The study of stress urinary incontinence after laparoscopic sacrocolpopexy

Abstract

To evaluate the relationship between laparoscopic sacrocolpopexy (LSC) for pelvic organ prolapse (POP) and urinary incontinence, a prospective analysis was carried out including 258 POP patients who underwent LSC between 2014 and 2018 at our hospital. The average age, BMI, operation time of LSC, and blood loss were 64.3±7.8 years, 27.2±3.2 kg/m² , 122.6±43.0 minutes, and 53.6±123.3mL. The recurrence rate of higher than POP-Q stage 2 was 8.4% (24/258). One hundred twenty five cases (56%) complained of SUI preoperatively and de novo SUI was found in 37 cases (17%). Urethral sling operation (TVT) was performed in 10 cases (4.6%). Multivariate analysis of the risk factors for postoperative SUI revealed that preoperative CLSS question 5 score and hypertension were related to postoperative SUI significantly. Alsothe satisfaction rates from the patients significantly increased postoperatively ; perioperative questionnaires and evaluations of urinary function of the POP patients help to predict postoperative SUI.