Incidence and characteristics of <em>de novo</em> stress urinary incontinence after pelvic organ prolapse vaginal repair

BACKGROUND Some patients who undergo pelvic floor reconstruction for pelvic organ prolapse (POP) may experience a de novo stress urinary incontinence (SUI) postoperatively. We aimed to investigate the incidence and characteristics of de novo SUI in patients who underwent pelvic floor reconstruction...

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Autores principales:	Suskhan Djusad, Ihya Ridlo Nizomy, Surahman Hakim, Tyas Priyatini, Fernandi Moegni, Alfa Putri Meutia, Budi Iman Santoso
Formato:	article
Lenguaje:	EN
Publicado:	Faculty of Medicine Universitas Indonesia 2021
Materias:	gynecologic surgery pelvic organ prolapse tertiary referral center urinary stress incontinence Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/d636cd551b4e4b938796eac38e44f2eb
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spelling	oai:doaj.org-article:d636cd551b4e4b938796eac38e44f2eb2021-11-23T11:50:42ZIncidence and characteristics of <em>de novo</em> stress urinary incontinence after pelvic organ prolapse vaginal repair10.13181/mji.oa.2041630853-17732252-8083https://doaj.org/article/d636cd551b4e4b938796eac38e44f2eb2021-11-01T00:00:00Zhttp://mji.ui.ac.id/journal/index.php/mji/article/view/4163https://doaj.org/toc/0853-1773https://doaj.org/toc/2252-8083 BACKGROUND Some patients who undergo pelvic floor reconstruction for pelvic organ prolapse (POP) may experience a de novo stress urinary incontinence (SUI) postoperatively. We aimed to investigate the incidence and characteristics of de novo SUI in patients who underwent pelvic floor reconstruction at the national referral hospital in Indonesia. METHODS This cross-sectional study evaluated 108 patients who underwent pelvic floor reconstruction due to POP between January 2016 and December 2017. Per the inclusion criteria, 75 women were enrolled using a consecutive sampling. The incidence of de novo SUI was determined 6–12 months postoperatively using the Indonesian version of the questionnaire for urinary incontinence diagnosis and objectively using the cough stress test during gynecologic examination after a negative preoperative prolapse reduction stress test. RESULTS The average age, parity, body mass index, and years since menopause onset were 56.17 (4.67) years, 3.17 (1.07), 28.58 (5.18) kg/m2, and 12.8 (7.0) years, respectively. De novo SUI was seen in 8.0% (6 of 75) patients at 6–7 months postoperatively, with 3 (50.0%) had severe POP and 3 (50.0%) had a mild POP. Most of these patients (4 of 6, 66.7%) had undergone procedures other than colpocleisis for POP reconstruction. CONCLUSIONS The incidence of de novo SUI after gynecologic surgery for POP at a national referral hospital in Indonesia is 8%. Most patients were aged <60 years, had a parity of <4, were nonobese, were menopausal, and had diabetes. Suskhan DjusadIhya Ridlo NizomySurahman HakimTyas PriyatiniFernandi MoegniAlfa Putri MeutiaBudi Iman SantosoFaculty of Medicine Universitas Indonesia articlegynecologic surgerypelvic organ prolapsetertiary referral centerurinary stress incontinenceMedicine (General)R5-920ENMedical Journal of Indonesia, Vol 1, Iss 1 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	gynecologic surgery pelvic organ prolapse tertiary referral center urinary stress incontinence Medicine (General) R5-920
spellingShingle	gynecologic surgery pelvic organ prolapse tertiary referral center urinary stress incontinence Medicine (General) R5-920 Suskhan Djusad Ihya Ridlo Nizomy Surahman Hakim Tyas Priyatini Fernandi Moegni Alfa Putri Meutia Budi Iman Santoso Incidence and characteristics of <em>de novo</em> stress urinary incontinence after pelvic organ prolapse vaginal repair
description	BACKGROUND Some patients who undergo pelvic floor reconstruction for pelvic organ prolapse (POP) may experience a de novo stress urinary incontinence (SUI) postoperatively. We aimed to investigate the incidence and characteristics of de novo SUI in patients who underwent pelvic floor reconstruction at the national referral hospital in Indonesia. METHODS This cross-sectional study evaluated 108 patients who underwent pelvic floor reconstruction due to POP between January 2016 and December 2017. Per the inclusion criteria, 75 women were enrolled using a consecutive sampling. The incidence of de novo SUI was determined 6–12 months postoperatively using the Indonesian version of the questionnaire for urinary incontinence diagnosis and objectively using the cough stress test during gynecologic examination after a negative preoperative prolapse reduction stress test. RESULTS The average age, parity, body mass index, and years since menopause onset were 56.17 (4.67) years, 3.17 (1.07), 28.58 (5.18) kg/m2, and 12.8 (7.0) years, respectively. De novo SUI was seen in 8.0% (6 of 75) patients at 6–7 months postoperatively, with 3 (50.0%) had severe POP and 3 (50.0%) had a mild POP. Most of these patients (4 of 6, 66.7%) had undergone procedures other than colpocleisis for POP reconstruction. CONCLUSIONS The incidence of de novo SUI after gynecologic surgery for POP at a national referral hospital in Indonesia is 8%. Most patients were aged <60 years, had a parity of <4, were nonobese, were menopausal, and had diabetes.
format	article
author	Suskhan Djusad Ihya Ridlo Nizomy Surahman Hakim Tyas Priyatini Fernandi Moegni Alfa Putri Meutia Budi Iman Santoso
author_facet	Suskhan Djusad Ihya Ridlo Nizomy Surahman Hakim Tyas Priyatini Fernandi Moegni Alfa Putri Meutia Budi Iman Santoso
author_sort	Suskhan Djusad
title	Incidence and characteristics of <em>de novo</em> stress urinary incontinence after pelvic organ prolapse vaginal repair
title_short	Incidence and characteristics of <em>de novo</em> stress urinary incontinence after pelvic organ prolapse vaginal repair
title_full	Incidence and characteristics of <em>de novo</em> stress urinary incontinence after pelvic organ prolapse vaginal repair
title_fullStr	Incidence and characteristics of <em>de novo</em> stress urinary incontinence after pelvic organ prolapse vaginal repair
title_full_unstemmed	Incidence and characteristics of <em>de novo</em> stress urinary incontinence after pelvic organ prolapse vaginal repair
title_sort	incidence and characteristics of <em>de novo</em> stress urinary incontinence after pelvic organ prolapse vaginal repair
publisher	Faculty of Medicine Universitas Indonesia
publishDate	2021
url	https://doaj.org/article/d636cd551b4e4b938796eac38e44f2eb
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Incidence and characteristics of <em>de novo</em> stress urinary incontinence after pelvic organ prolapse vaginal repair

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