Incidence of stress urinary incontinence after laparoscopic sacrocolpopexy.

IF 0.5 Q4 OBSTETRICS & GYNECOLOGY

Ceska Gynekologie-Czech Gynaecology Pub Date : 2024-01-01 DOI:10.48095/cccg2024278

Vladimír Boháč, Jaromír Mašata, Kamil Švabík

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Abstract

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.

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腹腔镜骶尾部成形术后压力性尿失禁的发生率。

研究目的该研究旨在评估使用腹腔镜骶骨整形术进行盆腔器官脱垂手术后压力性尿失禁的发生率。这是一项回顾性多中心研究：研究纳入了 131 名接受腹腔镜骶骨整形术的患者，并以临床检查的形式进行了至少一年的随访：该组患者的平均年龄为63.4岁（38-80岁），体重指数为26.6千克/平方米（19.4-36千克/平方米），胎次为2（0-4）。手术前，30 名患者（22.9%）出现压力性尿失禁，手术后，50 名患者（38.2%）出现压力性尿失禁，差异有统计学意义（P = 0.0007）。30例（22.9%）患者随后接受了抗尿失禁手术，10例（7.6%）患者的压力性尿失禁症状得到明显改善：结论：通过腹腔镜骶尾部结扎术进行盆腔器官脱垂重建手术与38.2%的术后压力性尿失禁风险有关，其中22.9%的病例为新发。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Ceska Gynekologie-Czech Gynaecology OBSTETRICS & GYNECOLOGY-

CiteScore

0.60

自引率

25.00%

发文量