Postoperative Urinary Incontinence in Diabetic Patients Undergoing Pelvic Reconstructive Surgery.
Diabetes Mellitus
/ epidemiology
Female
Humans
Pelvic Organ Prolapse
/ complications
Postoperative Complications
/ epidemiology
Plastic Surgery Procedures
/ adverse effects
Retrospective Studies
Urinary Incontinence
/ epidemiology
Urinary Incontinence, Stress
/ epidemiology
Urinary Incontinence, Urge
/ complications
Journal
Female pelvic medicine & reconstructive surgery
ISSN: 2154-4212
Titre abrégé: Female Pelvic Med Reconstr Surg
Pays: United States
ID NLM: 101528690
Informations de publication
Date de publication:
01 06 2022
01 06 2022
Historique:
pubmed:
4
2
2022
medline:
22
6
2022
entrez:
3
2
2022
Statut:
ppublish
Résumé
Diabetes is an independent risk factor for urinary incontinence, and its impact on rates of postoperative incontinence after pelvic reconstructive surgery remains unexplored. The aim of the study was to compare the incidence of postoperative stress urinary incontinence (SUI), urgency urinary incontinence (UUI), and mixed urinary incontinence in patients with diabetes mellitus undergoing surgery for pelvic organ prolapse (POP) with or without SUI surgery. This is a secondary analysis of a multicenter retrospective cohort study involving 10 diverse medical centers that identified a cohort of women with diabetes who had prolapse and/or anti-incontinence surgery. We compared rates of postoperative urinary incontinence among patients who had surgery for prolapse and incontinence versus surgery for prolapse only. Three hundred five patients had surgery for prolapse and incontinence, 330 had surgery for prolapse only, and 189 had anti-incontinence surgery only. De novo UUI was higher among those who underwent surgery for POP and SUI compared with surgery for POP alone (26.4% vs 14.1%, P < 0.01). Rates of persistent SUI (21% vs 4.9%, P < 0.01) and mixed urinary incontinence (15.9% vs 2.7%, P < 0.01) were higher for those who underwent prolapse surgery alone versus prolapse and an incontinence procedure. No differences were seen in hemoglobin A1C levels between those who did and did not report postoperative UI. We found that postoperative de novo UUI rates were high among patients with diabetes after pelvic reconstructive surgery, with the incidence being significantly higher for those who had surgery for prolapse and incontinence compared with surgery for prolapse only.
Identifiants
pubmed: 35113049
doi: 10.1097/SPV.0000000000001137
pii: 01436319-202206000-00004
doi:
Types de publication
Journal Article
Multicenter Study
Langues
eng
Sous-ensembles de citation
IM
Pagination
372-378Informations de copyright
Copyright © 2022 American Urogynecologic Society. All rights reserved.
Déclaration de conflit d'intérêts
The authors have declared they have no conflicts of interest.
Références
Wang R, Lefevre R, Hacker MR, et al. Diabetes, glycemic control, and urinary incontinence in women. Female Pelvic Med Reconstr Surg 2015;21(5):293–297.
Nazzal Z, Khatib B, Al-Quqa B, et al. The prevalence and risk factors of urinary incontinence amongst Palestinian women with type 2 diabetes mellitus: a cross-sectional study. Arab J Urol 2019;18(1):34–40. doi:10.1080/2090598X.2019.1699340. PMID: 32082632; PMCID: PMC7006689.
doi: 10.1080/2090598X.2019.1699340
Izci Y, Topsever P, Filiz TM, et al. The association between diabetes mellitus and urinary incontinence in adult women. Int Urogynecol J Pelvic Floor Dysfunct 2009;20(8):947–952. doi:10.1007/s00192-009-0888-8. Epub 2009 Apr 30. PMID: 19404561; PMCID: PMC2706373.
