Incidence of stress urinary incontinence after laparoscopic sacrocolpopexy


Authors: Vladimír Boháč 1 ;  Jaromír Mašata 2 ;  Kamil Švabík 2
Authors‘ workplace: Gynekologicko-porodnické oddělení, Nemocnice AGEL Přerov 1;  Klinika gynekologie, porodnictví a neonatologie 1. LF UK a VFN v Praze 2
Published in: Ceska Gynekol 2024; 89(4): 278-281
Category: Original Article
doi: https://doi.org/10.48095/cccg2024278

Overview

Objective: The aim of the study was to evaluate the occurrence of stress urinary incontinence after pelvic organ prolapse surgery using the laparoscopic sacrocolpopexy method. This is a retrospective multicenter study. Methods: The study included 131 patients who underwent laparoscopic sacrocolpopexy and underwent at least a one-year follow-up in the form of a clinical examination. Results: The group included patients with an average age of 63.4 years (38–80 years), BMI 26.6 kg/m2 (19.4–36 kg/m2), and parity 2 (0–4). Before surgery, 30 (22.9%) patients showed stress incontinence, and after surgery there were 50 (38.2%); the difference was statistically significant (P = 0.0007). Thirty (22.9%) patients underwent subsequent anti-incontinence surgery, while 10 (7.6%) patients experienced significant improvement of stress incontinence. Conclusion: Pelvic organ prolapse reconstruction surgery by laparoscopic sacrocolpopexy is associated with the risk of postoperative stress incontinence in 38.2%, of which de novo in 22.9% of cases.

Keywords:

laparoscopic sacrocolpopexy – stress urinary incontinence – pelvic organ prolapse


Sources

1. Wilkins MF, Wu JM. Lifetime risk of surgery for stress urinary incontinence or pelvic organ prolapse. Minerva Ginecol 2017; 69 (2): 171–177. doi: 10.23736/S0026-4784.16.04011-9.

2. El Hamamsy D, Fayyad AM. New onset stress urinary incontinence following laparoscopic sacrocolpopexy and its relation to anatomical outcomes. Int Urogynecol J 2015; 26 (7): 1041–1045. doi: 10.1007/s00192-015-2 641-9.

3. Yoshio Y, Hayashi T, Tokiwa S et al. Predictive urodynamic factors for de novo stress urinary incontinence after laparoscopic sacrocolpopexy for pelvic organ prolapse. Low Urin Tract Symptoms 2021; 13 (4): 498–504. doi: 10.1111/luts.12401.

4. Rozet F, Mandron E, Arroyo C et al. Laparoscopic sacral colpopexy approach for genito-urinary prolapse: experience with 363 cases. Eur Urol 2005; 47 (2): 230–236. doi: 10.1016/ j.eururo.2004.08.014.

5. Kummeling MT, Rietbergen JB, Withagen MI et al. Sequential urodynamic assessment before and after laparoscopic sacrocolpopexy. Acta Obstet Gynecol Scand 2013; 92 (2): 172–177. doi: 10.1111/aogs.12045.

6. Misraï V, Rouprêt M, Cour F et al. De novo urinary stress incontinence after laparoscopic sacral colpopexy. BJU Int 2008; 101 (5): 594–597. doi: 10.1111/j.1464-410X.2007.07291.x.

7. Baessler K, Christmann-Schmid C, Maher C et al. Surgery for women with pelvic organ prolapse with or without stress urinary incontinence. Cochrane Database Syst Rev 2018; 8 (8): CD013108. doi: 10.1002/14651858.CD013108.

8. Lensen EJ, Withagen MI, Kluivers KB et al. Urinary incontinence after surgery for pelvic organ prolapse. Neurourol Urodyn 2013; 32 (5): 455–459. doi: 10.1002/nau.22327.

9. Eisenberg VH, Chantarasorn V, Shek KL et al. Does levator ani injury affect cystocele type? Ulrasound Obstet Gynecol 2010; 36 (5): 618–23. doi: 10.1002/uog.7712.

10. LeClaire EL, Mukati MS, Juarez D et al. Is de novo stress incontinence after sacrocolpopexy related to anatomical changes and surgical approach? Int Urogynecol J 2014; 25 (9): 1201–1206. doi: 10.1007/s00192-014-2366-1.

11. Leruth J, Fillet M, Waltregny D. Incidence and risk factors of postoperative stress urinary incontinence following laparoscopic sacrocolpopexy in patients with negative preoperative prolapse reduction stress testing. Int Urogynecol J 2013; 24 (3): 485–491. doi: 10.1007/ s00192-012-1888-7.

12. Sato H, Abe H, Ikeda A et al. Severity of cystocele and risk factors of postoperative stress urinary incontinence after laparoscopic sacrocolpopexy for pelvic organ prolapse. Gynecol Minim Invasive Ther 2022; 11 (1): 28–35. doi: 10.4103/GMIT.GMIT_2_21.

13. van der Ploeg JM, van der Steen A, Zwolsman S et al. Prolapse surgery with or without incontinence procedure: a systematic review and meta-analysis. BJOG 2018; 125 (3): 289–297. doi: 10.1111/1471-0528.14943.

14. Christmann-Schmid C, Bruehlmann E, Koerting I et al. Laparoscopic sacrocolpopexy with or without midurethral sling insertion: is a two- step approach justified? A prospective study. Eur J Obstet Gynecol Reprod Biol 2018; 229: 98–102. doi: 10.1016/j.ejogrb.2018.08.009.

ORCID autorů
V. Boháč 0009-0005-8930-1989
J. Mašata 0000-0002-3898-6608
K. Švabík 0000-0003-1778-2101
Doručeno/Submitted: 10. 4. 2024
Přijato/Accepted: 11. 4. 2024
MUDr. Mgr. Vladimír Boháč, MHA
Gynekologicko-porodnické oddělení
Nemocnice AGEL Přerov
Dvořákova 75
751 52 Přerov
vladobohac@gmail.com
Labels
Paediatric gynaecology Gynaecology and obstetrics Reproduction medicine
Login
Forgotten password

Enter the email address that you registered with. We will send you instructions on how to set a new password.

Login

Don‘t have an account?  Create new account