{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,9,25]],"date-time":"2025-09-25T15:37:03Z","timestamp":1758814623408},"reference-count":13,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2016,5,31]],"date-time":"2016-05-31T00:00:00Z","timestamp":1464652800000},"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":[[2017,6]]},"abstract":"<jats:sec><jats:title>Aims<\/jats:title><jats:p>(i) To establish whether low maximal urethral closure pressure (MUCP) is associated with a poorer prognosis after TVT\u2010surgery, and if so to establish an MUCP cut\u2010off value for poor outcome. (ii) To characterize the population with a low MUCP.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Retrospective analysis of data from 6,646 women with stress\/mixed urinary incontinence included in the Norwegian Female Incontinence Registry. Postoperative subjective (degree of satisfaction), objective (leakage on stress test) and composite cure according to preoperative MUCP were analyzed in unadjusted and adjusted analysis. Preoperative variables were compared between women having a low or normal MUCP. Non\u2010parametric tests were used on continuous variables and \u03c7<jats:sup>2<\/jats:sup> tests on categorical variables. Logistic regression was used for the adjusted analysis. Level of significance: <jats:italic>P<\/jats:italic>\u2009&lt;\u20090.05.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>An analysis of centiles of preoperative MUCP showed that a cut\u2010off at 20\u2009cm H<jats:sub>2<\/jats:sub>O did best identify women at risk of not being cured. In unadjusted analysis MUCP \u226420\u2009cm H<jats:sub>2<\/jats:sub>O (n\u2009=\u2009422) was associated with objective (OR: 2.48), subjective (OR: 1.60), and composite failure (OR: 1.95) compared to MUCP &gt;20\u2009cm H<jats:sub>2<\/jats:sub>O. In adjusted analysis MUCP \u226420\u2009cm H<jats:sub>2<\/jats:sub>O was associated with neither objective, subjective, nor composite failure. Women with MUCP &lt;20\u2009cm H<jats:sub>2<\/jats:sub>O were preoperatively significantly older, had larger leakage on stress and 24\u2009h pad test, lower mean voided volume and maximum flow rate and higher stress and urge indices.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Women with MUCP \u226420\u2009cm H<jats:sub>2<\/jats:sub>O have similar objective, subjective, and composite outcomes after TVT\u2010surgery compared to women with MUCP &gt;20\u2009cm H<jats:sub>2<\/jats:sub>O after adjusting for preoperative variables. <jats:italic>Neurourol. Urodynam. 36:1320\u20131324, 2017<\/jats:italic>. \u00a9 2016 Wiley Periodicals, Inc.<\/jats:p><\/jats:sec>","DOI":"10.1002\/nau.23044","type":"journal-article","created":{"date-parts":[[2016,5,31]],"date-time":"2016-05-31T10:12:41Z","timestamp":1464689561000},"page":"1320-1324","source":"Crossref","is-referenced-by-count":5,"title":["Outcome of TVT operations in women with low maximum urethral closure pressure"],"prefix":"10.1002","volume":"36","author":[{"given":"Kjartan","family":"Moe","sequence":"first","affiliation":[{"name":"Institute of Clinical Medicine University of Oslo Oslo Norway"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hjalmar A.","family":"Schi\u00f8tz","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Vestfold Hospital T\u00f8nsberg Norway"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sigurd","family":"Kulseng\u2010Hanssen","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Baerum Hospital Rud Norway"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2016,5,31]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.urology.2009.11.078"},{"key":"e_1_2_7_3_1","first-page":"Cd006375","article-title":"Mid\u2010urethral sling operations for stress urinary incontinence in women","volume":"7","author":"Ford AA","year":"2015","journal-title":"Cochrane Database Systemat Rev"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00192-006-0231-6"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejogrb.2005.01.004"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1007\/s001920170005"},{"key":"e_1_2_7_7_1","first-page":"351","article-title":"Urodynamic findings in patients after failure of stress incontinence operations","volume":"78","author":"McGuire EJ","year":"1981","journal-title":"Prog Clin Biol Res"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00192-012-1693-3"},{"key":"e_1_2_7_9_1","first-page":"359","article-title":"Predicting the outcome of mid\u2010urethral tape surgery for stress urinary incontinence using preoperative urodynamics\u2014A systematic review","volume":"109","author":"Iancu G","year":"2014","journal-title":"Chirurgia (Bucur)"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.2003.01406.x"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1002\/nau.20798"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.1002\/uog.2834"},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00192-008-0624-9"},{"key":"e_1_2_7_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.juro.2011.03.105"}],"container-title":["Neurourology and Urodynamics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fnau.23044","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fnau.23044","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/nau.23044","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,3]],"date-time":"2023-10-03T16:47:14Z","timestamp":1696351634000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/nau.23044"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2016,5,31]]},"references-count":13,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2017,6]]}},"alternative-id":["10.1002\/nau.23044"],"URL":"https:\/\/doi.org\/10.1002\/nau.23044","archive":["Portico"],"relation":{},"ISSN":["0733-2467","1520-6777"],"issn-type":[{"value":"0733-2467","type":"print"},{"value":"1520-6777","type":"electronic"}],"subject":[],"published":{"date-parts":[[2016,5,31]]}}}