Rune Svenningsen

Occult incontinence as predictor for postoperative stress urinary incontinence following pelvic organ prolapse surgery

Introduction and hypothesisRecommending prophylactic anti-incontinence procedures to continent women undergoing surgery for pelvic organ prolapse (POP) is controversial. We hypothesized that testing for occult incontinence before surgery using four different tests and three defined test combinations would identify individual women at risk for postoperative stress urinary incontinence (POSUI). The diagnostic accuracy of these tests and test combinations were evaluated.MethodsWe tested 137 women before and after surgery. Fisher’s exact test was used when evaluating associations between test results and outcomes. The validity of each test and test combinations was calculated.ResultsWe found a statistically significant association between occult incontinence and POSUI in two tests and all test combinations. However, all tests and test combinations displayed poor performance when predicting at individual levels.ConclusionsThis study confirms a positive association between occult incontinence and POSUI. Occult incontinence does not, however, adequately identify individual women in need of prophylactic anti-incontinence surgery when undergoing POP repair.

Risk factors for long-term failure of the retropubic tension-free vaginal tape procedure.

To investigate potential risk factors for long‐term (10‐year) subjective and objective failure of the retropubic tension‐free vaginal tape procedure (TVT).

Sling mobilization in the management of urinary retention after mid-urethral sling surgery.

To compare intermittent catheterization, sling mobilization, and sling transection for treatment of urinary retention after mid‐urethral sling surgery.

Mid-urethral slings in young, middle-aged, and older women

To compare subjective and objective outcomes of mid‐urethral sling (MUS) surgery in women in different age decades and the utilization rates for MUS in Norwegian women.