Department of Obstetrics and Gynaecology, Academic Medical Centre, Room H4-205, PO Box 22700, 1105, DE, Amsterdam, The Netherlands.
We aimed to develop a prediction rule to predict the individual risk to develop stress urinary incontinence (SUI) after hysterectomy.
Prospective observational study with 3-year follow-up among women who underwent abdominal or vaginal hysterectomy for benign conditions, excluding vaginal prolapse, and who did not report SUI before surgery (n = 183). The presence of SUI was assessed using a validated questionnaire.
Significant prognostic factors for de novo SUI were BMI (OR 1.1 per kg/m(2), 95% CI 1.0-1.2), younger age at time of hysterectomy (OR 0.9 per year, 95% CI 0.8-1.0) and vaginal hysterectomy (OR 2.3, 95% CI 1.0-5.2). Using these variables, we developed the following rule to predict the risk of developing SUI: 32 + BMI - age + (7.5 × route of surgery).
We defined a prediction rule that can be used to counsel patients about their individual risk on developing SUI following hysterectomy.
Written by:
Lakeman MM, Van Der Vaart CH, Van Der Steeg JW, Roovers JP. Are you the author?
Reference: Int Urogynecol J Pelvic Floor Dysfunct. 2011 Apr 12. Epub ahead of print.
doi: 10.1007/s00192-011-1427-y
PubMed Abstract
PMID: 21484363
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