Urinary incontinence before and after pelvic organ prolapse surgery—A national database study

Khayyami, Yasmine; Elmelund, Marlene; Klarskov, Niels

doi:10.1007/s00192-021-04738-6

Cited by 8 publications

(11 citation statements)

References 10 publications

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“…Outcomes involving rates of MUI after PRS have been relatively unexplored. Recent studies report incidence rates of 22%–53% for persistent or worsened MUI symptoms postoperatively, but outcomes were not stratified by surgical type in these studies 8,27 . In our study, we reported on outcomes of MUI by POP-only versus POP and SUI surgery.…”

Section: Discussionmentioning

confidence: 89%

“…Recent studies report incidence rates of 22%-53% for persistent or worsened MUI symptoms postoperatively, but outcomes were not stratified by surgical type in these studies. 8,27 In our study, we reported on outcomes of MUI by POPonly versus POP and SUI surgery. The POP and SUI surgery group had a significantly lower rate of persistent MUI compared with those who had surgery for POP only.…”

Section: Discussionmentioning

confidence: 99%

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Postoperative Urinary Incontinence in Diabetic Patients Undergoing Pelvic Reconstructive Surgery

Siddique

Ringel

Winter³

et al. 2022

Female Pelvic Med Reconstr Surg

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ImportanceDiabetes is an independent risk factor for urinary incontinence, and its impact on rates of postoperative incontinence after pelvic reconstructive surgery remains unexplored.ObjectiveThe aim of the study was to compare the incidence of postoperative stress urinary incontinence (SUI), urgency urinary incontinence (UUI), and mixed urinary incontinence in patients with diabetes mellitus undergoing surgery for pelvic organ prolapse (POP) with or without SUI surgery.Study DesignThis is a secondary analysis of a multicenter retrospective cohort study involving 10 diverse medical centers that identified a cohort of women with diabetes who had prolapse and/or anti-incontinence surgery. We compared rates of postoperative urinary incontinence among patients who had surgery for prolapse and incontinence versus surgery for prolapse only.ResultsThree hundred five patients had surgery for prolapse and incontinence, 330 had surgery for prolapse only, and 189 had anti-incontinence surgery only. De novo UUI was higher among those who underwent surgery for POP and SUI compared with surgery for POP alone (26.4% vs 14.1%, P < 0.01). Rates of persistent SUI (21% vs 4.9%, P < 0.01) and mixed urinary incontinence (15.9% vs 2.7%, P < 0.01) were higher for those who underwent prolapse surgery alone versus prolapse and an incontinence procedure. No differences were seen in hemoglobin A1C levels between those who did and did not report postoperative UI.ConclusionsWe found that postoperative de novo UUI rates were high among patients with diabetes after pelvic reconstructive surgery, with the incidence being significantly higher for those who had surgery for prolapse and incontinence compared with surgery for prolapse only.

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Section: Discussionmentioning

confidence: 89%

Section: Discussionmentioning

confidence: 99%

Postoperative Urinary Incontinence in Diabetic Patients Undergoing Pelvic Reconstructive Surgery

Siddique

Ringel

Winter³

et al. 2022

Female Pelvic Med Reconstr Surg

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“… 11 Most women with symptomatic POP and concomitant urinary incontinence (UI) find that their UI is either cured or improved after POP surgery alone. 12 Surgical repair improved anal continence as well as sexual function in all patients. 13 Therefore early diagnosis, prevention and intervention of pelvic floor disorders are important.…”

Section: Introductionmentioning

confidence: 86%

Application of Transperineal Pelvic Floor Ultrasound in Changes of Pelvic Floor Structure and Function Between Pregnant and Non-Pregnant Women

Xu¹,

He²,

Yu³

et al. 2022

IJWH

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To evaluate the changes of pelvic floor tissue structure and function between pregnant and non-pregnant women from the view of transperineal pelvic floor ultrasound. Methods: Thirty-eight cases of women with a second singleton pregnancy and thirty-two cases of women with a first singleton pregnancy underwent transperineal pelvic floor ultrasound, and their results were compared with forty-two cases of healthy nonpregnant women. Results: The differences of bladder neck descent (BND), rectal ampulla distance and levator hiatus area (LHA) among the three groups were statistically significant (P<0.05), and the differences of BND, rectal ampulla distance, LHA between the women with a second singleton pregnancy group and non-pragnent group were statistically significant (P<0.05). The BND, retrovesical angle at rest (RVA-R) and retrovesical angle underwent Valsalva maneuver (RVA-V) in the group of stress urinary incontinence (SUI) during pregnancy were larger than those in non-SUI group, with significant difference (P<0.05), especially BND and RVA-V (P = 0.00). Conclusion:Transperineal pelvic floor ultrasound has a high resolution of pelvic floor structure and function changes during pregnancy, and can dynamically evaluate pelvic floor function, providing a theoretical basis for early diagnosis and prevention of female pelvic floor dysfunction (FPFD) in subsequent pregnancies.

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“…The problem of urinary incontinence affects half of the adult female population, worsening their comfort of life and significantly hindering ordinary life activities (laughing, sneezing, coughing, physical activity); it also affects the quality of their sexual life [1,2]. Urinary incontinence is associated with female genital statics disorders, which increase with age.…”

Section: Introductionmentioning

confidence: 99%

The Application of Physiotherapy in Urinary Incontinence

Wójcik¹,

Placek²,

Goździewicz³

et al. 2023

Clin. Exp. Obstet. Gynecol.

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Objective:The problem of urinary incontinence affects half of the adult female population, impacting adversely on their comfort of life and significantly hindering ordinary life activities (laughing, sneezing, coughing, physical activity); it also affects the quality of their sexual life. Physiotherapy is an increasingly common method for the conservative treatment of genital static disorders and stress urinary incontinence. Mechanism: In this article, the authors consider the following aspects: the use of various physiotherapy interventions as adjunctive treatment for urinary incontinence. The authors reviewed the literature databases in PubMed, Medline and Embase to identify links between the applied physiotherapeutic treatment and its effectiveness. Findings in Brief: The applied physiotherapeutic treatments and their effectiveness in urinary incontinence are presented. Conclusions: Physiotherapy treatments are effective and supportive of the treatment process in women of all age ranges with urinary incontinence, thus improving their quality of life.

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Urinary incontinence before and after pelvic organ prolapse surgery—A national database study

Cited by 8 publications

References 10 publications

Postoperative Urinary Incontinence in Diabetic Patients Undergoing Pelvic Reconstructive Surgery

Postoperative Urinary Incontinence in Diabetic Patients Undergoing Pelvic Reconstructive Surgery

Application of Transperineal Pelvic Floor Ultrasound in Changes of Pelvic Floor Structure and Function Between Pregnant and Non-Pregnant Women

The Application of Physiotherapy in Urinary Incontinence

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