Morbidity and risk factors of postoperative stress urinary incontinence after laparoscopic sacrocolpopexy for pelvic organ prolapse

Abstract

Objectives: To investigate the effect of laparoscopic sacrocolpopexy (LSC) on patients of negative preoperative prolapse reduction stress testing (PRST). Data was collected regarding the postoperative morbidity and risk factors of stress urinary incontinence (SUI).

Methods: This study is a retrospective observational study. Preoperative PRST was carried out on pelvic organ prolapse (POP) patients to check the presence of postoperative stress urinary incontinence (SUI). Eighty-two patients were evaluated for postoperative SUI using a questionnaire (ICIQ-SF) at 3 and 12 months after surgery.

Results: In cases representing preoperative SUI, the prevalence of SUI at 3 and 12 months after LSC was 43.2% and 37.8% respectively. In cases representing non-preoperative SUI, the prevalence was 24.4% and 13.3% respectively. Risk factors for postoperative SUI included preoperative SUI (OR 4.03, 95% CI; 1.26-12.9, P = .018), advanced cystocele stage 3-4 (OR 5.31, 95% CI 1.65-17.1, P = .005) and the parity (OR .387, 95% CI .15-.997, P = .049).

Conclusions: Regardless of the PRST status (including negative status), the risks of SUI must be thoroughly explained to the patient. Only with this informed consent can the proper steps for the operation be realized.