Antecedent history as a predictor of surgical cure of urgency symptoms in mixed XXXX .

@entity1 @entity322 @entity3142
OBJECTIVE: To determine the cure rate of urge @entity322 after Burch colposuspension in @entity1 with mixed @entity322 diagnosed urodynamically, to determine if cure rates were different when the onset of urge symptoms antedated or postdated the symptoms of @entity3142 , and to propose appropriate preoperative counseling of @entity1 based on this information. METHODS: Forty-six @entity1 with urodynamically diagnosed genuine @entity3142 and detrusor instability underwent Burch colposuspension. History of chronologic onset of @entity3142 or urge @entity322 was recorded. Detailed history, clinical examination, and multichannel urodynamic and other functional studies were carried out on each @entity1 preoperatively and postoperatively. Postoperative urodynamic studies were performed only in @entity1 with persistent symptoms. @entity1 were assigned to the antecedent stress or antecedent urge group depending on which symptom(s) occurred first. Cure rates in each group were calculated and compared with history of @entity322 . RESULTS: Fifty-eight of 82 @entity1 with complaints of both stress and urge @entity322 were diagnosed urodynamically as having mixed @entity322 ; 46 of them met the study criteria and underwent Burch colposuspension. @entity3142 preceded urgency in 28 of the 46 @entity1 (61%); urgency occurred first in the remaining 18 (39%). The cure rate of 78.6% (22 of 28) for urge @entity322 was statistically significantly greater in the antecedent stress group compared with 22.2% (four of 18) in the antecedent urge group (P < .001). CONCLUSION: @entity1 with a primary presenting symptom of @entity3142 who later develop urge @entity322 are 2.5 times more likely to be cured of urge @entity322 by Burch colposuspension than @entity1 whose primary presenting symptom is urge @entity322 .
