Abstract
Objective:We investigated the impact of menopausal status on urinary continence following abdominal sacrocolpopexy (ASC) without an anti-incontinence procedure in continent women.Methods:We conducted a clinical follow-up study of 137 patients diagnosed with stage 3 or higher pelvic organ prolapse (POP) without urinary incontinence between January 2012 and December 2014. Patients were provided with detailed a priori information pertaining to the abdominal sacrocolpopexy procedure and were invited to attend follow-up visits at 1, 3, 12, and 24 months. Follow-up visits included a gynecological examination, cough test, and validated Urinary Distress Inventory-6 (UDI-6) and Incontinence Impact Questionnaire-7 (IIQ-7) questionnaires.Results:The mean follow-up time for the cohort was 16.5±3.45 months. The study group was divided according to menopausal status: premenopausal (Group-1) and postmenopausal women (Group-II). Anatomical recurrence was not detected during the follow-up period in either group, but de novo stress urinary incontinence was seen in 15 of 53 (28.3%) Group-I patients and in 6 of 84 (7.1%; p < 0.01) Group-II patients.Conclusions:The risk of de novo stress urinary incontinence in postmenopausal women after ASC is low. However, premenopausal patients have a higher incidence of de novo stress incontinence which affect quality of life.
Highlights
Pelvic organ disorders are major health issues for women, affecting their quality of life and often requiring costly surgery.[1,2] the Correspondence: February 8, 2016 February 18, 2016 May 12, 2016 prevalence varies widely across studies because of underreporting and the lack of consistent definitions
We found that 15.3% (21/137) of the all participants who underwent abdominal sacrocolpopexy (ASC) without incontinence surgery developed de novo stress urinary incontinence (SUI)
These results are consistent with some studies, while others reported higher de novo SUI rates. (18-20)
Summary
Pelvic organ disorders are major health issues for women, affecting their quality of life and often requiring costly surgery.[1,2] the Correspondence: February 8, 2016 February 18, 2016 May 12, 2016 prevalence varies widely across studies because of underreporting and the lack of consistent definitions. Sacrocolpopexy can be performed laparoscopically or using robotic surgical systems, achieving similar cure rates to those obtained using an open approach.[6,7,8] laparoscopic sacrocolpopexy involves extensive suturing and retroperitoneal dissection, requiring advanced skills, and robotic sacrocolpopexy is expensive, requires special training, and is only available at a few treatment centers. Because of these reasons, in our institute, we can only perform ASC
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