De novo stress urinary incontinence after pelvic organ prolapse surgery in women without occult incontinence

Alas, Alexandriah; Chinthakanan, Orawee; Espaillat, Luis; Plowright, Leon N.; Davila, G. Willy; Aguilar, Vivian C.

doi:10.1007/s00192-016-3149-7

Cited by 61 publications

(46 citation statements)

References 26 publications

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“…In the present series, the addition of anterior repair to high USL suspension did not result in a reduction of the POSUI rate. This finding is consistent with the report by Alas et al., who found that anterior repair did not have a protective role.…”

Section: Discussionsupporting

confidence: 93%

“…This finding is consistent with previous studies: Lensen et al . identified self‐reported SUI as the most important predictor of POSUI, and Alas et al . found that non‐occult SUI at baseline was a risk factor for POSUI.…”

Section: Discussionsupporting

confidence: 93%

“…Similarly, age, body mass index, menopausal status, and obstetric history were not significant risk factors for the development of POSUI. Two previous studies also reported that age, body mass index, and parity were not associated with the risk of POSUI after POP repair. Conversely, Lensen et al .…”

Section: Discussionmentioning

confidence: 77%

“…did not find any association between preoperative anterior and apical POP severity and POSUI. Similarly, Alas et al . reported no difference in any of the nine POP‐Q points between patients with or without POSUI, irrespective of baseline SUI complaints.…”

Section: Discussionmentioning

confidence: 91%

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Risk factors for stress urinary incontinence after native‐tissue vaginal repair of pelvic organ prolapse

Frigerio

Manodoro

Palmieri

et al. 2018

Intl J Gynecology & Obste

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Section: Discussionsupporting

confidence: 93%

Section: Discussionsupporting

confidence: 93%

Section: Discussionmentioning

confidence: 77%

Section: Discussionmentioning

confidence: 91%

See 2 more Smart Citations

Risk factors for stress urinary incontinence after native‐tissue vaginal repair of pelvic organ prolapse

Frigerio

Manodoro

Palmieri

et al. 2018

Intl J Gynecology & Obste

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show abstract

“…However, there is scanty data about the efficacy and safety of this combined surgical approach in women with stress urinary incontinence [17-19]. …”

Section: Introductionmentioning

confidence: 99%

Two-Year Follow-Up Results of Transobturator Tape Procedure with and without Concomitant Vaginal Surgery

et al. 2018

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Objective: This study aims to evaluate the subjective and objective outcomes of the transobturator tape (TOT) procedure performed to treat stress urinary incontinence and to determine the efficacy and safety of the TOT procedure when used along with vaginal surgery. Methods: This is a prospective review of 24 women who had the TOT procedure done only due to stress incontinence; 22 women who underwent concomitant TOT and pelvic floor repair; and 20 women who received concurrent TOT, transvaginal hysterectomy, and sacrospinous ligament fixation. Results: When compared to the patients who had TOT with pelvic floor repair, the patients who underwent TOT with hysterectomy declared to have more dyspareunia (p = 0.008) and they were found to have significantly higher post-void residual volume (p = 0.014). When compared to the patients who had only TOT, the patients who underwent TOT with hysterectomy claimed to have more pelvic pain (p = 0.012) and significantly higher post-void residual volume (p = 0.020). Conclusion: The TOT procedure results in moderately high objective cure rates, and concurrent application of pelvic floor repair or transvaginal hysterectomy does not affect these rates. The relatively higher incidences for voiding problems and pelvic pain in women who underwent TOT, hysterectomy, and sacropinous fixation simultaneously suggest that the extent of surgery directly correlates with the severity of postoperative complications.

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A narrative review of the epidemiology, diagnosis, and treatment of latent stress urinary incontinence

Edenfield

Patnam

Swift³

2019

Neurourology and Urodynamics

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Aims To review the current literature on the development of latent stress urinary incontinence (SUI) or SUI that occurs following pelvic organ prolapse therapy in patients who were continent prior to therapy. To make recommendations on how to best evaluate and manage patients with pelvic organ prolapse who are continent. Methods This is a narrative review using Google scholar and cross referencing identified manuscripts. We used the British Medical Journals grading of literature to assign letter grades to level of statements and recommendations. Results The literature suggest about 40% of women with advanced pelvic organ prolapse who are continent will develop SUI after surgery to correct their pelvic organ prolapse. Reduction cough stress testing can help identify those patients at risk to develop SUI with a PPV of 60%. Reduction cough stress testing is best done using large rectal swabs or scopettes. The literature on how to best manage patients with advanced pelvic organ prolapse and are continent to avoid latent SUI is mixed and the best recommendations are based on sound literature that is incomplete. Conclusions Understanding that latent SUI is a potential complication in any subject with advanced pelvic organ prolapse is necessary to pre‐operative counseling. Deciding on the best management strategy is not clear cut and therefore should involve patient input in the decision making process.

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De novo stress urinary incontinence after pelvic organ prolapse surgery in women without occult incontinence

Abstract: The incidence of de novo SUI after surgery for POP without occult SUI was 9.9 %. We recommend counseling patients about the risk of de novo SUI and offering a staged procedure.

Cited by 61 publications

References 26 publications

Risk factors for stress urinary incontinence after native‐tissue vaginal repair of pelvic organ prolapse

Risk factors for stress urinary incontinence after native‐tissue vaginal repair of pelvic organ prolapse

Two-Year Follow-Up Results of Transobturator Tape Procedure with and without Concomitant Vaginal Surgery

A narrative review of the epidemiology, diagnosis, and treatment of latent stress urinary incontinence

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