Jurnal Internasional Medical Journal of Indonesia FKUI Vol. 30 No. 4 2021
Incidence and Characteristics of de Novo Stress Urinary Incontinence after Pelvic Organ Prolapse Vaginal Repair
Dublin Core
Title
Jurnal Internasional Medical Journal of Indonesia FKUI Vol. 30 No. 4 2021
Incidence and Characteristics of de Novo Stress Urinary Incontinence after Pelvic Organ Prolapse Vaginal Repair
Incidence and Characteristics of de Novo Stress Urinary Incontinence after Pelvic Organ Prolapse Vaginal Repair
Subject
gynecologic surgery, pelvic organ prolapse, tertiary referral center, urinary stress incontinence
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.
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.
Creator
Suskhan Djusad, Ihya Ridlo Nizomy, Surahman Hakim, Tyas Priyatini, Fernandi Moegni, Alfa Putri Meutia, Budi Iman Santoso
Publisher
Fakultas Kedokteran Universitas Indonesia
Date
2022-01-05
Contributor
Sri Wahyuni
Rights
ISSN : 0853-1773
Format
PDF
Language
English
Type
Text
Coverage
Jurnal Internasional Medical Journal of Indonesia FKUI Vol. 30 No. 4 2021
Files
Citation
Suskhan Djusad, Ihya Ridlo Nizomy, Surahman Hakim, Tyas Priyatini, Fernandi Moegni, Alfa Putri Meutia, Budi Iman Santoso, “Jurnal Internasional Medical Journal of Indonesia FKUI Vol. 30 No. 4 2021
Incidence and Characteristics of de Novo Stress Urinary Incontinence after Pelvic Organ Prolapse Vaginal Repair,” Repository Horizon University Indonesia, accessed November 21, 2024, https://repository.horizon.ac.id/items/show/1019.
Incidence and Characteristics of de Novo Stress Urinary Incontinence after Pelvic Organ Prolapse Vaginal Repair,” Repository Horizon University Indonesia, accessed November 21, 2024, https://repository.horizon.ac.id/items/show/1019.