It seems that their comments are generally in agreement with our viewpoints. “However, these two papers failed to report the incorrect diagnosis of SUI, and urine accumulates in the diverticulum and flows out after pressurization, which is mistaken for SUI.” The authors insist here on the challenge of diagnosing true SUI when a diverticulum is present, a condition called pseudo-incontinence, which corresponds to the emptying of the fluid content of the diverticulum pocket during stress efforts. This was discussed in several sections of our manuscript and is the main reason why we generally omit urodynamic testing in these women. We can certainly not be reproached that we did not discuss this condition which can be easily be mistaken for SUI.
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Published online: November 26, 2021
Accepted: November 14, 2021
Received: November 12, 2021
We thank the authors for their comments.
© 2021 Elsevier Inc. All rights reserved.
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- Stress Urinary Incontinence After Urethral Diverticulum Repair Without Concomitant Anti-Incontinence ProcedureUrologyVol. 160
- PreviewRecently, we read the report of Chavez et al1 who demonstrated that post-urethral diverticulum (UD) repair, the rate of persistent stress urinary incontinence (SUI) was present in 14 of 31 (45%) cases, and de novo SUI occurred in 4 of 30 (13%) cases. It is controversial to perform SUI and UD surgeries simultaneously, and this paper provides new evidence about this topic. At the same time, Greiman et al demonstrated that the resolution of SUI in simultaneous surgery is 83% and the resolution is 53% in UD surgery alone.