Predictors for de novo stress urinary incontinence following extensive pelvic reconstructive surgery

Predictors for de novo stress urinary incontinence following extensive pelvic reconstructive surgery

Introduction and hypothesis The aim of this study was to lookfor possible predictors preoperatively for the development of de novo stress urinary incontinence (SUI) in urodynamically continent women who underwent pelvic reconstructive surgery(PRS). Materials and methods Medical records of 637 conti...

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Main Authors: Tsia-Shu, Lp, Karim, Nazura, Nawawi, Erni Akhtar, Nusee, Zalina
Format: Article
Language:English
English
Published: Springer London 2015
Subjects:
RG Gynecology and obstetrics
Online Access:http://irep.iium.edu.my/44019/
http://irep.iium.edu.my/44019/
http://irep.iium.edu.my/44019/
http://irep.iium.edu.my/44019/4/predictors_for_de_novo.pdf
http://irep.iium.edu.my/44019/7/44019_Predictors%20for%20de%20novo%20stress%20urinary%20incontinence%20following%20extensive%20pelvic%20reconstructive%20surgery_SCOPUS.pdf
id iium-44019
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spelling iium-440192017-11-15T00:55:27Z http://irep.iium.edu.my/44019/ Predictors for de novo stress urinary incontinence following extensive pelvic reconstructive surgery Tsia-Shu, Lp Karim, Nazura Nawawi, Erni Akhtar Nusee, Zalina RG Gynecology and obstetrics Introduction and hypothesis The aim of this study was to lookfor possible predictors preoperatively for the development of de novo stress urinary incontinence (SUI) in urodynamically continent women who underwent pelvic reconstructive surgery(PRS). Materials and methods Medical records of 637 continent women who underwent PRS for severe prolapse from January 2005 to December 2013 in our institutions were includedin this study. We excluded women who had urodynamic stress incontinence (UDI) either occult or overt, detrusor overactivity, neurogenic bladder-voiding dysfunction,and previous anti-incontinent surgery. Primary outcome measure was the development of de novo SUI at 6 months to 1 year post operation. Results Of women in this study, 11 % developed postoperative de novo SUI at 6 months to 1 year of follow-up. Women older than 66 years were 2.86 times [95 % confidence interval(CI) 1.01–2.53, p=0.14], diabetes mellitus (DM) 2.18 times(95 % CI 1.63–4.21, p=0.002), certain type of transvaginal mesh procedure 3.5 times (95 % CI, p<0.001), maximum urethral closure pressure (MUCP)<60 mmH20 4.65 times (95 %CI, 2.87–8.64, p<0.001), and functional urethral length (FUL)<2 cm 3.48 times (95 % CI, 2.13–5.83, p<0.001) at greater risk of developing de novo SUI. Conclusions Continent women with advanced pelvic organ prolapse (POP)>66 years, with DM or low MUCP and FUL values during preoperative urodynamic evaluation have higher risk of developing de novo SUI; therefore, we suggest counselling such women for concomitant PRS and antiincontinent surgery. Springer London 2015-09 Article PeerReviewed application/pdf en http://irep.iium.edu.my/44019/4/predictors_for_de_novo.pdf application/pdf en http://irep.iium.edu.my/44019/7/44019_Predictors%20for%20de%20novo%20stress%20urinary%20incontinence%20following%20extensive%20pelvic%20reconstructive%20surgery_SCOPUS.pdf Tsia-Shu, Lp and Karim, Nazura and Nawawi, Erni Akhtar and Nusee, Zalina (2015) Predictors for de novo stress urinary incontinence following extensive pelvic reconstructive surgery. International Urogynaecology Journal, 26 (9). pp. 1313-1319. ISSN 0937-3462 E-ISSN 1433-3023 http://link.springer.com/article/10.1007%2Fs00192-015-2685-x 10.1007/s00192-015-2685-x
repository_type Digital Repository
institution_category Local University
institution International Islamic University Malaysia
building IIUM Repository
collection Online Access
language English
English
topic RG Gynecology and obstetrics
spellingShingle RG Gynecology and obstetrics
Tsia-Shu, Lp
Karim, Nazura
Nawawi, Erni Akhtar
Nusee, Zalina
Predictors for de novo stress urinary incontinence following extensive pelvic reconstructive surgery
description Introduction and hypothesis The aim of this study was to lookfor possible predictors preoperatively for the development of de novo stress urinary incontinence (SUI) in urodynamically continent women who underwent pelvic reconstructive surgery(PRS). Materials and methods Medical records of 637 continent women who underwent PRS for severe prolapse from January 2005 to December 2013 in our institutions were includedin this study. We excluded women who had urodynamic stress incontinence (UDI) either occult or overt, detrusor overactivity, neurogenic bladder-voiding dysfunction,and previous anti-incontinent surgery. Primary outcome measure was the development of de novo SUI at 6 months to 1 year post operation. Results Of women in this study, 11 % developed postoperative de novo SUI at 6 months to 1 year of follow-up. Women older than 66 years were 2.86 times [95 % confidence interval(CI) 1.01–2.53, p=0.14], diabetes mellitus (DM) 2.18 times(95 % CI 1.63–4.21, p=0.002), certain type of transvaginal mesh procedure 3.5 times (95 % CI, p<0.001), maximum urethral closure pressure (MUCP)<60 mmH20 4.65 times (95 %CI, 2.87–8.64, p<0.001), and functional urethral length (FUL)<2 cm 3.48 times (95 % CI, 2.13–5.83, p<0.001) at greater risk of developing de novo SUI. Conclusions Continent women with advanced pelvic organ prolapse (POP)>66 years, with DM or low MUCP and FUL values during preoperative urodynamic evaluation have higher risk of developing de novo SUI; therefore, we suggest counselling such women for concomitant PRS and antiincontinent surgery.
format Article
author Tsia-Shu, Lp
Karim, Nazura
Nawawi, Erni Akhtar
Nusee, Zalina
author_facet Tsia-Shu, Lp
Karim, Nazura
Nawawi, Erni Akhtar
Nusee, Zalina
author_sort Tsia-Shu, Lp
title Predictors for de novo stress urinary incontinence following extensive pelvic reconstructive surgery
title_short Predictors for de novo stress urinary incontinence following extensive pelvic reconstructive surgery
title_full Predictors for de novo stress urinary incontinence following extensive pelvic reconstructive surgery
title_fullStr Predictors for de novo stress urinary incontinence following extensive pelvic reconstructive surgery
title_full_unstemmed Predictors for de novo stress urinary incontinence following extensive pelvic reconstructive surgery
title_sort predictors for de novo stress urinary incontinence following extensive pelvic reconstructive surgery
publisher Springer London
publishDate 2015
url http://irep.iium.edu.my/44019/
http://irep.iium.edu.my/44019/
http://irep.iium.edu.my/44019/
http://irep.iium.edu.my/44019/4/predictors_for_de_novo.pdf
http://irep.iium.edu.my/44019/7/44019_Predictors%20for%20de%20novo%20stress%20urinary%20incontinence%20following%20extensive%20pelvic%20reconstructive%20surgery_SCOPUS.pdf
first_indexed 2023-09-18T21:02:37Z
last_indexed 2023-09-18T21:02:37Z
_version_ 1777410724015898624

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