De Novo Urinary Symptoms after Pelvic Organ Prolapse Repair Surgery: A Cross Sectional Study at AKU Hospital

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)