E-Posters-10050

10050_Rinko

Pdf Summary

The purpose of this study is to determine the benefits of using the Crede maneuver in diagnosing stress urinary incontinence (SUI) after pelvic organ prolapse (POP) surgery. The study involves a retrospective chart review of patients with POP who underwent preoperative urodynamic testing and in-office cystoscopy. The Crede maneuver was performed during surgery to determine if it elicited leakage, and patients were also evaluated for SUI symptoms after surgery. <br /><br />The study included a total of 27 patients, and no significant difference was found between the demographic endpoints, such as age, BMI, gravida, and parity. The majority of the patients were white. The data presented in this study suggests that no singular test is superior in predicting SUI, as there was about a 60% correlation between urodynamic testing, cystoscopy, and the Crede maneuver.<br /><br />The study also found that patients with occult SUI (asymptomatic SUI) on urodynamic testing had a 63.6% correlation with a positive leak test during the Crede maneuver. Only two patients required a secondary surgery for SUI after negative Crede maneuvers during the original surgery.<br /><br />The study concludes that the Crede maneuver is as effective as other diagnostic tests in determining SUI after POP surgery. The authors note the need for a larger study to further evaluate this finding, as well as the potential of the Crede maneuver in evaluating SUI in patients with pelvic and bladder pain.<br /><br />Overall, this study suggests that the Crede maneuver can be a useful tool in diagnosing SUI after POP surgery and may aid in the decision of sling placement.

Keywords

Crede maneuver

diagnosing stress urinary incontinence

pelvic organ prolapse surgery

retrospective chart review

urodynamic testing

in-office cystoscopy

leakage

SUI symptoms

demographic endpoints

occult SUI