Save
6 Cases of De Novo Stress Urinary Incontinence after Single-Incision Laparoscopic Sacrocolpopexy: a Retrospective Analysis
IUGA Academy. Liu J. Jun 30, 2018; 212900; 496 Topic: Pelvic Organ Prolapse

Access to Premium content is currently a membership benefit.


Click here to join IUGA or renew your membership.

Abstract
Discussion Forum (0)
Rate & Comment (0)

496

6 Cases of de novo stress urinary incontinence after single-incision laparoscopic sacrocolpopexy: a retrospective analysis

Liu, J1; Li, Y1; Fu, H1; Guan, X2

1: Third Affiliated Hospital of Guangzhou Medical University, Guangzhou, Guangdong, China; 2: Baylor College of Medicine, Houston, Texas; Guangzhou Medical University, Guangzhou, Guangdong, China

Introduction: In a prospective cohort study, it was reported that 39% of pelvic organ prolapse(POP) concomitant stress urinary incontinence(SUI) were cured from SUI by POP surgery alone, and de novo SUI appeared in 22%. Sacral colpopexy(SC) is the gold standard for POP surgery. Its advantages are a therapy for multi-compartmental POP, a lower recurrent rate(6.2%) and higher satisfaction(94.4%). However, surgical correction of prolapse which released urethral obstruction and changed mechanism of pelvic pressure conduction results in de novo SUI. There are several approaches for SC: transabdominal, laparoscopic, robot-assisted, transvaginal and single-incision laparoscopic. It is reported that average morbidity of de novo SUI after laparoscopic sacrocolpopexy(LSC)(17.8%, range from 2.4% to 44%)is lower than abdominal sacral colpopexy(33%). Surgeons are plagued by postoperative urinary incontinence. Furthermore, it will reduce the quality of life of patient.

Objective: To assess morbidity of de novo SUI after single-incision laparoscopic sacrocolpopexy without anti-incontinence procedure, we carried out a single center retrospective analysis.

Methods: A total of 51 women with POP who underwent single-incision laparoscopic sacrocolpopexy without concomitant anti-incontinence surgery were collected from January 2016 to December 2017. Preoperative evaluation included physical examination, urodynamic stress test, a pelvic organ prolapse qualification assessment and a detailed urogynecological history. 3-24 months follow-up evaluation included postoperative POP-Q, cough stress test, urinary and fecal self-control ability, pain associated with surgery and patient satisfaction. Incontinence impact questionnaire short form(IIQ-7) was used to compare the patients’ quality of life before operation and after operation at 3 months and 6 months.

Results: None of 51 cases prolapse recurrence at 3 -24 months follow-up, and de novo SUI appeared in 11.76%(6 cases). However?4 of de novo SUI(66.7%) were cured spontaneously. Only 33.3%(2 cases) of de novo SUI needed a secondary TVT-O surgery.

Conclusions: The morbidity of de novo SUI after single-incision laparoscopic sacrocolpopexy was in 11.76%. Compared to LSC, it was not increased obviously. But further research will still be needed.

[1] Urinary Incontinence After Surgery for Pelvic Organ Prolapse.

[2] The current status of laparoscopic sacrocolpopexy?A Review.

[3] Validation ofincontinenceimpact questionnaire short form in Chinese population.

Disclosure:

Work supported by industry: no.

Code of conduct/disclaimer available in General Terms & Conditions
Anonymous User Privacy Preferences

Strictly Necessary Cookies (Always Active)

MULTILEARNING platforms and tools hereinafter referred as “MLG SOFTWARE” are provided to you as pure educational platforms/services requiring cookies to operate. In the case of the MLG SOFTWARE, cookies are essential for the Platform to function properly for the provision of education. If these cookies are disabled, a large subset of the functionality provided by the Platform will either be unavailable or cease to work as expected. The MLG SOFTWARE do not capture non-essential activities such as menu items and listings you click on or pages viewed.


Performance Cookies

Performance cookies are used to analyse how visitors use a website in order to provide a better user experience.



Google Analytics is used for user behavior tracking/reporting. Google Analytics works in parallel and independently from MLG’s features. Google Analytics relies on cookies and these cookies can be used by Google to track users across different platforms/services.


Save Settings