Using a Pessary to Predict Urinary Incontinence After Surgery
Author Information
Author(s): Bilal Chughtai, Sara Spettel, Jonathan Kurman, Elise De
Primary Institution: Albany Medical College
Hypothesis
Can a one-week ambulatory pessary trial predict postoperative outcomes for occult stress urinary incontinence?
Conclusion
The ambulatory pessary trial is an effective method to identify women with occult stress urinary incontinence before surgery.
Supporting Evidence
- Twenty-six patients completed the one-week pessary trial.
- Ten women showed no evidence of stress urinary incontinence and had no issues postoperatively.
- Sixteen women had occult stress urinary incontinence identified by the trial.
Takeaway
Doctors used a special device called a pessary to help find out if women would have problems with leaking urine after surgery. It worked well for many women.
Methodology
A retrospective review of patients who underwent a one-week ambulatory pessary trial to predict outcomes for occult stress urinary incontinence.
Potential Biases
Potential bias due to reliance on patient-reported outcomes and non-standardized follow-up.
Limitations
The study had a small sample size and relied on retrospective data collection.
Participant Demographics
Mean age of participants was 65, with a range from 44 to 80 years; 24 had a cystocele and 10 had a rectocele.
Digital Object Identifier (DOI)
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