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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
De novo stress urinary incontinence after vaginal repair for pelvic organ prolapse: One-year follow-up
European Journal of Obstetrics and Gynecology and Reproductive Biology, Volume 168, No. 2, Year 2013
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Description
Objective: A few studies have reported a wide range (2-43%) in incidence of de novo stress urinary incontinence (SUI) following surgical repair of pelvic organ prolapse (POP) in previously continent women. The aim of this study was to re-examine this incidence up to one year following vaginal repair of prolapse. Study design: Retrospective review of a cohort of women who underwent reconstructive vaginal repair of POP without a concomitant anti-incontinence procedure between 2003 and 2007 at two tertiary referral centers. Women were considered eligible if they were stress continent by symptoms and objective assessment (including urodynamics testing) prior to surgical repair. All women who had had any anti-incontinence procedure previously were excluded. The endpoint was subjective SUI that prompted the patient to undergo any treatment within one year from their prolapse surgery. Results: 64 women, with a mean age of 61 (±11) years, were eligible for the study: 26 (41%) had preoperative symptoms of overactive bladder. Fifty-four patients were available for analysis at the one-year visit. Seven women (13.5%) had symptoms of SUI but only one (2%) was found to have SUI objectively. Another patient underwent anti-incontinence surgery following her prolapse surgery. Conclusion: The incidence of de novo SUI requiring treatment in previously continent women who underwent vaginal repairs for POP without concomitant anti-incontinence surgery is low (4%). A large-scale prospective study is necessary to further evaluate this finding. © 2013 Elsevier Ireland Ltd.
Authors & Co-Authors
Hafidh, Bandr A.
Saudi Arabia, Riyadh
King Faisal Specialist Hospital and Research Centre
Chou, Queena
Canada, London
Western University
Khalil, Mohamed M.I.
Saudi Arabia, Riyadh
Security Forces Hospital Program Riyadh
Al-Mandeel, Hazem Mahmoud
Saudi Arabia, Riyadh
College of Medicine
Statistics
Citations: 27
Authors: 4
Affiliations: 4
Identifiers
Doi:
10.1016/j.ejogrb.2012.12.029
ISSN:
03012115
e-ISSN:
18727654
Research Areas
Health System And Policy
Study Design
Cohort Study
Participants Gender
Female