The prevalence and risk factors of occult stress urinary incontinence in women undergoing genitourinary prolapse surgery
De novo stress urinary incontinence (SUI) may occur in up to 80% of clinically continent women following genitourinary prolapse surgery. This had resulted in an increase in the rate of concurrent continence surgery during prolapse repair from 38% in 2001 to 47% in 2009 in the United States. To date,...
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| Format: | Article |
| Language: | English |
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Faculty of Medicine, UKM Medical Centre
2016
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| Online Access: | http://journalarticle.ukm.my/9829/ http://journalarticle.ukm.my/9829/1/3.Jibril_et_al..pdf |
| _version_ | 1848812198452789248 |
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| author | Jibril AH, Ab Latip N, Ng Pei Yuen, Jegasothy R, |
| author_facet | Jibril AH, Ab Latip N, Ng Pei Yuen, Jegasothy R, |
| author_sort | Jibril AH, |
| building | UKM Institutional Repository |
| collection | Online Access |
| description | De novo stress urinary incontinence (SUI) may occur in up to 80% of clinically continent women following genitourinary prolapse surgery. This had resulted in an increase in the rate of concurrent continence surgery during prolapse repair from 38% in 2001 to 47% in 2009 in the United States. To date, there is no local data available to estimate the prevalence of occult SUI (OSUI) among Malaysian women awaiting surgery. Therefore, this study was conducted to elicit the prevalence of occult SUI and its associated risks factors in patients awaiting prolapse surgery. We retrospectively studied the records of 296 consecutive women with significant pelvic organ prolapse awaiting reconstructive repair. All patients attended the Urogynaecology Unit in Hospital Kuala Lumpur Malaysia between October 2007 and September 2011. They had undergone standardized interviews, clinical examinations and urodynamic studies. During the urodynamic testings, all prolapses were reduced using ring pessaries to elicit OSUI. Primary outcome was the prevalence of OSUI with prolapse reduction to predict possibility of developing de novo SUI following prolapse surgery. Secondary outcome was the assessment of potential risk factors for OSUI. Among the 296 women studied, 121 (40.9%) were found to have OSUI. The risk factors associated with OSUI included age, BMI, numbers of SVD, recurrent UTI, reduction of urinary flow symptoms and grade 2 to 4 central compartment prolapses. We concluded that preoperative urodynamic testing with reduction of prolapse is useful to identify women with OSUI. This is important for preoperative counselling as well as planning for one step approach of prophylactic concomitant anti-incontinence procedures during prolapse surgery in order to avoid postoperative de novo SUI. |
| first_indexed | 2025-11-14T23:58:29Z |
| format | Article |
| id | oai:generic.eprints.org:9829 |
| institution | Universiti Kebangasaan Malaysia |
| institution_category | Local University |
| language | English |
| last_indexed | 2025-11-14T23:58:29Z |
| publishDate | 2016 |
| publisher | Faculty of Medicine, UKM Medical Centre |
| recordtype | eprints |
| repository_type | Digital Repository |
| spelling | oai:generic.eprints.org:98292016-12-14T06:50:58Z http://journalarticle.ukm.my/9829/ The prevalence and risk factors of occult stress urinary incontinence in women undergoing genitourinary prolapse surgery Jibril AH, Ab Latip N, Ng Pei Yuen, Jegasothy R, De novo stress urinary incontinence (SUI) may occur in up to 80% of clinically continent women following genitourinary prolapse surgery. This had resulted in an increase in the rate of concurrent continence surgery during prolapse repair from 38% in 2001 to 47% in 2009 in the United States. To date, there is no local data available to estimate the prevalence of occult SUI (OSUI) among Malaysian women awaiting surgery. Therefore, this study was conducted to elicit the prevalence of occult SUI and its associated risks factors in patients awaiting prolapse surgery. We retrospectively studied the records of 296 consecutive women with significant pelvic organ prolapse awaiting reconstructive repair. All patients attended the Urogynaecology Unit in Hospital Kuala Lumpur Malaysia between October 2007 and September 2011. They had undergone standardized interviews, clinical examinations and urodynamic studies. During the urodynamic testings, all prolapses were reduced using ring pessaries to elicit OSUI. Primary outcome was the prevalence of OSUI with prolapse reduction to predict possibility of developing de novo SUI following prolapse surgery. Secondary outcome was the assessment of potential risk factors for OSUI. Among the 296 women studied, 121 (40.9%) were found to have OSUI. The risk factors associated with OSUI included age, BMI, numbers of SVD, recurrent UTI, reduction of urinary flow symptoms and grade 2 to 4 central compartment prolapses. We concluded that preoperative urodynamic testing with reduction of prolapse is useful to identify women with OSUI. This is important for preoperative counselling as well as planning for one step approach of prophylactic concomitant anti-incontinence procedures during prolapse surgery in order to avoid postoperative de novo SUI. Faculty of Medicine, UKM Medical Centre 2016 Article PeerReviewed application/pdf en http://journalarticle.ukm.my/9829/1/3.Jibril_et_al..pdf Jibril AH, and Ab Latip N, and Ng Pei Yuen, and Jegasothy R, (2016) The prevalence and risk factors of occult stress urinary incontinence in women undergoing genitourinary prolapse surgery. Journal of Surgical Academia, 6 (1). pp. 10-17. ISSN 2231-7481 http://jsurgacad.com/toc/6/1 |
| spellingShingle | Jibril AH, Ab Latip N, Ng Pei Yuen, Jegasothy R, The prevalence and risk factors of occult stress urinary incontinence in women undergoing genitourinary prolapse surgery |
| title | The prevalence and risk factors of occult stress urinary incontinence in women undergoing genitourinary prolapse surgery |
| title_full | The prevalence and risk factors of occult stress urinary incontinence in women undergoing genitourinary prolapse surgery |
| title_fullStr | The prevalence and risk factors of occult stress urinary incontinence in women undergoing genitourinary prolapse surgery |
| title_full_unstemmed | The prevalence and risk factors of occult stress urinary incontinence in women undergoing genitourinary prolapse surgery |
| title_short | The prevalence and risk factors of occult stress urinary incontinence in women undergoing genitourinary prolapse surgery |
| title_sort | prevalence and risk factors of occult stress urinary incontinence in women undergoing genitourinary prolapse surgery |
| url | http://journalarticle.ukm.my/9829/ http://journalarticle.ukm.my/9829/ http://journalarticle.ukm.my/9829/1/3.Jibril_et_al..pdf |