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Risk factors for stress urinary incontinence after native‐tissue vaginal repair of pelvic organ prolapse
Author(s) -
Frigerio Matteo,
Manodoro Stefano,
Palmieri Stefania,
Spelzini Federico,
Milani Rodolfo
Publication year - 2018
Publication title -
international journal of gynecology and obstetrics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.895
H-Index - 97
eISSN - 1879-3479
pISSN - 0020-7292
DOI - 10.1002/ijgo.12443
Subject(s) - medicine , concomitant , urinary incontinence , odds ratio , urology , stress incontinence , retrospective cohort study , univariate analysis , multivariate analysis , urodynamic testing , surgery
Objective To identify risk factors for postoperative stress urinary incontinence ( POSUI ) after native‐tissue prolapse repair without a concomitant anti‐incontinence procedure. Methods The present single‐center retrospective study included women with genital prolapse who underwent high uterosacral ligament suspension without a concomitant anti‐incontinence procedure during 2008–2013. Univariate and multivariate analyses were performed to identify risk factors for POSUI (identified through clinical interview and International Consultation on Incontinence Modular Questionnaire–Short Form [ ICIQ ‐ SF ] self‐administration) at 6 months. Results In total, 87 (20.9%) of 417 women developed POSUI . Preoperative stress urinary incontinence ( SUI ) and urodynamically diagnosed SUI were significantly associated with POSUI ; moreover, women with POSUI had a higher preoperative ICIQ ‐ SF score, a lower opening detrusor pressure, and a lower detrusor pressure at maximum flow than did women without POSUI ( P <0.05 for all comparisons). In the multivariate analysis, preoperative SUI (odds ratio 3.11), a detrusor pressure at maximum flow of less than 30 cm H 2 O (odds ratio 2.93), and urodynamically diagnosed SUI (odds ratio 2.26) were independent risk factors for POSUI . Conclusion Preoperative urodynamic parameters, obtained before prolapse repair surgery, were associated with POSUI and could be useful in providing adequate counseling to facilitate decision making on whether to add a concomitant anti‐incontinence procedure.