Ambulatory Pessary Trial Unmasks Occult Stress Urinary Incontinence
Objective. We evaluated the use of a one-week ambulatory pessary trial in predicting patients' postoperative outcomes for occult stress incontinence. Methods. Patients with anterior vaginal wall prolapse were offered a pessary trial to predict response to reconstruction. We performed a retro...
Saved in:
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2012-01-01
|
| Series: | Obstetrics and Gynecology International |
| Online Access: | http://dx.doi.org/10.1155/2012/392027 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1832548718972239872 |
|---|---|
| author | Bilal Chughtai Sara Spettel Jonathan Kurman Elise De |
| author_facet | Bilal Chughtai Sara Spettel Jonathan Kurman Elise De |
| author_sort | Bilal Chughtai |
| collection | DOAJ |
| description | Objective. We evaluated the use of a one-week ambulatory pessary trial in predicting patients' postoperative outcomes for occult stress incontinence.
Methods. Patients with anterior vaginal wall prolapse were offered a pessary trial to predict response to reconstruction. We performed a retrospective review of 4 years of cases. All patients underwent a detailed evaluation including videourodynamics with and without pessary reduction.
Results. Twenty-six patients completed the 1-week pessary trial. Ten (38%) women showing no evidence of stress urinary incontinence (SUI) underwent surgical repair of prolapse without anti-incontinence procedure. None of these patients had SUI postoperatively. Sixteen women (61%) had occult stress urinary incontinence on evaluation and underwent concurrent sling procedure. Three (19%) of these patients were identified by the pessary trial alone. Twenty-five of the 26 patients were without clinical stress incontinence at a mean follow up of 12 months (range 4–37 months). The pessary trial correctly predicted persistent urgency in six patients and persistent frequency in five. No patients with SUI or persistent voiding difficult were missed in a pessary trial.
Conclusion. An ambulatory pessary trial is an effective, easy, and inexpensive method to approximate anatomic results achieved by surgery under real-life conditions. In our series, 20% of patients with occult SUI were identified by pessary trial alone. |
| format | Article |
| id | doaj-art-fa5013dc11a945a581513d45eaa06e0a |
| institution | Kabale University |
| issn | 1687-9589 1687-9597 |
| language | English |
| publishDate | 2012-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Obstetrics and Gynecology International |
| spelling | doaj-art-fa5013dc11a945a581513d45eaa06e0a2025-02-03T06:13:27ZengWileyObstetrics and Gynecology International1687-95891687-95972012-01-01201210.1155/2012/392027392027Ambulatory Pessary Trial Unmasks Occult Stress Urinary IncontinenceBilal Chughtai0Sara Spettel1Jonathan Kurman2Elise De3Continence Center, Urological Institute of Northeast New York and Division of Urology, Albany Medical College, Albany, NY 12208, USAContinence Center, Urological Institute of Northeast New York and Division of Urology, Albany Medical College, Albany, NY 12208, USAContinence Center, Urological Institute of Northeast New York and Division of Urology, Albany Medical College, Albany, NY 12208, USAContinence Center, Urological Institute of Northeast New York and Division of Urology, Albany Medical College, Albany, NY 12208, USAObjective. We evaluated the use of a one-week ambulatory pessary trial in predicting patients' postoperative outcomes for occult stress incontinence. Methods. Patients with anterior vaginal wall prolapse were offered a pessary trial to predict response to reconstruction. We performed a retrospective review of 4 years of cases. All patients underwent a detailed evaluation including videourodynamics with and without pessary reduction. Results. Twenty-six patients completed the 1-week pessary trial. Ten (38%) women showing no evidence of stress urinary incontinence (SUI) underwent surgical repair of prolapse without anti-incontinence procedure. None of these patients had SUI postoperatively. Sixteen women (61%) had occult stress urinary incontinence on evaluation and underwent concurrent sling procedure. Three (19%) of these patients were identified by the pessary trial alone. Twenty-five of the 26 patients were without clinical stress incontinence at a mean follow up of 12 months (range 4–37 months). The pessary trial correctly predicted persistent urgency in six patients and persistent frequency in five. No patients with SUI or persistent voiding difficult were missed in a pessary trial. Conclusion. An ambulatory pessary trial is an effective, easy, and inexpensive method to approximate anatomic results achieved by surgery under real-life conditions. In our series, 20% of patients with occult SUI were identified by pessary trial alone.http://dx.doi.org/10.1155/2012/392027 |
| spellingShingle | Bilal Chughtai Sara Spettel Jonathan Kurman Elise De Ambulatory Pessary Trial Unmasks Occult Stress Urinary Incontinence Obstetrics and Gynecology International |
| title | Ambulatory Pessary Trial Unmasks Occult Stress Urinary Incontinence |
| title_full | Ambulatory Pessary Trial Unmasks Occult Stress Urinary Incontinence |
| title_fullStr | Ambulatory Pessary Trial Unmasks Occult Stress Urinary Incontinence |
| title_full_unstemmed | Ambulatory Pessary Trial Unmasks Occult Stress Urinary Incontinence |
| title_short | Ambulatory Pessary Trial Unmasks Occult Stress Urinary Incontinence |
| title_sort | ambulatory pessary trial unmasks occult stress urinary incontinence |
| url | http://dx.doi.org/10.1155/2012/392027 |
| work_keys_str_mv | AT bilalchughtai ambulatorypessarytrialunmasksoccultstressurinaryincontinence AT saraspettel ambulatorypessarytrialunmasksoccultstressurinaryincontinence AT jonathankurman ambulatorypessarytrialunmasksoccultstressurinaryincontinence AT elisede ambulatorypessarytrialunmasksoccultstressurinaryincontinence |