |
dc.identifier.issn | 0733-2467 | en_US |
dc.identifier.issn | 1520-6777 | en_US |
dc.identifier.uri | https://hdl.handle.net/2027.42/57365 | |
dc.identifier.uri | http://www.ncbi.nlm.nih.gov/sites/entrez?cmd=retrieve&db=pubmed&list_uids=17638306&dopt=citation | |
dc.description.abstract | Aims To (1) compare voiding parameters and (2) correlate symptoms and urodynamic findings in women with pelvic organ prolapse (POP) and varying degrees of urethral competence. Methods We compared three groups of women with stages II–IV POP. Groups 1 and 2 were symptomatically stress continent women participating in the Colpopexy and Urinary Reduction Efforts (CARE) trial; during prolapse reduction before sacrocolpopexy, Group 1 (n = 67) did not have and Group 2 (n = 84) had urodynamic stress incontinence (USI) during prolapse reduction. Group 3 participants (n = 74), recruited specifically for this study, had stress urinary incontinence (SUI) symptoms and planned sacrocolpopexy. Participants completed standardized uroflowmetry, pressure voiding studies, and validated symptom questionnaires. Results Subjects' median age was 61 years, median parity 3 and 87% had stage III or IV POP. Fourteen percent of women in Group 3 demonstrated USI without, and 70% with, prolapse reduction. Women in Groups 2 and 3 had more detrusor overactivity (DO) than Group 1 (17 and 24% vs. 6%, P = 0.02) and detrusor overactivity incontinence (DOI) (15 and 8% vs. 0%, P = 0.004). Based on the Blaivis–Groutz nomogram, 60% of all women were obstructed. Post-void residual volume (PVR), peak flow rate, detrusor pressure at peak flow, voiding mechanisms, voiding patterns, obstruction and urinary retention did not differ among groups. Women in Group 3 had higher irritative and obstructive symptom scores than Group 1 or 2; neither score differed by presence of DO nor obstruction, respectively. Conclusion Women with POP have significant rates of urodynamic obstruction and retention, independent of their continence status. Symptoms of obstruction and retention correlate poorly with urodynamic findings. Neurourol. Urodynam. 26:1030–1035, 2007. © 2007 Wiley-Liss, Inc. | en_US |
dc.format.extent | 119454 bytes | |
dc.format.extent | 3118 bytes | |
dc.format.mimetype | application/pdf | |
dc.format.mimetype | text/plain | |
dc.publisher | Wiley Subscription Services, Inc., A Wiley Company | en_US |
dc.subject.other | Life and Medical Sciences | en_US |
dc.subject.other | Miscellaneous Medical | en_US |
dc.title | Does urethral competence affect urodynamic voiding parameters in women with prolapse? | en_US |
dc.type | Article | en_US |
dc.rights.robots | IndexNoFollow | en_US |
dc.subject.hlbsecondlevel | Internal Medicine and Specialties | en_US |
dc.subject.hlbtoplevel | Health Sciences | en_US |
dc.description.peerreviewed | Peer Reviewed | en_US |
dc.contributor.affiliationum | Department of Urology, University of Michigan, Ann Arbor, Michigan | en_US |
dc.contributor.affiliationother | Department of Obstetrics and Gynecology, University of Utah, Salt Lake City, Utah ; Department of Obstetrics and Gynecology, University of Utah College of Medicine, 30 North 1900 East, Room 2B 242, Salt Lake City, UT 84132 | en_US |
dc.contributor.affiliationother | Department of Urology, University of Iowa Carver College of Medicine, Iowa City, Iowa | en_US |
dc.contributor.affiliationother | Departments of Urology and Obstetrics and Gynecology, Loyola University Medical Center, Maywood, Illinois | en_US |
dc.contributor.affiliationother | Departments of Urology and Obstetrics and Gynecology, Loyola University Medical Center, Maywood, Illinois | en_US |
dc.contributor.affiliationother | Birmingham/Atlanta Geriatric Research, Education and Clinical Center, Birmingham Veterans Affairs Medical Center and Department of Medicine, University of Alabama at Birmingham, Birmingham, Alabama | en_US |
dc.contributor.affiliationother | Department of Obstetrics and Gynecology, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina | en_US |
dc.contributor.affiliationother | National Institute for Child Health and Human Development | en_US |
dc.contributor.affiliationother | Department of Obstetrics and Gynecology, University of British Columbia, Vancouver, Canada | en_US |
dc.identifier.pmid | 17638306 | |
dc.description.bitstreamurl | http://deepblue.lib.umich.edu/bitstream/2027.42/57365/1/20436_ftp.pdf | en_US |
dc.identifier.doi | http://dx.doi.org/10.1002/nau.20436 | en_US |
dc.identifier.source | Neurourology and Urodynamics | en_US |
dc.owningcollname | Interdisciplinary and Peer-Reviewed |
Files in this item
Remediation of Harmful Language
The University of Michigan Library aims to describe library materials in a way that respects the people and communities who create, use, and are represented in our collections. Report harmful or offensive language in catalog records, finding aids, or elsewhere in our collections anonymously through our metadata feedback form. More information at Remediation of Harmful Language.
Accessibility
If you are unable to use this file in its current format, please select the Contact Us link and we can modify it to make it more accessible to you.