{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T16:55:25Z","timestamp":1782924925798,"version":"3.54.5"},"reference-count":20,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Gynecology &amp; Obste"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>This study evaluates changes in bladder storage capacity and function following mid\u2010urethral sling (MUS) surgery in women with urodynamic stress incontinence (USI).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>In this retrospective cohort study, 685 women with USI underwent MUS using single\u2010incision sling devices (Ophira, Solyx, or I\u2010Stop Mini) between 2015 and 2024 at a tertiary urogynecology center. Preoperative and postoperative assessments included validated quality\u2010of\u2010life (QoL) questionnaires, 1\u2010h pad test, and multichannel urodynamic studies. Subgroup analysis was performed in women with greater baseline leakage burden (pad test \u22655\u2009g). The primary outcome was change in cystometric capacity (CC); secondary outcomes included urodynamic parameters, QoL, and continence outcomes. Objective cure was defined as a 1\u2010h pad test &lt;2\u2009g with no leakage on urodynamics and subjective cure as Urogenital Distress Inventory\u20106 Question 3 \u22641.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      At 1\u2009year, objective and subjective cure rates were 89.5% and 87.0%, respectively. Although overall CC increased modestly (369.6\u2009\u00b1\u2009118.8 to 377.1\u2009\u00b1\u2009121.3\u2009mL;\n                      <jats:italic>P\u2009=<\/jats:italic>\n                      \u20090.097), a significant improvement was observed in women with greater baseline leakage (374.1\u2009\u00b1\u2009118.2 to 391.8\u2009\u00b1\u2009122.5\u2009mL;\n                      <jats:italic>P\u2009=<\/jats:italic>\n                      \u20090.005). Mean 1\u2010h pad test weight decreased markedly (25.1\u20132.7\u2009g;\n                      <jats:italic>P\u2009&lt;<\/jats:italic>\n                      \u20090.001). QoL scores improved significantly across both success and failure groups. De novo detrusor overactivity occurred in 3.9% of patients.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Mid\u2010urethral sling surgery achieved high continence rates and significant QoL improvement in women with USI. Although overall postoperative changes in cystometric capacity were modest and did not reach statistical significance, patients with greater baseline leakage (pad test \u22655\u2009g) demonstrated significant improvements in bladder storage parameters. These findings suggest a possible association between successful continence restoration and improved bladder storage function in selected patients. Further prospective studies are warranted to confirm these observations and clarify underlying mechanisms.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/ijgo.71170","type":"journal-article","created":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T16:20:52Z","timestamp":1782922852000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Urodynamic changes in bladder storage function after single\u2010incision mid\u2010urethral sling surgery for stress urinary incontinence"],"prefix":"10.1002","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3885-1359","authenticated-orcid":false,"given":"Tsia\u2010Shu","family":"Lo","sequence":"first","affiliation":[{"name":"Division of Urogynecology, Department of Obstetrics and Gynecology, Linkou Chang Gung Memorial Hospital Linkou Medical Center  Taoyuan Taiwan"},{"name":"Department of Obstetrics and Gynecology, Chang Gung Memorial Hospital Keelung Medical Center  Keelung Taiwan"},{"name":"Department of Obstetrics and Gynecology, Chang Gung Memorial Hospital Taipei Medical Center  Taipei Taiwan"},{"name":"School of Medicine Chang Gung University  Taoyuan Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Irene Balonzo","family":"Villaflor","sequence":"additional","affiliation":[{"name":"Division of Urogynecology, Department of Obstetrics and Gynecology, Linkou Chang Gung Memorial Hospital Linkou Medical Center  Taoyuan Taiwan"},{"name":"Department of Obstetrics and Gynecology Batangas Medical Center  Batangas Philippines"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chean Wen","family":"Li","sequence":"additional","affiliation":[{"name":"Division of Urogynecology, Department of Obstetrics and Gynecology, Linkou Chang Gung Memorial Hospital Linkou Medical Center  Taoyuan Taiwan"},{"name":"Department of Obstetrics and Gynaecology Seberang Jaya Hospital  Penang Malaysia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chien\u2010Chien","family":"Yu","sequence":"additional","affiliation":[{"name":"Division of Urogynecology, Department of Obstetrics and Gynecology, Linkou Chang Gung Memorial Hospital Linkou Medical Center  Taoyuan Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ai\u2010Leen","family":"Ro","sequence":"additional","affiliation":[{"name":"Division of Urogynecology, Department of Obstetrics and Gynecology, Linkou Chang Gung Memorial Hospital Linkou Medical Center  Taoyuan Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tzu\u2010Hsiang","family":"Hsieh","sequence":"additional","affiliation":[{"name":"Division of Urogynecology, Department of Obstetrics and Gynecology, Linkou Chang Gung Memorial Hospital Linkou Medical Center  Taoyuan 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