Behaviour of urinary incontinence in the face of sacrocolpopexy

The aim of this study was to determine whether an association exists between the performance of a sacrocolpopexy for genital prolapse and the bladder function. A case series study was performed that includes all patients who received sacrocolpopexy in a tertiary Spanish hospital. An analysis was per...

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Bibliographic Details
Main Authors: Nuria L. Rodríguez-Mias, Jordi Sabadell-García, Elena Suárez-Salvador, Antonio Gil-Moreno, Jose Luis Poza-Barrasus
Format: Article
Language:English
Published: PAGEPress Publications 2017-08-01
Series:Urogynaecologia International Journal
Subjects:
Online Access:http://www.urogynaecologia.org/index.php/uij/article/view/185
Description
Summary:The aim of this study was to determine whether an association exists between the performance of a sacrocolpopexy for genital prolapse and the bladder function. A case series study was performed that includes all patients who received sacrocolpopexy in a tertiary Spanish hospital. An analysis was performed to study the association of some variables and the occurrence or persistence of urinary incontinence after the surgery. Forty patients with indication of sacrocolpopexy were included. A year after sacrocolpopexy, the outcomes showed 97.3% of prolapse healing. 19.3% complained about de novo stress urinary incontinence, 33.3% recovered from it and another 66.7% remained the same. Only 10.8% asked for an anti-incontinence surgery after the sacrocolpopexy. The urethral hypermobility shows an increased risk of stress urinary incontinence after the sacrocolpopexy. Based on our results, we do not consider it necessary to perform a systematic antiincontinence procedure simultaneously with sacrocolpopexy unless a woman without urethral anti-incontinence surgical background shows a urethral hypermobility.
ISSN:1121-3086
2038-8314