Sato Hirotaka, Abe Hirokazu, Ikeda Atsushi, Miyagawa Tomoaki, Tsukada Sachiyuki
Department of Urology, Hokusuikai Kinen Hospital, Mito, Ibaraki.
Department of Urology, Kameda Medical Center, Chiba, Japan.
Gynecol Minim Invasive Ther. 2022 Feb 14;11(1):28-35. doi: 10.4103/GMIT.GMIT_2_21. eCollection 2022 Jan-Mar.
Knowledge on the severity of cystocele and incidence of postoperative stress urinary incontinence (SUI) after prolapse repair is lacking. This study investigated the incidence and risk factors of postoperative SUI following laparoscopic sacrocolpopexy (LSC).
We retrospectively reviewed the charts of 83 women without occult SUI who underwent LSC for pelvic organ prolapse and developed SUI over 3 months postoperatively. We used Fisher's exact test, the Mann-Whitney -test, and logistic regression for statistical data analyses.
After 3 months, the incidences of postoperative SUI were 50% and 24% in those who did and did not report preoperative SUI, respectively. Eventually, postoperative SUI was reported by 39% and 9% of the women with and without preoperative SUI, respectively. Increased Ba (point of maximal anterior vaginal wall prolapse) measurement (odds ratio [OR], 1.44; 95% confidence interval [CI], 1.0-2.06; = 0.04) and preoperative SUI (OR, 3.95; 95% CI, 1.14-13.7; = 0.03) were the risk factors for postoperative SUI.
Our findings suggest that counseling regarding the risk of postoperative SUI should be conducted for women with preoperative advanced cystocele or bothersome SUI.
目前缺乏关于膀胱膨出严重程度以及脱垂修复术后压力性尿失禁（SUI）发生率的相关知识。本研究调查了腹腔镜骶骨阴道固定术（LSC）后SUI的发生率及危险因素。
我们回顾性分析了83例无隐匿性SUI且因盆腔器官脱垂接受LSC手术并在术后3个月出现SUI的女性患者病历。我们采用Fisher精确检验、Mann-Whitney检验和逻辑回归进行统计数据分析。
术后3个月，术前报告有SUI和无SUI的患者中，术后SUI的发生率分别为50%和24%。最终，术前有和无SUI的女性中分别有39%和9%报告发生了术后SUI。增大的Ba（阴道前壁最大脱垂点）测量值（比值比[OR]，1.44；95%置信区间[CI]，1.0 - 2.06；P = 0.04）和术前SUI（OR，3.95；95% CI，1.14 - 13.7；P = 0.03）是术后SUI的危险因素。
我们的研究结果表明，对于术前有严重膀胱膨出或困扰性SUI的女性，应就术后SUI的风险进行咨询。
