Cargando…
Preliminary report on the effect of urethral diverticulum magnetic resonance imaging configuration on the incidence of new onset urodynamic stress urinary incontinence following excision
CONTEXT: Excision of urethral diverticulum in females has been reported to be associated with new onset urodynamic stress urinary incontinence (USUI) in up to 49%. AIMS: We have assessed the incidence of new onset USUI in all patients having urethral diverticulum excision with Martius fat pad interp...
Autores principales: | , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Medknow Publications & Media Pvt Ltd
2017
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5656954/ https://www.ncbi.nlm.nih.gov/pubmed/29118531 http://dx.doi.org/10.4103/UA.UA_13_17 |
_version_ | 1783273794837676032 |
---|---|
author | Malde, Sachin Naaseri, Sahar Kavia, Rajesh Pakzad, Mahreen Hamid, Rizwan Ockrim, Jeremy Greenwell, Tamsin J |
author_facet | Malde, Sachin Naaseri, Sahar Kavia, Rajesh Pakzad, Mahreen Hamid, Rizwan Ockrim, Jeremy Greenwell, Tamsin J |
author_sort | Malde, Sachin |
collection | PubMed |
description | CONTEXT: Excision of urethral diverticulum in females has been reported to be associated with new onset urodynamic stress urinary incontinence (USUI) in up to 49%. AIMS: We have assessed the incidence of new onset USUI in all patients having urethral diverticulum excision with Martius fat pad interposition under the care of a single surgeon between May 1, 2007, and December 1, 2011. The incidence of new onset USUI has been correlated with the preoperative magnetic resonance imaging (MRI) appearance of the urethral diverticulum. PATIENTS AND METHODS: All 33 patients (mean age 42) having urethral diverticulum with Martius fat pad interposition had prospective data tabulated on demographics, preoperative MRI appearance, and pre- and post-operative videocystometrogram. STATISTICAL ANALYSIS USED: Statistical analysis was performed by Chi-squared and Fisher's exact. RESULTS: Of the 33 patients, 10 (30%) had preoperative USUI and have been excluded from this study. Other preoperative urodynamic findings included idiopathic detrusor overactivity in ten (30%) and bladder outflow obstruction in five (16%). Two (10%) of the patients had a simple diverticulum, 16 (73%) had a horseshoe diverticulum, and 5 (17%) had a circumferential diverticulum. The rate of new onset USUI was 0% for simple, 6% for saddle, and 20% for circumferential. CONCLUSIONS: New onset USUI occurs in 9% of patients having excision of urethral diverticulum with Martius fat pad interposition. The incidence appears to increase with increasing complexity of urethral diverticulum on preoperative MRI – rising from 0% following simple urethral diverticulum excision to 20% following circumferential diverticulum excision. |
format | Online Article Text |
id | pubmed-5656954 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2017 |
publisher | Medknow Publications & Media Pvt Ltd |
record_format | MEDLINE/PubMed |
spelling | pubmed-56569542017-11-08 Preliminary report on the effect of urethral diverticulum magnetic resonance imaging configuration on the incidence of new onset urodynamic stress urinary incontinence following excision Malde, Sachin Naaseri, Sahar Kavia, Rajesh Pakzad, Mahreen Hamid, Rizwan Ockrim, Jeremy Greenwell, Tamsin J Urol Ann Original Article CONTEXT: Excision of urethral diverticulum in females has been reported to be associated with new onset urodynamic stress urinary incontinence (USUI) in up to 49%. AIMS: We have assessed the incidence of new onset USUI in all patients having urethral diverticulum excision with Martius fat pad interposition under the care of a single surgeon between May 1, 2007, and December 1, 2011. The incidence of new onset USUI has been correlated with the preoperative magnetic resonance imaging (MRI) appearance of the urethral diverticulum. PATIENTS AND METHODS: All 33 patients (mean age 42) having urethral diverticulum with Martius fat pad interposition had prospective data tabulated on demographics, preoperative MRI appearance, and pre- and post-operative videocystometrogram. STATISTICAL ANALYSIS