{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,18]],"date-time":"2026-10-18T23:26:53Z","timestamp":1792366013880,"version":"4.4.0"},"reference-count":22,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2008,12,16]],"date-time":"2008-12-16T00:00:00Z","timestamp":1229385600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Neurourology and Urodynamics"],"published-print":{"date-parts":[[2009,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aims<\/jats:title><jats:p>To determine if specific pre\u2010operative urodynamic parameters could predict detrusor overactivity following TVT in patients with urodynamic mixed incontinence.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Notes of women with detrusor overactivity (DO) and urodynamic stress incontinence (USI) before undergoing tension\u2010free vaginal tape (TVT) surgery were retrospectively reviewed. Patients underwent clinical evaluation pre\u2010operatively including history, examination, and conventional urodynamic studies and were treated with pelvic floor exercises and anti\u2010cholinergic medication. Those with persistent stress urinary incontinence (SUI) underwent TVT. Patients were re\u2010assessed after at least 6 months post\u2010operatively. Pre\u2010 and post\u2010operative opening and closing detrusor pressure, and detrusor pressure at maximum flow were recorded retrospectively from pre\u2010operative urodynamics traces by two clinicians independently and compared to the patients' post\u2010operative symptoms and urodynamic diagnosis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Fifty\u2010one women were reviewed. Forty\u2010six of the 51 attended follow\u2010up and 35\/51 agreed to conventional urodynamic studies. Seventeen of the 35 reported OAB symptoms, and 18\/35 were asymptomatic. Nineteen of the 35 women had DO and 16\/35 had normal urodynamic studies (NUDS). The median pre\u2010operative opening detrusor pressure was higher in women with overactive bladder symptoms post\u2010operatively. The median pre\u2010operative opening detrusor pressure in women with DO post\u2010operatively was 33.0 cmH<jats:sub>2<\/jats:sub>O and the median pre\u2010operative opening detrusor pressure in those with NUDS post\u2010operatively was 16 cmH<jats:sub>2<\/jats:sub>O (15.0\u201323.0 cmH<jats:sub>2<\/jats:sub>O) (P\u2009&lt;\u20090.05 Mann\u2013Whitney U\u2010test).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Higher numbers of patients are required to demonstrate the value of opening detrusor pressure in predicting post\u2010operative overactive bladder symptoms. Opening detrusor pressure is predictive of post\u2010operative DO after TVT. Neurourol. Urodynam. 28:82\u201385, 2009. \u00a9 2008 Wiley\u2010Liss, Inc.<\/jats:p><\/jats:sec>","DOI":"10.1002\/nau.20576","type":"journal-article","created":{"date-parts":[[2008,12,18]],"date-time":"2008-12-18T23:37:17Z","timestamp":1229643437000},"page":"82-85","source":"Crossref","is-referenced-by-count":37,"title":["Pre\u2010operative opening detrusor pressure is predictive of detrusor overactivity following TVT in patients with pre\u2010operative mixed urinary 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