Department of Gynaecology and Obstetrics, The First Affiliated Hospital of Qiqihar Medical University, 161041 Qiqihar, Heilongjiang, China.
Physical Examination Center, The First Affiliated Hospital of Qiqihar Medical University, 161041 Qiqihar, Heilongjiang, China.
Arch Esp Urol. 2024 Sep;77(8):921-927. doi: 10.56434/j.arch.esp.urol.20247708.130.
Stress urinary incontinence (SUI) is a common postoperative complication that significantly affects the quality of life in women who have undergone radical hysterectomy for cervical cancer. This study evaluates the incidence and risk factors associated with SUI in women after cervical cancer surgery.
This case-control study included women diagnosed with cervical cancer who underwent radical hysterectomy at our hospital between May 2020 and May 2023. Participants were divided into two groups based on the presence of postoperative SUI, namely the SUI group and the SUI-free group. Inclusion criteria required the absence of preoperative urinary incontinence and stable vital signs. Data were collected on demographic characteristics, tumour histology and staging, urodynamic parameters, and intraoperative and postoperative factors.
Ninety-seven patients with cervical cancer who underwent radical hysterectomy were divided into two groups: The SUI group (n = 27) and the SUI-free group (n = 70), with an SUI incidence of 27.8% in the study population. Significant differences between the SUI and SUI-free groups were observed in menopausal status ( = 0.026), chronic constipation ( = 0.011), and tumour diameter ( < 0.001). Urodynamic assessments revealed a higher maximum urinary flow rate (Qmax) in the SUI group compared to the SUI-free group (21.36 ± 6.41 vs. 17.38 ± 5.18 mL/s; = 0.002). Logistic regression analysis identified menopause (odds ratio (OR) = 7.700, 95% confidence interval (CI) = 1.256-47.192), chronic constipation (OR = 9.918, 95% CI = 1.387-70.911), Qmax (OR = 1.302, 95% CI = 1.061-1.598), and surgery duration (OR = 1.040, 95% CI = 1.001-1.081) as independent protective factors.
SUI is a significant postoperative complication in women undergoing cervical cancer surgery. Menopause, chronic constipation, tumour diameter, Qmax, and surgery duration were independent risk factors.
压力性尿失禁（SUI）是宫颈癌根治术后常见的术后并发症，严重影响患者的生活质量。本研究旨在评估宫颈癌术后女性发生 SUI 的发生率及相关危险因素。
本病例对照研究纳入了 2020 年 5 月至 2023 年 5 月在我院接受根治性子宫切除术的宫颈癌患者。根据术后是否发生 SUI，将患者分为 SUI 组（n=27）和非 SUI 组（n=70）。纳入标准为术前无尿失禁且生命体征稳定。收集患者的人口统计学特征、肿瘤组织学和分期、尿动力学参数以及术中、术后相关因素。
本研究共纳入 97 例宫颈癌患者，分为 SUI 组（n=27）和非 SUI 组（n=70），研究人群中 SUI 的发生率为 27.8%。SUI 组和非 SUI 组在绝经状态（ =0.026）、慢性便秘（ =0.011）和肿瘤直径（ <0.001）方面存在显著差异。尿动力学评估显示，SUI 组的最大尿流率（Qmax）高于非 SUI 组（21.36±6.41 vs. 17.38±5.18 mL/s； =0.002）。Logistic 回归分析显示，绝经（优势比（OR）=7.700，95%置信区间（CI）=1.256-47.192）、慢性便秘（OR=9.918，95%CI=1.387-70.911）、Qmax（OR=1.302，95%CI=1.061-1.598）和手术时间（OR=1.040，95%CI=1.001-1.081）是 SUI 的独立保护因素。
SUI 是宫颈癌根治术后的一种严重术后并发症。绝经、慢性便秘、肿瘤直径、Qmax 和手术时间是独立的危险因素。
