De novo urinary incontinence after pelvic organ prolapse surgery—a national database study

Khayyami, Yasmine; Elmelund, Marlene; Lose, Gunnar; Klarskov, Niels

doi:10.1007/s00192-019-04041-5

Cited by 14 publications

(19 citation statements)

References 12 publications

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“…Some authors recommend adding Burch colposuspension to the surgical strategy. However, this topic remains controversial [20,24,[30][31][32]. Our findings support simultaneous treatment in a multiple compartment setting.…”

Section: Main Findingssupporting

confidence: 67%

Prospective International Multicenter Pelvic Floor Study: Short-Term Follow-Up and Clinical Findings for Combined Pectopexy and Native Tissue Repair

Noé

Schiermeier

Papathemelis

et al. 2021

JCM

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Efforts to use traditional native tissue strategies and reduce the use of meshes have been made in several countries. Combining native tissue repair with sufficient mesh applied apical repair might provide a means of effective treatment. The study group did perform and publish a randomized trial focusing on the combination of traditional native tissue repair with pectopexy or sacrocolpopexy and observed no severe or hitherto unknown risks for patients (Noé G.K. J Endourol 2015;29(2):210–215). The short-term follow-up of this international multicenter study carried out now is presented in this article. Material and Methods: Eleven clinics and 13 surgeons in four European counties participated in the trial. In order to ensure a standardized approach and obtain comparable data, all surgeons were obliged to follow a standardized approach for pectopexy, focusing on the area of fixation and the use of a prefabricated mesh (PVDF PRP 3 × 15 Dynamesh). The mesh was solely used for apical repair. All other clinically relevant defects were treated with native tissue repair. Colposuspension or TVT were used for the treatment of incontinence. Data were collected independently for 14 months on a secured server; 501 surgeries were registered and evaluated. Two hundred and sixty-four patients out of 479 (55.1%) returned for the physical examination and interview after 12–18 months. Main Outcome and Results: The mean duration of follow-up was 15 months. The overall success of apical repair was rated positively by 96.9%, and the satisfaction score was rated positively by 95.5%. A positive general recommendation was expressed by 95.1% of patients. Pelvic pressure was reduced in 95.2%, pain in 98.0%, and urgency in 86.0% of patients. No major complications, mesh exposure, or mesh complication occurred during the follow-up period. Conclusion: In clinical routine, pectopexy and concomitant surgery, mainly using native tissue approaches, resulted in high satisfaction rates and favorable clinical findings. The procedure may also be recommended for use by general urogynecological practitioners with experience in laparoscopy.

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Section: Main Findingssupporting

confidence: 67%

Prospective International Multicenter Pelvic Floor Study: Short-Term Follow-Up and Clinical Findings for Combined Pectopexy and Native Tissue Repair

Noé

Schiermeier

Papathemelis

et al. 2021

JCM

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“…While Davenport et al found an increasing risk of de novo SUI with larger cystocele size, 22 Lo et al did not even find a trend 18 . In a recent large database study, the risk of de novo SUI was not related to the involved POP compartment or stage 20 . In our multivariable model, when adjusting for the cystocele type, the size of prolapse was not a significant predictor for occult SUI.…”

Section: Discussioncontrasting

confidence: 60%

Predictors of occult stress urinary incontinence

Karjalainen

Gillor

Dietz

2020

Aust NZ J Obst Gynaeco

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Background Causes for occult stress urinary incontinence (SUI) are poorly recognised. Aims To explore the mechanisms behind occult SUI. We hypothesised that cystocele type affects the risk of occult SUI. Materials and methods We conducted a retrospective, cross‐sectional study on 878 consecutive women assessed at a tertiary urogynaecologic clinic between July 2016 and November 2018. The population of this study consisted of 424 women with urodynamic stress incontinence. Women with previous anti‐incontinence surgery were excluded. All women underwent a standardised interview, clinical examination and urodynamic testing. Translabial ultrasound was used to categorise cystoceles into Green type II (cystocele with open retrovesical angle) and Green type III (cystocele with intact retrovesical angle). We compared women with overt SUI to those with occult SUI (defined as stress incontinence only observed after prolapse reduction) for demographic characteristics, urodynamic findings and functional anatomy. Predictors for occult SUI were identified with a multivariable logistic regression model. Results Of 424 women, 362 (85%) had overt, and 62 (15%) occult SUI. There were 136 (32%) women who had a significant cystocele on imaging; 57 (42%) were classified as type II and 79 (58%) as type III. On multivariable regression, age and cystocele type were significantly associated with occult SUI. Odds for occult SUI was 10.9 times higher with type III (cystocele with an intact retrovesical angle) than with type II cystocele (cystocele with an open retrovesical angle; 95% CI 1.3–90.9). Conclusions Cystocele type affects the risk of occult SUI. Type III cystocele (intact retrovesical angle) associates with occult SUI.

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“…No independent risk factor was identified via the multivariate analyse; however, BMI, C, age, Aa, and TVM were the 5 most important predictors in the XGBoost model. BMI and age were predictors in previous models, and a higher BMI was correlated with a high risk of postoperative SUI (3,5,7,(23)(24)(25). However, opinions on the influence of age vary across studies.…”

mentioning

confidence: 96%

Predicting the occurrence of stress urinary incontinence after prolapse surgery: a machine learning–based model

Fu¹,

Huang²,

Sun³

et al. 2023

Ann Transl Med

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Background: Previous prediction models for postoperative stress urinary incontinence (SUI) cannot be applied to patients receiving transvaginal mesh (TVM) surgery and colpocleisis or those with preoperative subject urinary incontinence. This study aimed to develop and validate a new machine learning model and compare it to previous models.Methods: Female patients who underwent prolapse surgeries for stage 2-4 anterior or apical prolapse

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De novo urinary incontinence after pelvic organ prolapse surgery—a national database study

Cited by 14 publications

References 12 publications

Prospective International Multicenter Pelvic Floor Study: Short-Term Follow-Up and Clinical Findings for Combined Pectopexy and Native Tissue Repair

Prospective International Multicenter Pelvic Floor Study: Short-Term Follow-Up and Clinical Findings for Combined Pectopexy and Native Tissue Repair

Predictors of occult stress urinary incontinence

Predicting the occurrence of stress urinary incontinence after prolapse surgery: a machine learning–based model

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