doi: 10.1007/s00192-009-0888-8
Friedman T, Eslick GD, Dietz HP. Risk factors for prolapse recurrence: systematic review and meta-analysis. Int Urogynecol J 2018;29(1):13–21. doi:10.1007/s00192-017-3475-4. Epub 2017 Sep 18. PMID: 28921033.
doi: 10.1007/s00192-017-3475-4
Wilkins MF, Wu JM. Lifetime risk of surgery for stress urinary incontinence or pelvic organ prolapse. Minerva Ginecol 2017;69(2):171–177. doi:10.23736/S0026-4784.16.04011-9. Epub 2016 Dec 21. PMID: 28001022.
doi: 10.23736/S0026-4784.16.04011-9
Ringel NE, de Winter KL, Siddique M, et al. Surgical outcomes in urogynecology—assessment of perioperative and postoperative complications relative to preoperative hemoglobin A1c—a Fellow’s Pelvic Research Network study. Female Pelvic Med Reconstr Surg 2021. doi:10.1097/SPV.0000000000001057. Epub ahead of print. PMID: 33886510.
doi: 10.1097/SPV.0000000000001057
Cruz RA, Faria CA, Gomes SS Jr. Predictors for de novo stress urinary incontinence following pelvic reconstructive surgery with mesh. Eur J Obstet Gynecol Reprod Biol 2020;253:15–20. doi:10.1016/j.ejogrb.2020.07.033. Epub 2020 Jul 22. PMID: 32745815.
doi: 10.1016/j.ejogrb.2020.07.033
Song Y, Wang XJ, Chen YS, et al. Management of urinary incontinence before and after total pelvic reconstruction for advanced pelvic organ prolapse with and without incontinence. Chin Med J (Engl) 2018;131(5):553–558. doi:10.4103/0366-6999.226057. PMID: 29483389; PMCID: PMC5850671.
doi: 10.4103/0366-6999.226057. PMID: 29483389; PMCID: PMC5850671
Khayyami Y, Elmelund M, Lose G, et al. De novo urinary incontinence after pelvic organ prolapse surgery—a national database study. Int Urogynecol J 2020;31(2):305–308. doi:10.1007/s00192-019-04041-5. Epub 2019 Jul 13. PMID: 31302717.
doi: 10.1007/s00192-019-04041-5
Ugianskiene A, Kjærgaard N, Larsen T, et al. What happens to urinary incontinence after pelvic organ prolapse surgery? Int Urogynecol J 2019;30(7):1147–1152. doi:10.1007/s00192-018-3677-4. Epub 2018 Jun 5. PMID: 29869693.
doi: 10.1007/s00192-018-3677-4
Lo TS, Chua S, Kao CC, et al. Prophylactic midurethral sling insertion during transvaginal pelvic reconstructive surgery for advanced prolapse patients with high-risk predictors of postoperative de novo stress urinary incontinence. Int Urogynecol J 2019;30(9):1541–1549. doi:10.1007/s00192-018-3787-z. Epub 2018 Oct 18. PMID: 30338371.
doi: 10.1007/s00192-018-3787-z
Gregorio G, Hillemanns HG. Urethral closure function in women with prolapse. Int Urogynecol J 1990;1:143–145.
Lo TS, Bt Karim N, Nawawi EA, et al. Predictors for de novo stress urinary incontinence following extensive pelvic reconstructive surgery. Int Urogynecol J 2015;26(9):1313–1319. doi:10.1007/s00192-015-2685-x. Epub 2015 Apr 11. PMID: 25862240.
doi: 10.1007/s00192-015-2685-x
van der Ploeg JM, van der Steen A, Oude Rengerink K, et al. Prolapse surgery with or without stress incontinence surgery for pelvic organ prolapse: a systematic review and meta-analysis of randomised trials. BJOG 2014;121(5):537–547. doi:10.1111/1471-0528.12509. Epub 2014 Jan 2. PMID: 24382099.
doi: 10.1111/1471-0528.12509
Borstad E, Abdelnoor M, Staff AC, et al. Surgical strategies for women with pelvic organ prolapse and urinary stress incontinence. Int Urogynecol J Pelvic Floor Dysfunct 2010;21:179–186.
