scholarly journals PD02-07 PROPHYLACTIC MIDURETHRAL SLINGS AT THE TIME OF PELVIC ORGAN PROLAPSE REPAIR SURGERY TO PREVENT DE-NOVO STRESS URINARY INCONTINENCE- A NEED TO REAPPRAISE?

2019 ◽  
Vol 201 (Supplement 4) ◽  
Author(s):  
Kai Dallas* ◽  
Lisa Rogo-Gupta ◽  
Raveen Syan ◽  
Ekene Enemchukwu ◽  
Christopher Elliott
2013 ◽  
Vol 112 (5) ◽  
pp. 674-685 ◽  
Author(s):  
Altaf Mangera ◽  
Anthony J. Bullock ◽  
Sabiniano Roman ◽  
Christopher R. Chapple ◽  
Sheila MacNeil

2021 ◽  
Vol 15 (5) ◽  
pp. 1176-1179
Author(s):  
S. Ilyas ◽  
S. Najmusahar ◽  
D. Rehmani ◽  
S. Agha ◽  
N. Mushtaq

Objective: To determine the frequency of new onset urinary symptoms after surgery for pelvic organ prolapse repair. Study Design: Descriptive Cross-Sectional Study. Place and Duration: This study was conducted at Outpatient Gynecological Clinics, Aga Khan University Hospital (AKUH) Karachi, Pakistan from January 19, 2018 to July 18, 2018. Materials and Methods: Eighty one women were included in the study. Informed consent was taken after explaining the procedure, risks and benefits of the study. Women who underwent POP repair surgery in the past 6 weeks were recruited. They were asked to complete the proforma including personal information and details of all urinary symptoms like frequency, urgency and incontinence etc. provided by residents after informed consent through validated questionnaire UDI SF6. All the collected data were entered into the proforma attached at the end and used electronically for research purpose. Results: Mean ± SD of age was 52.75±9.71 years. Out of 81 patients, 47 (58%) women were menopause. In frequency of new onset of urinary symptoms De novo urinary incontinence was noted in 12 (14.8%) women, 20 (24.6%) had De novo urges urinary incontinence, while 15 (18.5%), 28 (34.5%) and 20 (24.6%) women had De novo stress urinary incontinence, De novo urinary frequency and De novo urinary urgency respectively. Conclusion: It is to be concluded that De novo urinary frequency was found to be the most common new onset urinary symptoms followed by De novo urinary Urgency and De novo Urge Urinary Incontinence. Keywords: De novo urinary symptoms, Pelvic Organ Prolapse (POP), Post- Operative Stress Urinary Incontinence (SUI), Quality of Life (QoL), Urinary Incontinence (UI)


Author(s):  
Suskhan Djusad ◽  
Ihya Ridlo Nizomy ◽  
Surahman Hakim ◽  
Tyas Priyatini ◽  
Fernandi Moegni ◽  
...  

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.


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