Assessment of the Incidence and Risk Factors of Stress Urinary Incontinence in Women after Cervical Cancer Surgery: A Single-Centre Retrospective Study.

IF 0.6 4区医学 Q4 UROLOGY & NEPHROLOGY

Archivos Espanoles De Urologia Pub Date : 2024-09-01 DOI:10.56434/j.arch.esp.urol.20247708.130

Di Jiang, Xuan Hu, Xiaoling Qi, Yang Liu, Hongquan Zhang, Song Yang

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引用次数: 0

Abstract

Background: Stress urinary incontinence (SUI) is a common postoperative complication that significantly affects the quality of life in women who have undergone radical hysterectomy for cervical cancer. This study evaluates the incidence and risk factors associated with SUI in women after cervical cancer surgery.

Methods: This case-control study included women diagnosed with cervical cancer who underwent radical hysterectomy at our hospital between May 2020 and May 2023. Participants were divided into two groups based on the presence of postoperative SUI, namely the SUI group and the SUI-free group. Inclusion criteria required the absence of preoperative urinary incontinence and stable vital signs. Data were collected on demographic characteristics, tumour histology and staging, urodynamic parameters, and intraoperative and postoperative factors.

Results: Ninety-seven patients with cervical cancer who underwent radical hysterectomy were divided into two groups: The SUI group (n = 27) and the SUI-free group (n = 70), with an SUI incidence of 27.8% in the study population. Significant differences between the SUI and SUI-free groups were observed in menopausal status (p = 0.026), chronic constipation (p = 0.011), and tumour diameter (p < 0.001). Urodynamic assessments revealed a higher maximum urinary flow rate (Qmax) in the SUI group compared to the SUI-free group (21.36 ± 6.41 vs. 17.38 ± 5.18 mL/s; p = 0.002). Logistic regression analysis identified menopause (odds ratio (OR) = 7.700, 95% confidence interval (CI) = 1.256-47.192), chronic constipation (OR = 9.918, 95% CI = 1.387-70.911), Qmax (OR = 1.302, 95% CI = 1.061-1.598), and surgery duration (OR = 1.040, 95% CI = 1.001-1.081) as independent protective factors.

Conclusions: SUI is a significant postoperative complication in women undergoing cervical cancer surgery. Menopause, chronic constipation, tumour diameter, Qmax, and surgery duration were independent risk factors.

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评估宫颈癌术后妇女压力性尿失禁的发生率和风险因素：单中心回顾性研究。

背景：压力性尿失禁（SUI）是一种常见的术后并发症，严重影响因宫颈癌接受根治性子宫切除术的妇女的生活质量。本研究评估了宫颈癌术后妇女 SUI 的发生率和相关风险因素：这项病例对照研究纳入了 2020 年 5 月至 2023 年 5 月期间在我院接受根治性子宫切除术的确诊为宫颈癌的女性。根据术后是否出现 SUI 将参与者分为两组，即 SUI 组和无 SUI 组。纳入标准为术前无尿失禁且生命体征稳定。收集的数据包括人口统计学特征、肿瘤组织学和分期、尿动力学参数以及术中和术后因素：97名接受根治性子宫切除术的宫颈癌患者被分为两组：SUI 组（27 人）和无 SUI 组（70 人），研究人群的 SUI 发生率为 27.8%。更年期状态（p = 0.026）、慢性便秘（p = 0.011）和肿瘤直径（p < 0.001）在 SUI 组和无 SUI 组之间存在显著差异。尿动力学评估显示，与无 SUI 组相比，SUI 组的最大尿流率（Qmax）更高（21.36 ± 6.41 vs. 17.38 ± 5.18 mL/s；p = 0.002）。逻辑回归分析确定绝经（几率比 (OR) = 7.700，95% 置信区间 (CI) = 1.256-47.192）、慢性便秘（OR = 9.918，95% CI = 1.387-70.911）、Qmax（OR = 1.302，95% CI = 1.061-1.598）和手术持续时间（OR = 1.040，95% CI = 1.001-1.081）为独立的保护因素：SUI是接受宫颈癌手术的妇女的一个重要术后并发症。结论：在接受宫颈癌手术的妇女中，SUI是一种重要的术后并发症，绝经、慢性便秘、肿瘤直径、Qmax和手术持续时间是独立的风险因素。

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

Archivos Espanoles De Urologia UROLOGY & NEPHROLOGY-

CiteScore

0.90

自引率

0.00%

发文量

111

期刊介绍： Archivos Españoles de Urología published since 1944, is an international peer review, susbscription Journal on Urology with original and review articles on different subjets in Urology: oncology, endourology, laparoscopic, andrology, lithiasis, pediatrics , urodynamics,... Case Report are also admitted.