Are there any preventable risk factors for women who had surgery for Pelvic Organ Prolapse and stress Urinary Incontinence?

Sefa Kurt,Mehmet Bal,Mehmet Tunc Canda,Abdullah Tasyurt

doi:10.12669/pjms.344.14944

Abstract

Objective:The present study evaluates the preventable risk factors in symptomatic women with previous surgery for pelvic organ prolapse (POP) and/or stress urinary incontinence (SUI).Methods:Four hundred and one women previously operated were divided into two groups as; women operated for POP (325 cases) and women operated for SUI (76 cases). The control group consisted of 233 age and body mass index (BMI)-matched subject operated for benign gynecologic reasons and exhibited no evidence of POP or SUI. These groups were compared in terms of age, BMI, gravida, parity, mode of delivery, smoking status, menopause status and chronic diseases.Results:Grand_multiparity (parity ≥5) increased the risk of POP/SUI surgery and POP surgery 2.71 and 2.94 times, respectively (p=0.0003 and p=0.0001, respectively). Vaginal birth increased the risk of POP/SUI surgery 2.33 times (p=0.03).Conclusion:Grand_multiparity increased the risk of POP/SUI surgery and POP surgery while vaginal birth increased the risk of POP/SUI surgery. Among them, particularly, grand_multiparity seem to be the only preventable risk factors.

Highlights

Pelvic floor disorders are a bothersome health problem of the adult female population, and the lifelong chance of going through an operation for pelvic organ prolapse (POP) and/or urinary incontinence (UI) estimated to be 11.1%, 12.1% and 19% in the United States (US)[1], in the United Kingdom 2 and Australia[3], respectively
The study group consisted of 401 subjects with adequate data and included the POP group (325 subjects) and the stress urinary incontinence (SUI) group (76 subjects)
The control group consisted of 233 age and body mass index (BMI)-matched women who had gynecologic operations for benign reasons

Summary

Introduction

Pelvic floor disorders are a bothersome health problem of the adult female population, and the lifelong chance of going through an operation for pelvic organ prolapse (POP) and/or urinary incontinence (UI) estimated to be 11.1%, 12.1% and 19% in the United States (US)[1], in the United Kingdom 2 and Australia[3], respectively. The reoperation risks for POP and/or UI vary from 19%- 29%.1,2. A study from Australia reported prevalence rates of 8.8% for POP and 20.8% for stress urinary incontinence (SUI) in the female population.[4]. Another study from Europe reported an 8.3% prevalence of symptomatic POP and an 8.9% prevalence of SUI.[5] A study from Turkey reported a prevalence of 7.9% for SUI.[6] In the US, POP and incontinence surgeries cost more than $1 billion per year.[1] As the number of aging women increases, the expected treatment costs will increase in the coming decades

Methods

Results

Conclusion