We investigated the impact of menopausal status on urinary continence following abdominal sacrocolpopexy (ASC) without an anti-incontinence procedure in continent women.
We conducted a clinical follow-up study of 137 patients diagnosed with stage 3 or higher pelvic organ prolapse (POP) without urinary incontinence between January 2012 and December 2014. Patients were provided with detailed a priori information pertaining to the abdominal sacrocolpopexy procedure and were invited to attend follow-up visits at 1, 3, 12, and 24 months. Follow-up visits included a gynecological examination, cough test, and validated Urinary Distress Inventory-6 (UDI-6) and Incontinence Impact Questionnaire-7 (IIQ-7) questionnaires.
The mean follow-up time for the cohort was 16.5±3.45 months. The study group was divided according to menopausal status: premenopausal (Group-1) and postmenopausal women (Group-II). Anatomical recurrence was not detected during the follow-up period in either group, but de novo stress urinary incontinence was seen in 15 of 53 (28.3%) Group-I patients and in 6 of 84 (7.1%; p < 0.01) Group-II patients.
The risk of de novo stress urinary incontinence in postmenopausal women after ASC is low. However, premenopausal patients have a higher incidence of de novo stress incontinence which affect quality of life.
Pakistan journal of medical sciences. 0000 Jan [Epub]
Abdurrahman Hamdi Inan, Emrah Toz, Emrah Beyan, Tutku Gurbuz, Aykut Ozcan, Oznur Oner
Abdurrahman Hamdi Inan, Department of Gynecology and Obstetrics, Ardahan State Hospital, Ardahan, Turkey., Emrah Toz, Department of Gynecology and Obstetrics, Izmir Tepecik Education and Research Hospital, Izmir, Turkey., Emrah Beyan, Department of Gynecology and Obstetrics, Izmir Tepecik Education and Research Hospital, Izmir, Turkey., Tutku Gurbuz, Department of Gynecology and Obstetrics, Ardahan State Hospital, Ardahan, Turkey., Aykut Ozcan, Department of Gynecology and Obstetrics, Izmir Tepecik Education and Research Hospital, Izmir, Turkey., Oznur Oner, Department of Gynecology and Obstetrics, Ardahan Military Hospital, Ardahan, Turkey.