Urinary incontinence after pelvic organ prolapse repair
Article authors
Moscow State University of Medicine and Dentistry, Dept. of Urology, Moscow, Russia
The incidence of stress urinary incontinence (SUI) was evaluated in patients after surgical correction of pelvic organ prolapse (POP) by the vaginal approach relative to the preoperative continence status.
This study included 82 women suffering from POP. For continence’s evaluation the UDI-6 questionnaire was used. 30 patients (Group 1) had concomitant SUI and prolapse. The remaining patients without complaint of SUI were divided into Group 2 (n=31) with negative cough test after prolapse repositioning and Group 3 (n=21) with occult SUI. The results of surgical treatment of POP were evaluated for the presence SUI within 3 months after the operation during office visits and using the UDI-6 questionnaire.
Three months after surgery 41% of the patients (34/82) complained of SUI, and some of these (70% - 24/34) patients requested a subsequent anti-incontinence operation. No cases of prolapse recurrence were noted within three months. According to our results, 53% of the patients from Group and 52% of the women from Group 3 complained of SUI after POP repair. However, only 40% and 33% of the patients in group 1 and group 3, respectively, requested anti-incontinence surgery. Among patients from Group 2, the likelihood of developing de novo SUI was 22%, while only 16% of these patients required correction of their continence state.
The rate of SUI after POP repair was equal between patients with occult incontinence and those who had complaints of incontinence prior to surgery. There was a higher probability of requesting anti-incontinence surgery in the group with overt SUI.
