The Presence of Preoperative Urinary Incontinence Significantly Correlates With Postoperative Urinary Incontinence Following Laparoscopic Sacrocolpopexy.

IF 1.8 3区医学 Q3 UROLOGY & NEPHROLOGY

International Neurourology Journal Pub Date : 2025-03-01 Epub Date: 2025-03-31 DOI:10.5213/inj.2448414.207

Kenji Kuroda, Koetsu Hamamoto, Hiroaki Kobayashi, Akio Horiguchi, Keiichi Ito

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引用次数: 0

Abstract

Purpose: Urinary incontinence (UI) is a significant complication following surgery for pelvic organ prolapse (POP), including laparoscopic sacrocolpopexy (LSC). Although the incidence of postoperative UI is lower after LSC than after transvaginal mesh surgery, a subset of patients still experience UI. This study aimed to determine which factors, including mesh-related factors, contribute to UI impairing daily life following LSC.

Methods: The study enrolled 96 patients who underwent LSC at our institution between June 2016 and September 2023. The Pearson chi-square test, multiple logistic regression analysis, and Cox proportional hazards model were used to determine the independent factors contributing to UI after LSC.

Results: The Pearson chi-square test showed that body mass index, POP quantification (POP-Q) stage 4 and the presence of preoperative UI significantly correlated with the postoperative UI among preoperative and intraoperative factors (all P<0.05). POP-Q stage 4 and the presence of preoperative UI were also significant factors in both univariate and multivariate analyses of multiple logistic regression analysis (all P<0.05). However, only preoperative UI remained an independent predictor for shorter time to UI onset in the multivariate Cox proportional hazards model (hazard ratio, 3.56; 95% confidence interval, 1.29-11.58; P=0.0158).

Conclusion: Patients with preoperative UI and stage 4 POP should receive close monitoring for postoperative UI.

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腹腔镜骶结肠固定术术前尿失禁与术后尿失禁显著相关。

目的：尿失禁（UI）是盆腔器官脱垂（POP）手术后的重要并发症，包括腹腔镜骶结肠固定术（LSC）。尽管LSC术后尿失禁发生率低于经阴道补片手术，但仍有一部分患者出现尿失禁。本研究旨在确定哪些因素，包括网格相关因素，导致LSC后UI损害日常生活。方法：该研究纳入了2016年6月至2023年9月期间在我院接受LSC治疗的96例患者。采用Pearson卡方检验、多元logistic回归分析和Cox比例风险模型确定影响LSC术后UI的独立因素。结果：Pearson卡方检验显示，术前、术中因素中体重指数、POP量化（POP- q） 4期及术前UI的存在与术后UI显著相关（均为p）。结论：术前UI及4期POP患者应密切监测术后UI。

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

International Neurourology Journal UROLOGY & NEPHROLOGY-

CiteScore

4.40

自引率

21.70%

发文量

审稿时长

4 weeks

期刊介绍： The International Neurourology Journal (Int Neurourol J, INJ) is a quarterly international journal that publishes high-quality research papers that provide the most significant and promising achievements in the fields of clinical neurourology and fundamental science. Specifically, fundamental science includes the most influential research papers from all fields of science and technology, revolutionizing what physicians and researchers practicing the art of neurourology worldwide know. Thus, we welcome valuable basic research articles to introduce cutting-edge translational research of fundamental sciences to clinical neurourology. In the editorials, urologists will present their perspectives on these articles. The original mission statement of the INJ was published on October 12, 1997. INJ provides authors a fast review of their work and makes a decision in an average of three to four weeks of receiving submissions. If accepted, articles are posted online in fully citable form. Supplementary issues will be published interim to quarterlies, as necessary, to fully allow berth to accept and publish relevant articles.