Document Detail

De novo urinary stress incontinence after laparoscopic sacral colpopexy.
MedLine Citation:
PMID:  17995964     Owner:  NLM     Status:  MEDLINE    
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.
Vincent Misraï; Morgan Rouprêt; Florence Cour; Emmanuel Chartier-Kastler; François Richard
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Publication Detail:
Type:  Journal Article     Date:  2007-11-08
Journal Detail:
Title:  BJU international     Volume:  101     ISSN:  1464-410X     ISO Abbreviation:  BJU Int.     Publication Date:  2008 Mar 
Date Detail:
Created Date:  2008-02-08     Completed Date:  2008-03-24     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100886721     Medline TA:  BJU Int     Country:  England    
Other Details:
Languages:  eng     Pagination:  594-7     Citation Subset:  IM    
Department of Urology, Pitié-Salpétrière Hospital, Assistance Publique-Hôpitaux de Paris (AP-HP), Faculté de Médecine Pierre et Marie Curie, University Paris VI, France.
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MeSH Terms
Aged, 80 and over
Gynecologic Surgical Procedures
Laparoscopy / adverse effects*
Middle Aged
Retrospective Studies
Treatment Outcome
Urinary Incontinence, Stress / etiology*
Uterine Prolapse / surgery

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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