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Short‐term results of stress urinary incontinence in women undergoing laparoscopic sacrocolpopexy with and without midurethral sling
Author(s) -
Huang KuanHui,
Chang YuWei,
Ngo Yeh Giin,
Wu LingYing,
Yang TsaiHwa,
Lee YiLing,
Chuang FeiChi
Publication year - 2021
Publication title -
luts: lower urinary tract symptoms
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.451
H-Index - 15
eISSN - 1757-5672
pISSN - 1757-5664
DOI - 10.1111/luts.12373
Subject(s) - medicine , sling (weapon) , concomitant , urinary incontinence , surgery , occult , urology , stress incontinence , retrospective cohort study , alternative medicine , pathology
Objectives This study aimed to assess the short‐term results of stress urinary incontinence (SUI) in women undergoing laparoscopic sacrocolpopexy (LSC) with and without midurethral sling (MUS). Methods This retrospective study was conducted from July 2012 to December 2017. Women with stage 3 or 4 in the Pelvic Organ Prolapse Quantification (POP‐Q) who underwent LSC were recruited. Multichannel urodynamic studies were performed in all women. Assessment included pre‐ and postoperative POP‐Q stages, urodynamic parameters, peri‐ and postoperative complications, and symptoms. Results One hundred and eighteen patients met the inclusion criteria in total. A total of 19.5% (23/118) of them had concomitant MUS. The mean follow‐up duration was 16.9 ± 16.0 (range 3–69) months. Meanwhile, 33.9% (40/118) of the patients were diagnosed with overt SUI, and 50% (20/40) underwent MUS. In the concomitant MUS group, the rate of having postoperative SUI was only 5% (1/20). Patients diagnosed with SUI and without concomitant MUS had a 45% rate (9/20), and 25% of them (5/20) received MUS later. Preoperatively, 16.1% (19/118) of the patients were diagnosed with occult SUI. Among the patients without anti‐incontinence sling during prolapse surgery, 25% (4/16) of them complained about having SUI during the follow‐up. However, none of the women required subsequent anti‐incontinence surgery. Postoperative de novo SUI occurred to 13.6% (16/118) of them. None of the patients received further operation. Based on the preoperative and postoperative urodynamic studies in the combination surgery group, a significant improvement was observed in the pad test. Conclusions The combination of LSC with MUS procedure is likely to be beneficial in selected patients.