1. What maximal urethral closure pressure threshold predicts failure of mid-urethral sling surgery?
- Author
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Tsia-Shu Lo, Fazlin Harun, Hateeza binti Zakaria, Yiap Loong Tan, Wu-Chiao Hsieh, and Aisha Ayash Ayedh Al-Zabidi
- Subjects
Intrinsic sphincter deficiency ,Maximum urethral closure pressure (MUCP) ,Mid-urethral sling ,Stress urinary incontinence ,Gynecology and obstetrics ,RG1-991 - Abstract
Objective: Low Maximal Urethral Closure Pressure (MUCP) is linked to unfavourable outcome of anti-incontinence surgery, however the cut-off value varied within studies. This study aimed to predict the cut-off value of MUCP that contributes to poor outcome of Mid-Urethral Sling (MUS) surgery in Urinary Stress Incontinence (USI) patients. Materials and methods: Records of 729 women underwent MUS procedure from January 2004 to April 2017 reviewed. Patients were divided into four MUCP groups, which were 60 cmH2O. Objective evaluation comprising 72-h voiding diary, multichannel urodynamic study (UDS) and post-operative bladder neck angle measurement. Subjective evaluation through validated urinary symptoms questionnaires. Primary outcome was objective cure rate of negative urine leak on provocative filling cystometry and 1-h pad test weight
- Published
- 2024
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