Department of Neuroscience, Reproductive Science and Dentistry, School of Medicine, University of Naples Federico II, Naples, Italy.
Department of Advanced Biomedical Sciences, School of Medicine, University of Naples Federico II, Naples, Italy.
Urol Int. 2021;105(11-12):1099-1103. doi: 10.1159/000518114. Epub 2021 Aug 18.
Data regarding the risk of incontinence after cesarean hysterectomy are lacking. We aimed to assess the risk of urinary incontinence in women who underwent planned cesarean hysterectomy for placenta accreta.
This was a retrospective study of women who underwent planned cesarean hysterectomy for placenta accreta. The primary outcome was the incidence of post-cesarean hysterectomy urinary incontinence, defined as involuntary loss of urine between 3 and 12 months after cesarean hysterectomy. Outcomes were compared in a cohort of women who underwent planned cesarean hysterectomy for placenta accreta with a control group of women who underwent scheduled cesarean section without hysterectomy.
Forty-seven singleton gestations who underwent planned cesarean hysterectomy for placenta accrete were included in the study and were compared with 100 controls. Eight cases of bladder injuries were reported, 7 in the planned cesarean hysterectomy group and one in the planned cesarean delivery group. Overall, urinary incontinence was reported in 10 women of the planned cesarean hysterectomy group and in 8 women of the planned cesarean section group (21.3% vs. 8.0%; p = 0.03).
Planned cesarean hysterectomy for placenta accreta is a risk factor for urinary incontinence.
有关剖宫产子宫切除术后尿失禁风险的数据尚缺乏。我们旨在评估胎盘植入患者行计划性剖宫产子宫切除术的女性发生尿失禁的风险。
这是一项对因胎盘植入而行计划性剖宫产子宫切除术的女性进行的回顾性研究。主要结局是剖宫产子宫切除术后尿失禁的发生率，定义为剖宫产子宫切除术后 3 至 12 个月期间发生的无意识尿失禁。将胎盘植入患者行计划性剖宫产子宫切除术的患者队列的结局与行择期剖宫产而不切除子宫的对照组进行比较。
研究纳入了 47 例因胎盘植入而行计划性剖宫产子宫切除术的单胎妊娠，并与 100 例对照组进行了比较。报告了 8 例膀胱损伤，其中 7 例发生在计划性剖宫产子宫切除术组，1 例发生在计划性剖宫产分娩组。总体而言，计划性剖宫产子宫切除术组有 10 例女性报告有尿失禁，计划性剖宫产组有 8 例女性报告有尿失禁（21.3% vs. 8.0%；p = 0.03）。
胎盘植入患者行计划性剖宫产子宫切除术是尿失禁的一个危险因素。
