Table 7.

Predictive value of a negative preoperative stress test for postoperative stress urinary incontinence after pelvic organ prolapse surgery

Reference	Type of surgery	Study design	Follow-up (months)	Baseline continence	na	Preoperative test	Postoperative SUI outcome	Rate of postoperative SUI after a negative test, n (%)	NPVb %
Alas et al. [67]	Any	Retrospective	Median 53	Any	274	UDS up to capacity with and without reduction (speculum)	Subjective (nonvalidated) or objective SUI (not specified)	27/274 (10)	90
Jeon et al. [68]	SCP	Prospective	24	Any	112	UDS up to capacity with reduction (swab)	Bothersome subjective SUI (UDI-6) or objective SUI (CST) or additional SUI surgery	32/112 (29)	71
Kasturi et al. [69]	TVM	Retrospective	6	Any	60	UDS with reduction (speculum or pessary)	Subjective (nonvalidated) and objective SUI (CST or UDS)	15/60 (25)	75
Leruth et al. [66]	SCP	Retrospective	Mean 25	Any	55	Stress test at capacity with and without reduction (manual) and UDS up to capacity with reduction (swab)	Subjective SUI (nonvalidated)	30/55 (55)	45
							Need for sling surgery	9/55 (16)	84
Park et al. [70]	SCP	Retrospective	Mean 11	Any	70	UDS up to capacity with reduction (pessary or speculum)	Need for SUI surgery	13/70 (19)	81

SUI stress urinary incontinence, NPV negative predictive value, UDS urodynamic study, SCP sacrocolpopexy, CST cough stress test, TVM transvaginal mesh, UDI-6 Urinary Distress Inventory Short Form

^aOnly women without concomitant anti-incontinence surgery included

^bNegative predictive value calculated based on numbers provided in the original studies