USED: Statistical analysis was performed by Chi-squared and Fisher's exact. RESULTS: Of the 33 patients, 10 (30%) had preoperative USUI and have been excluded from this study. Other preoperative urodynamic findings included idiopathic detrusor overactivity in ten (30%) and bladder outflow obstruction in five (16%). Two (10%) of the patients had a simple diverticulum, 16 (73%) had a horseshoe diverticulum, and 5 (17%) had a circumferential diverticulum. The rate of new onset USUI was 0% for simple, 6% for saddle, and 20% for circumferential. CONCLUSIONS: New onset USUI occurs in 9% of patients having excision of urethral diverticulum with Martius fat pad interposition. The incidence appears to increase with increasing complexity of urethral diverticulum on preoperative MRI – rising from 0% following simple urethral diverticulum excision to 20% following circumferential diverticulum excision. Medknow Publications & Media Pvt Ltd 2017 /pmc/articles/PMC5656954/ /pubmed/29118531 http://dx.doi.org/10.4103/UA.UA_13_17 Text en Copyright: © 2017 Urology Annals http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 3.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms. |
spellingShingle | Original Article Malde, Sachin Naaseri, Sahar Kavia, Rajesh Pakzad, Mahreen Hamid, Rizwan Ockrim, Jeremy Greenwell, Tamsin J Preliminary report on the effect of urethral diverticulum magnetic resonance imaging configuration on the incidence of new onset urodynamic stress urinary incontinence following excision |
title | Preliminary report on the effect of urethral diverticulum magnetic resonance imaging configuration on the incidence of new onset urodynamic stress urinary incontinence following excision |
title_full | Preliminary report on the effect of urethral diverticulum magnetic resonance imaging configuration on the incidence of new onset urodynamic stress urinary incontinence following excision |
title_fullStr | Preliminary report on the effect of urethral diverticulum magnetic resonance imaging configuration on the incidence of new onset urodynamic stress urinary incontinence following excision |
title_full_unstemmed | Preliminary report on the effect of urethral diverticulum magnetic resonance imaging configuration on the incidence of new onset urodynamic stress urinary incontinence following excision |
title_short | Preliminary report on the effect of urethral diverticulum magnetic resonance imaging configuration on the incidence of new onset urodynamic stress urinary incontinence following excision |
title_sort | preliminary report on the effect of urethral diverticulum magnetic resonance imaging configuration on the incidence of new onset urodynamic stress urinary incontinence following excision |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5656954/ https://www.ncbi.nlm.nih.gov/pubmed/29118531 http://dx.doi.org/10.4103/UA.UA_13_17 |
work_keys_str_mv | AT maldesachin preliminaryreportontheeffectofurethraldiverticulummagneticresonanceimagingconfigurationontheincidenceofnewonseturodynamicstressurinaryincontinencefollowingexcision AT naaserisahar preliminaryreportontheeffectofurethraldiverticulummagneticresonanceimagingconfigurationontheincidenceofnewonseturodynamicstressurinaryincontinencefollowingexcision AT kaviarajesh preliminaryreportontheeffectofurethraldiverticulummagneticresonanceimagingconfigurationontheincidenceofnewonseturodynamicstressurinaryincontinencefollowingexcision AT pakzadmahreen preliminaryreportontheeffectofurethraldiverticulummagneticresonanceimagingconfigurationontheincidenceofnewonseturodynamicstressurinaryincontinencefollowingexcision AT hamidrizwan preliminaryreportontheeffectofurethraldiverticulummagneticresonanceimagingconfigurationontheincidenceofnewonseturodynamicstressurinaryincontinencefollowingexcision AT ockrimjeremy preliminaryreportontheeffectofurethraldiverticulummagneticresonanceimagingconfigurationontheincidenceofnewonseturodynamicstressurinaryincontinencefollowingexcision AT greenwelltamsinj preliminaryreportontheeffectofurethraldiverticulummagneticresonanceimagingconfigurationontheincidenceofnewonseturodynamicstressurinaryincontinencefollowingexcision |