{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,2]],"date-time":"2026-05-02T12:36:35Z","timestamp":1777725395005,"version":"3.51.4"},"reference-count":81,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2003,12,22]],"date-time":"2003-12-22T00:00:00Z","timestamp":1072051200000},"content-version":"vor","delay-in-days":630,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["BJOG"],"published-print":{"date-parts":[[2002,4]]},"abstract":"<jats:p><jats:bold>Objective\n\t\t\t\t\t<\/jats:bold> To investigate the causes of voiding dysfunction and new detrusor instability after colposuspension.<\/jats:p><jats:p><jats:bold>Design\n\t\t\t\t\t<\/jats:bold> Prospective, observational study.<\/jats:p><jats:p><jats:bold>Setting\n\t\t\t\t\t<\/jats:bold> Urogynaecology unit, district general hospital.<\/jats:p><jats:p><jats:bold>Population\n\t\t\t\t\t<\/jats:bold> Seventy\u2010seven women undergoing colposuspension for genuine stress incontinence.<\/jats:p><jats:p><jats:bold>Methods\n\t\t\t\t\t<\/jats:bold> The following factors were investigated: 1. bladder neck elevation by magnetic resonance imaging before and after surgery; 2. urethral compression by measuring bladder neck approximation to the pubis with magnetic resonance imaging after surgery (anterior compression) and the distance between the medial stitches during surgery (lateral compression); 3. clinical and urodynamic factors.<\/jats:p><jats:p><jats:bold>Main outcome measures\n\t\t\t\t\t<\/jats:bold> 1. Post\u2010operative voiding function (i.e. first day of voiding and day of catheter removal); 2. objective evidence of detrusor instability three months post\u2010operatively.<\/jats:p><jats:p><jats:bold>Results\n\t\t\t\t\t<\/jats:bold> Pre\u2010operative peak flow rate (<jats:styled-content><jats:italic>P<\/jats:italic>= 0.004<\/jats:styled-content>), straining during voiding (<jats:styled-content><jats:italic>P<\/jats:italic>= 0.005<\/jats:styled-content>), increasing age (<jats:italic>P<\/jats:italic>&lt; 0.001), operative elevation (<jats:italic>P<\/jats:italic>&lt; 0.001) and anterior urethral compression (<jats:styled-content><jats:italic>P<\/jats:italic>= 0.001<\/jats:styled-content>) were associated with the number of days of post\u2010operative catheterisation. Increasing age (<jats:styled-content><jats:italic>P<\/jats:italic>= 0.02<\/jats:styled-content>), previous bladder neck surgery (<jats:styled-content><jats:italic>P<\/jats:italic>= 0.04<\/jats:styled-content>), operative elevation (<jats:styled-content><jats:italic>P<\/jats:italic>= 0.049<\/jats:styled-content>) and anterior urethral compression (<jats:italic>P<\/jats:italic>&lt; 0.001) were associated with detrusor instability at three months.<\/jats:p><jats:p><jats:bold>Conclusion\n\t\t\t\t\t<\/jats:bold> Surgical factors (bladder neck elevation and compression) are associated with voiding dysfunction and detrusor instability after colposuspension. 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