{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,27]],"date-time":"2026-02-27T02:40:30Z","timestamp":1772160030093,"version":"3.50.1"},"reference-count":26,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2013,2,20]],"date-time":"2013-02-20T00:00:00Z","timestamp":1361318400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["bjui-journals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["BJU International"],"published-print":{"date-parts":[[2013,8]]},"abstract":"\n Objectives<\/jats:title>\n \n \n \n \n To identify how many patients with symptoms of pure stress urinary incontinence (\n SUI<\/jats:styled-content>\n ) do not require any surgical treatment on the basis of urodynamics (\n UDS<\/jats:styled-content>\n ) and how many patients still do not require surgery 1 year after\n UDS<\/jats:styled-content>\n .\n <\/jats:p>\n <\/jats:list-item>\n \n To assess the outcomes of these patients at 12\u2010month follow\u2010up.<\/jats:p>\n <\/jats:list-item>\n <\/jats:list>\n <\/jats:p>\n <\/jats:sec>\n \n Patients and methods<\/jats:title>\n \n \n \n \n Women with pure\n SUI<\/jats:styled-content>\n received\n UDS<\/jats:styled-content>\n and were prospectively divided into four groups, comprising women with: urodynamic stress incontinence (\n USI<\/jats:styled-content>\n ); detrusor overactivity (\n DO<\/jats:styled-content>\n );\n USI<\/jats:styled-content>\n +\n DO<\/jats:styled-content>\n ; and inconclusive\n UDS<\/jats:styled-content>\n .\n <\/jats:p>\n <\/jats:list-item>\n \n \n Women with\n USI<\/jats:styled-content>\n underwent a\n T<\/jats:styled-content>\n ension\n F<\/jats:styled-content>\n ree\n V<\/jats:styled-content>\n aginal\n T<\/jats:styled-content>\n ape (\n O<\/jats:styled-content>\n bturator) (\n TVT<\/jats:styled-content>\n \u2010\n O<\/jats:styled-content>\n ) procedure (\n G<\/jats:styled-content>\n ynecare;\n E<\/jats:styled-content>\n thicon\n I<\/jats:styled-content>\n nc.,\n S<\/jats:styled-content>\n omerville,\n NJ<\/jats:styled-content>\n ,\n USA<\/jats:styled-content>\n ), whereas women with\n DO<\/jats:styled-content>\n \u00b1\/\u2212 USI were recommended 24\u2010week antimuscarinic therapy.\n <\/jats:p>\n <\/jats:list-item>\n \n \n Follow\u2010up was scheduled at 3 and 12 months. To define subjective outcomes, all patients completed the\n I<\/jats:styled-content>\n nternational\n C<\/jats:styled-content>\n onsultation on\n I<\/jats:styled-content>\n ncontinence\n Q<\/jats:styled-content>\n uestionnaire \u2013 short form, the\n P<\/jats:styled-content>\n atient\n G<\/jats:styled-content>\n lobal\n I<\/jats:styled-content>\n mpression \u2013\n I<\/jats:styled-content>\n mprovement and the\n U<\/jats:styled-content>\n rinary\n D<\/jats:styled-content>\n istress\n I<\/jats:styled-content>\n nventory.\n <\/jats:p>\n <\/jats:list-item>\n \n \n Patients were considered cured if they presented a negative stress test, a score reduction of at least 80% on the\n U<\/jats:styled-content>\n rinary\n D<\/jats:styled-content>\n istress Inventory and a response of \u2018much better\u2019 or \u2018very much better\u2019 on the\n P<\/jats:styled-content>\n atient\n G<\/jats:styled-content>\n lobal\n I<\/jats:styled-content>\n mpression \u2013\n I<\/jats:styled-content>\n mprovement.\n <\/jats:p>\n <\/jats:list-item>\n <\/jats:list>\n <\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n \n \n \n Of the 263 women with pure\n SUI<\/jats:styled-content>\n , 74.5% had a urodynamic diagnosis of\n USI<\/jats:styled-content>\n , 10.6% had\n DO<\/jats:styled-content>\n , 8% had\n USI<\/jats:styled-content>\n +\n DO<\/jats:styled-content>\n and 6.8% had inconclusive\n UDS<\/jats:styled-content>\n .\n <\/jats:p>\n <\/jats:list-item>\n \n \n A<\/jats:styled-content>\n t 12\u2010month follow\u2010up, 165\/181 (91.6%) women in group 1 were considered cured post\u2010\n TVT<\/jats:styled-content>\n \u2010\n O<\/jats:styled-content>\n ; in the other groups, 33\/67 (49.2%) patients were considered cured simply as a result of taking antimuscarinics; 13 of these 67 patients required\n TVT<\/jats:styled-content>\n \u2010\n O<\/jats:styled-content>\n .\n <\/jats:p>\n <\/jats:list-item>\n <\/jats:list>\n <\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n \n \n \n \n UDS<\/jats:styled-content>\n is able to show that several patients with symptoms of pure\n SUI<\/jats:styled-content>\n present an underlying\n DO<\/jats:styled-content>\n and do not require surgery, even 1 year after\n UDS<\/jats:styled-content>\n .\n <\/jats:p>\n <\/jats:list-item>\n \n \n In these patients, antimuscarinic treatment appears to ensure a good rate of cure; thus,\n UDS<\/jats:styled-content>\n could lead to the avoidance of several surgical procedures.\n <\/jats:p>\n <\/jats:list-item>\n <\/jats:list>\n <\/jats:p>\n <\/jats:sec>","DOI":"10.1111\/bju.12007","type":"journal-article","created":{"date-parts":[[2013,2,20]],"date-time":"2013-02-20T07:32:37Z","timestamp":1361345557000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":28,"title":["Urodynamic evaluation: can it prevent the need for surgical intervention in women with apparent pure stress urinary incontinence?"],"prefix":"10.1111","volume":"112","author":[{"given":"Maurizio","family":"Serati","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology University of Insubria Varese Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elena","family":"Cattoni","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology University of Insubria Varese Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gabriele","family":"Siesto","sequence":"additional","affiliation":[{"name":"Department of Gynecology IRCCS Humanitas Clinical and Research Center Rozzano Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andrea","family":"Braga","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology University of Insubria Varese Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Paola","family":"Sorice","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology University of Insubria Varese Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Simona","family":"Cantaluppi","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology University of Insubria Varese Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Antonella","family":"Cromi","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology University of Insubria Varese Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fabio","family":"Ghezzi","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology University of Insubria Varese 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