{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,18]],"date-time":"2025-10-18T10:56:52Z","timestamp":1760785012556,"version":"3.41.2"},"reference-count":22,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2021,1,1]],"date-time":"2021-01-01T00:00:00Z","timestamp":1609459200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Therapeutic Advances in Urology"],"published-print":{"date-parts":[[2021,1]]},"abstract":"<jats:sec><jats:title>Objectives:<\/jats:title><jats:p> To evaluate the role of preoperative abdominal straining in predicting de novo overactive bladder (OAB) and voiding dysfunction in female patients undergoing suburethral taping by trans-obturator approach (TVT-O) for uncomplicated stress urinary incontinence (SUI). <\/jats:p><\/jats:sec><jats:sec><jats:title>Methods:<\/jats:title><jats:p> Data from patients who underwent TVT-O surgery for SUI were retrospectively analyzed. Inclusion criteria included: history of pure SUI. Exclusion criteria included previous surgery for urinary incontinence, pelvic radiation, pelvic surgery within the last 3 months, and anterior or apical pelvic organ prolapse (POP)\u2009\u2a7e\u2009+1 cm. Voiding dysfunction has been defined through symptoms and or urodynamics (UDS) signs. Accordingly, patients were divided into group A and group B according to the presence of abdominal straining during UDS. Patients were observed clinically and with UDS at a 3-year follow-up. <\/jats:p><\/jats:sec><jats:sec><jats:title>Results:<\/jats:title><jats:p> A total of 192 patients underwent TVT-O surgery for uncomplicated SUI. Preoperative abdominal straining was identified in 60\/192 patients (Group A: 31.2% vs Group B: 68.8%). Qmax was not different in the two groups (Group A: 19.5 vs Group B: 20.5 mL\/s, p\u2009=\u20090.76). Demographics was similar for the two groups regarding age, parity. At 3-year follow-up, voiding dysfunction was reported in Group A: 9 and Group B: 8 patients ( p\u2009=\u20090.056), de novo OAB was significantly reported in Group A: 23 and Group B: 26 patients ( p\u2009=\u20090.007). <\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion:<\/jats:title><jats:p> Preoperative abdominal straining was found to be related to a significant incidence of de novo OAB. A significant correlation was not assessed for postoperative voiding dysfunction. Further studies may better define the impact of preoperative abdominal straining. <\/jats:p><\/jats:sec>","DOI":"10.1177\/17562872211058243","type":"journal-article","created":{"date-parts":[[2021,11,24]],"date-time":"2021-11-24T12:18:45Z","timestamp":1637756325000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":3,"title":["Preoperative abdominal straining in uncomplicated stress urinary incontinence: is there a correlation with voiding dysfunction and <i>de novo<\/i> overactive bladder after mid-urethral sling procedures?"],"prefix":"10.1177","volume":"13","author":[{"given":"Valerio","family":"Lacovelli","sequence":"first","affiliation":[{"name":"Department of Surgical Sciences, Urology Unit, San Carlo di Nancy Hospital, GVM Care and Research, University of Rome Tor Vergata, Via Aurelia 275, 00165 Rome, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maurizio","family":"Serati","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, University of Insubria, Varese, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daniele","family":"Bianchi","sequence":"additional","affiliation":[{"name":"Department of Surgical Sciences, Urology Unit, University of Rome Tor Vergata, Rome, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andrea","family":"Braga","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, EOC - Beata Vergine Hospital, Mendrisio, Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andrea","family":"Turbanti","sequence":"additional","affiliation":[{"name":"Policlinico Tor Vergata University Hospital, Rome, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0308-8824","authenticated-orcid":false,"given":"Enrico Finazzi","family":"Agr\u00f2","sequence":"additional","affiliation":[{"name":"Department of Surgical Sciences, Urology Unit, University of Rome Tor Vergata, Rome, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2021,11,24]]},"reference":[{"key":"bibr1-17562872211058243","doi-asserted-by":"publisher","DOI":"10.1016\/j.jmig.2007.11.004"},{"key":"bibr2-17562872211058243","doi-asserted-by":"publisher","DOI":"10.1002\/nau.23328"},{"key":"bibr3-17562872211058243","doi-asserted-by":"publisher","DOI":"10.1016\/j.cct.2009.07.001"},{"key":"bibr4-17562872211058243","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa1113595"},{"key":"bibr5-17562872211058243","doi-asserted-by":"publisher","DOI":"10.1002\/nau.22324"},{"key":"bibr6-17562872211058243","first-page":"691","volume":"70","author":"Finazzi Agro E","year":"2017","journal-title":"Arch Esp Urol"},{"key":"bibr7-17562872211058243","doi-asserted-by":"publisher","DOI":"10.1002\/nau.23865"},{"key":"bibr8-17562872211058243","doi-asserted-by":"publisher","DOI":"10.1007\/s00192-011-1406-3"},{"key":"bibr9-17562872211058243","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.2011.02915.x"},{"key":"bibr10-17562872211058243","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9378(96)70243-0"},{"key":"bibr11-17562872211058243","doi-asserted-by":"publisher","DOI":"10.1002\/nau.10066"},{"key":"bibr12-17562872211058243","doi-asserted-by":"publisher","DOI":"10.1002\/nau.20798"},{"key":"bibr13-17562872211058243","doi-asserted-by":"publisher","DOI":"10.1067\/mob.2003.379"},{"key":"bibr14-17562872211058243","doi-asserted-by":"publisher","DOI":"10.1002\/nau.24358"},{"key":"bibr15-17562872211058243","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2016.06.010"},{"key":"bibr16-17562872211058243","doi-asserted-by":"publisher","DOI":"10.1007\/s00192-015-2854-y"},{"key":"bibr17-17562872211058243","doi-asserted-by":"publisher","DOI":"10.1007\/s00192-017-3417-1"},{"key":"bibr18-17562872211058243","doi-asserted-by":"publisher","DOI":"10.1111\/j.1464-410X.2012.11652.x"},{"key":"bibr19-17562872211058243","doi-asserted-by":"publisher","DOI":"10.23736\/S0393-2249.20.03801-1"},{"key":"bibr20-17562872211058243","doi-asserted-by":"publisher","DOI":"10.23736\/S0393-2249.20.03685-1"},{"key":"bibr21-17562872211058243","first-page":"58","volume":"72","author":"Braga A","year":"2020","journal-title":"Minerva Urol Nefrol"},{"key":"bibr22-17562872211058243","doi-asserted-by":"publisher","DOI":"10.1016\/j.eururo.2010.06.007"}],"container-title":["Therapeutic Advances in Urology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/17562872211058243","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/17562872211058243","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/17562872211058243","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,3,3]],"date-time":"2025-03-03T03:06:43Z","timestamp":1740971203000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/17562872211058243"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,1]]},"references-count":22,"alternative-id":["10.1177\/17562872211058243"],"URL":"https:\/\/doi.org\/10.1177\/17562872211058243","relation":{},"ISSN":["1756-2872","1756-2880"],"issn-type":[{"type":"print","value":"1756-2872"},{"type":"electronic","value":"1756-2880"}],"subject":[],"published":{"date-parts":[[2021,1]]},"article-number":"17562872211058243"}}