Incidence of stress urinary incontinence after laparoscopic sacrocolpopexy
Authors:
Vladimír Boháč 1
; Jaromír Mašata 2
; Kamil Švabík 2
Authors‘ workplace:
Gynekologicko-porodnické oddělení, Nemocnice AGEL Přerov
1; Klinika gynekologie, porodnictví a neonatologie 1. LF UK a VFN v Praze
2
Published in:
Ceska Gynekol 2024; 89(4): 278-281
Category:
Original Article
doi:
https://doi.org/10.48095/cccg2024278
Overview
Objective: The aim of the study was to evaluate the occurrence of stress urinary incontinence after pelvic organ prolapse surgery using the laparoscopic sacrocolpopexy method. This is a retrospective multicenter study. Methods: The study included 131 patients who underwent laparoscopic sacrocolpopexy and underwent at least a one-year follow-up in the form of a clinical examination. Results: The group included patients with an average age of 63.4 years (38–80 years), BMI 26.6 kg/m2 (19.4–36 kg/m2), and parity 2 (0–4). Before surgery, 30 (22.9%) patients showed stress incontinence, and after surgery there were 50 (38.2%); the difference was statistically significant (P = 0.0007). Thirty (22.9%) patients underwent subsequent anti-incontinence surgery, while 10 (7.6%) patients experienced significant improvement of stress incontinence. Conclusion: Pelvic organ prolapse reconstruction surgery by laparoscopic sacrocolpopexy is associated with the risk of postoperative stress incontinence in 38.2%, of which de novo in 22.9% of cases.
Keywords:
laparoscopic sacrocolpopexy – stress urinary incontinence – pelvic organ prolapse
Sources
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Paediatric gynaecology Gynaecology and obstetrics Reproduction medicineArticle was published in
Czech Gynaecology
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