https://doi.org/10.4081/uij.2017.185

Behaviour of urinary incontinence in the face of sacrocolpopexy

Vol. 30 No. 1 (2017)
Submitted: 18 August 2016
Accepted: 24 August 2017
Published: 30 August 2017
Sacrocolpopexy, pelvic floor dysfunction, pelvic organ rolapsed, urinary incontinence, vault prolapse.
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Authors

Nuria L. Rodríguez-Mias
nuromi@gmail.com
Department of Obstetrics and Gynecology, Vall d’Hebrón University-Hospital, Autonomous University of Barcelona, Spain.
Jordi Sabadell-García
Department of Obstetrics and Gynecology, Vall d’Hebrón University-Hospital, Autonomous University of Barcelona, Spain.
Elena Suárez-Salvador
Department of Obstetrics and Gynecology, Vall d’Hebrón University-Hospital, Autonomous University of Barcelona, Spain.
Antonio Gil-Moreno
Department of Obstetrics and Gynecology, Vall d’Hebrón University-Hospital, Autonomous University of Barcelona, Spain.
Jose Luis Poza-Barrasus
Department of Obstetrics and Gynecology, Vall d’Hebrón University-Hospital, Autonomous University of Barcelona, Spain.
The aim of this study was to determine whether an association exists between the performance of a sacrocolpopexy for genital prolapse and the bladder function. A case series study was performed that includes all patients who received sacrocolpopexy in a tertiary Spanish hospital. An analysis was performed to study the association of some variables and the occurrence or persistence of urinary incontinence after the surgery. Forty patients with indication of sacrocolpopexy were included. A year after sacrocolpopexy, the outcomes showed 97.3% of prolapse healing. 19.3% complained about de novo stress urinary incontinence, 33.3% recovered from it and another 66.7% remained the same. Only 10.8% asked for an anti-incontinence surgery after the sacrocolpopexy. The urethral hypermobility shows an increased risk of stress urinary incontinence after the sacrocolpopexy. Based on our results, we do not consider it necessary to perform a systematic antiincontinence procedure simultaneously with sacrocolpopexy unless a woman without urethral anti-incontinence surgical background shows a urethral hypermobility.

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Nuria L. Rodríguez-Mias, Department of Obstetrics and Gynecology, Vall d’Hebrón University-Hospital, Autonomous University of Barcelona
Department of Gynecology, Urogynecologist

How to Cite

Rodríguez-Mias, N. L., Sabadell-García, J., Suárez-Salvador, E., Gil-Moreno, A., & Poza-Barrasus, J. L. (2017). Behaviour of urinary incontinence in the face of sacrocolpopexy. Urogynaecologia, 30(1). https://doi.org/10.4081/uij.2017.185

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