Change in stress urinary incontinence before and after laparoscopic sacrocolpopexy in pelvic organ prolapse patients
Jimmy Nomura (1), Tokumasa Hayashi (1), Shino Tokiwa (1), Mika Nagae (1), Yugo Sawada (1)
(1) Kameda Medical Center, Kamogawa city, Japan
It is known that pelvic organ prolapse (POP) patients demonstrate various type of lower urinary tract symptom (LUTS) including stress urinary incontinence (SUI). Several lines of evidence have shown that de novo SUI occurs frequently after POP repair including laparoscopic sacrocolpopexy (LSC). However, it remains to be determined whether de novo SUI has changed during follow-up period. In the present study, we examine changes in SUI before, 6 and 12 months after LSC in POP patients
In this retrospective cohort study, one hundred ninety POP patients treated with LSC in January to December 2016 were included. The status of SUI was examined preoperatively and at 6 and 12 month after LSC. The SUI was evaluated using the International Consultation on Incontinence Questionnaire-Short Form (ICIQ-SF). In LSC, a subtotal hysterectomy was performed in patients who have a uterus. Mesh was placed in both the anterior and posterior vaginal walls and was fixed to the promontory. No anti-incontinence surgery was performed at the time of LSC and during 12 months follow-up period in all patients.
Preoperatively, seventy-four patients (39%) showed SUI and 116 (61%) had no SUI. Six months after LSC, forty (34%) of the 116 patients with no SUI preoperatively showed de novo SUI. At twelve moths after LSC, however, among forty de novo SUI patients, 15 patients still had SUI, 16 patients showed improvement and 9 patients had no SUI.
The present study demonstrated that 34% patients with no SUI preoperatively showed de novo SUI six months after the LSC. Among de novo SUI patients, more than sixty percent of the patients showed either improvement or cure in SUI 12 months after LSC. The present study demonstrated that de novo SUI has improved during follow-up period after LSC.