Brubaker L, Cundiff G, Fine P, et al; Pelvic Floor Disorders Network. A randomized trial of colpopexy and urinary reduction efforts (CARE): design and methods. Control Clin Trials 2003;24(5):629–642. doi:10.1016/s0197-2456(03)00073-4. PMID: 14500059.
doi: 10.1016/s0197-2456(03)00073-4
Nilsson CG, Palva K, Rezapour M, et al. Eleven years prospective follow-up of the tension-free vaginal tape procedure for treatment of stress urinary incontinence. Int Urogynecol J Pelvic Floor Dysfunct 2008;19(8):1043–1047.
Kenton K, Richter H, Litman H, et al; Urinary Incontinence Treatment Network. Risk factors associated with urge incontinence after continence surgery. J Urol 2009;182(6):2805–2809. doi:10.1016/j.juro.2009.08.032. Epub 2009 Oct 17. PMID: 19837421; PMCID: PMC3919632.
doi: 10.1016/j.juro.2009.08.032
Richter HE, Albo ME, Zyczynski HM, et al; Urinary Incontinence Treatment Network. Retropubic versus transobturator midurethral slings for stress incontinence. N Engl J Med 2010;362(22):2066–2076. doi:10.1056/NEJMoa0912658. Epub 2010 May 17. PMID: 20479459; PMCID: PMC2962585.
doi: 10.1056/NEJMoa0912658
Winkelman WD, Jaresova A, Modest AM, et al. Postoperative admission, readmission, and complications for patients 60 years and older who are undergoing an isolated sling procedure for stress incontinence: a database study. Female Pelvic Med Reconstr Surg 2021;27(6):e542–e548. doi:10.1097/SPV.0000000000000988. PMID: 33208653.
doi: 10.1097/SPV.0000000000000988
Lensen EJ, Withagen MI, Kluivers KB, et al. Urinary incontinence after surgery for pelvic organ prolapse. NeurourolUrodyn 2013;32(5):455–459. doi:10.1002/nau.22327. Epub 2012 Sep 28. PMID: 23024012.
doi: 10.1002/nau.22327
de Boer TA, Salvatore S, Cardozo L, et al. Pelvic organ prolapse and overactive bladder. Neurourol Urodyn 2010;29(1):30–39. doi:10.1002/nau.20858. PMID: 20025017.
doi: 10.1002/nau.20858
Klutke JJ, Ramos S. Urodynamic outcome after surgery for severe prolapse and potential stress incontinence. Am J Obstet Gynecol 2000;182(6):1378–1381. doi:10.1067/mob.2000.106176. PMID: 10871452.
doi: 10.1067/mob.2000.106176
Miedel A, Tegerstedt G, Morlin B, et al. A 5-year prospective follow-up study of vaginal surgery for pelvic organ prolapse. Int Urogynecol J Pelvic Floor Dysfunct 2008;19:1593–1601.
Weber AM, Walters MD, Piedmonte MR, et al. Anterior colporrhaphy: a randomized trial of three surgical techniques. Am J Obstet Gynecol 2001;185:1299–1304.
Minassian VA, Sun H, Yan XS, et al. The interaction of stress and urgency urinary incontinence and its effect on quality of life. Int Urogynecol J 2015;26(2):269–276. doi:10.1007/s00192-014-2505-8. Epub 2014 Oct 3. PMID: 25278207.
doi: 10.1007/s00192-014-2505-8
Khayyami Y, Elmelund M, Klarskov N. Urinary incontinence before and after pelvic organ prolapse surgery—a national database study. Int Urogynecol J 2021;32:2119–2123. doi:10.1007/s00192-021-04738-6. Epub ahead of print. PMID: 33635353.
doi: 10.1007/s00192-021-04738-6