Incidence of stress urinary incontinence after laparoscopic sacrocolpopexy

Česká verze

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

Summary

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

Zdroje

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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