Re: Change in Urinary Storage Symptoms following Treatment for Female Stress Urinary Incontinence.

Abstract

available at http://www.ncbi.nlm.nih.gov/pubmed/2479705 Editorial Comment: This article was designed to comment specifically regarding the diagnosis of voiding obstruction in women with the Blaivas-Groutz nomogram, which uses the peak flow from a noninstrumented flow and the maximum detrusor pressure at peak flow from a pressure-flow study. The urodynamics of 597 women with stress dominant urinary incontinence were analyzed. Overall higher voided volumes were observed during pressure-flow study compared to noninstrumented flows, and the subjects had a higher peak flow rate with noninstrumented flow compared to pressureflow studies. The relationship between peak flow and voided volume was significantly different between noninstrumented flow and pressure-flow studies. At 200 ml the noninstrumented peak flow was 14% higher than that recorded during pressure-flow studies, and the difference increased to 30% at 700 ml. The conclusion was that values from flow rates from a pressure-flow study and a noninstrumented study cannot be used interchangeably as had been suggested in the Blaivas-Groutz nomogram for obstruction in women. Alan J. Wein, MD, PhD (hon) Re: Change in Urinary Storage Symptoms following Treatment for Female Stress Urinary Incontinence P. Padmanabhan, Z. Panfili, W. Parker and A. Gomelsky Department of Urology, University of Kansas Medical Center, Kansas City, Kansas, and Department of Urology, Louisiana State University HealthShreveport, Shreveport, Louisiana Int Urogynecol J 2016; 27: 1169e1174. doi: 10.1007/s00192-016-2951-6 Abstract available at http://www.ncbi.nlm.nih.gov/pubmed/26797098available at http://www.ncbi.nlm.nih.gov/pubmed/26797098 Editorial Comment: This is a combined report from the University of Kansas Medical Center and Louisiana State University in Shreveport on the change in urgency/urge urinary incontinence in women with stress predominant mixed urinary incontinence following surgical treatment. This was a retrospective review (note this) of women treated with either a synthetic retropubic mid urethral sling or an autologous rectal fascial pubovaginal sling. A total of 718 women with preoperative mixed

DOI: 10.1016/j.juro.2017.04.054

Cite this paper

@article{Wein2017ReCI, title={Re: Change in Urinary Storage Symptoms following Treatment for Female Stress Urinary Incontinence.}, author={Alan J. Wein}, journal={The Journal of urology}, year={2017}, volume={198 1}, pages={179-180} }