Article ; Online: Incidence and risk factors of stress urinary incontinence after laparoscopic hysterectomy.
2024 Volume 24, Issue 1, Page(s) 105
Abstract: Objective: To observe the long-term effects of total hysterectomy on urinary function, evaluate the effects of preoperative nutritional status, urinary occult infection, and surgical factors on the induction of postoperative stress urinary incontinence ( ...
Abstract | Objective: To observe the long-term effects of total hysterectomy on urinary function, evaluate the effects of preoperative nutritional status, urinary occult infection, and surgical factors on the induction of postoperative stress urinary incontinence (SUI), and explore the incidence and risk factors of SUI. Study design: From January 2017 to December 2017, 164 patients with benign non-prolapsing diseases who underwent a laparoscopic total hysterectomy in the First People's Hospital of Taicang were selected as the analysis objects. The International Incontinence Standard Questionnaire for Female Lower Urinary Tract Symptoms (ICIQ-FLUTS) and Pelvic Floor Impact Questionnaire-short version 20 (PFDI-20) were used for telephone follow-up to subjectively assess the urinary function of patients, collect their medical records, and statistically analyze the number of postoperative SUI cases. Logistic multivariate analysis was used to analyze the influencing factors of postoperative female SUI, presented as adjusted odds ratios with 95% confidence intervals. Results: Only 97 out of 164 patients completed the ICIQ-FLUTS and PFDI-20 questionnaires. Among these participants, 28 patients (28.86%) were diagnosed with SUI (study group), while 69 patients (71.13%) were classified as women without SUI (control group). The age, menopause, parity ≥ 2 times, Body mass index (BMI) ≥ 28 kg/m Conclusions: Hysterectomy for benign non-prolapse diseases has a long-term potential impact on the urinary system of patients, and the risk of postoperative SUI increases. The main risk factors of SUI are parity, menopausal status, obesity, preoperative nutritional status, and occult infection of the urinary system. |
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MeSH term(s) | Pregnancy ; Infant, Newborn ; Female ; Humans ; Urinary Incontinence, Stress/epidemiology ; Urinary Incontinence, Stress/etiology ; Pelvic Organ Prolapse/surgery ; Incidence ; Hysterectomy/adverse effects ; Urinary Incontinence ; Risk Factors ; Laparoscopy/adverse effects ; Hemoglobins |
Chemical Substances | Hemoglobins |
Language | English |
Publishing date | 2024-02-08 |
Publishing country | England |
Document type | Journal Article |
ZDB-ID | 2050444-5 |
ISSN | 1472-6874 ; 1472-6874 |
ISSN (online) | 1472-6874 |
ISSN | 1472-6874 |
DOI | 10.1186/s12905-024-02942-2 |
Database | MEDical Literature Analysis and Retrieval System OnLINE |
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