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De novo urinary stress incontinence after laparoscopic sacral colpopexy.
BJU Int. 2008 Mar; 101(5):594-7.BI

Abstract

OBJECTIVE

To analyse the incidence and the risk of developing de novo stress urinary incontinence (SUI) after laparoscopic sacral colpopexy (LSCP).

PATIENTS AND METHODS

In all, 53 women wit no concomitant or occult SUI before surgery had a LSCP with no anti-incontinence procedure. All their medical charts were reviewed retrospectively and analysed statistically to assess the association between clinical data before LSCP (age, body mass index, maximum urethral closure pressure, medical history of UI and prolapse surgery, bladder neck hypermobility) and de novo SUI after LSCP.

RESULTS

With a mean (sd) follow up of 20.4 (9.1) months, seven patients (13%) developed de novo SUI, within a median (range) of 2.1 (1-3) months after surgery. There was no statistical association between factors before LSCP and de novo SUI afterward on a univariate analysis (P > 0.05). The 5-year SUI-free survival rate after LSCP was 86%.

CONCLUSION

Despite the risk of de novo SUI remaining low after LSCP patients should always be informed before surgery, as it cannot be predicted. Moreover, it can directly affect the functional outcome and lead to a second procedure in a few cases.

Authors+Show Affiliations

Misraï V
Department of Urology, Pitié-Salpétrière Hospital, Assistance Publique-Hôpitaux de Paris (AP-HP), Faculté de Médecine Pierre et Marie Curie, University Paris VI, France. vincent.misrai@psl.aphp.fr
Rouprêt M
No affiliation info available
Cour F
No affiliation info available
Chartier-Kastler E
No affiliation info available
Richard F
No affiliation info available

MeSH

AdultAgedAged, 80 and overFemaleGynecologic Surgical ProceduresHumansLaparoscopyMiddle AgedRetrospective StudiesTreatment OutcomeUrinary Incontinence, StressUterine Prolapse

Pub Type(s)

Journal Article

Language

eng

PubMed ID

17995964

Citation

Misraï, Vincent, et al. "De Novo Urinary Stress Incontinence After Laparoscopic Sacral Colpopexy." BJU International, vol. 101, no. 5, 2008, pp. 594-7.
Misraï V, Rouprêt M, Cour F, et al. De novo urinary stress incontinence after laparoscopic sacral colpopexy. BJU Int. 2008;101(5):594-7.
Misraï, V., Rouprêt, M., Cour, F., Chartier-Kastler, E., & Richard, F. (2008). De novo urinary stress incontinence after laparoscopic sacral colpopexy. BJU International, 101(5), 594-7.
Misraï V, et al. De Novo Urinary Stress Incontinence After Laparoscopic Sacral Colpopexy. BJU Int. 2008;101(5):594-7. PubMed PMID: 17995964.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - De novo urinary stress incontinence after laparoscopic sacral colpopexy. AU - Misraï,Vincent, AU - Rouprêt,Morgan, AU - Cour,Florence, AU - Chartier-Kastler,Emmanuel, AU - Richard,François, Y1 - 2007/11/08/ PY - 2007/11/13/pubmed PY - 2008/3/25/medline PY - 2007/11/13/entrez SP - 594 EP - 7 JF - BJU international JO - BJU Int VL - 101 IS - 5 N2 - OBJECTIVE: To analyse the incidence and the risk of developing de novo stress urinary incontinence (SUI) after laparoscopic sacral colpopexy (LSCP). PATIENTS AND METHODS: In all, 53 women wit no concomitant or occult SUI before surgery had a LSCP with no anti-incontinence procedure. All their medical charts were reviewed retrospectively and analysed statistically to assess the association between clinical data before LSCP (age, body mass index, maximum urethral closure pressure, medical history of UI and prolapse surgery, bladder neck hypermobility) and de novo SUI after LSCP. RESULTS: With a mean (sd) follow up of 20.4 (9.1) months, seven patients (13%) developed de novo SUI, within a median (range) of 2.1 (1-3) months after surgery. There was no statistical association between factors before LSCP and de novo SUI afterward on a univariate analysis (P > 0.05). The 5-year SUI-free survival rate after LSCP was 86%. CONCLUSION: Despite the risk of de novo SUI remaining low after LSCP patients should always be informed before surgery, as it cannot be predicted. Moreover, it can directly affect the functional outcome and lead to a second procedure in a few cases. SN - 1464-410X UR - https://www.unboundmedicine.com/medline/citation/17995964/De_novo_urinary_stress_incontinence_after_laparoscopic_sacral_colpopexy_ DB - PRIME DP - Unbound Medicine ER -