open access

Vol 81, No 5 (2010)
ARTICLES
Get Citation

Urinary incontinence after obstetric-gynecological surgery – urodynamic studies

Sławomir Jędrzejczyk, Katarzyna Lau, Beata Rutkowska, Anna Rżanek, Artur Bobeff, Marek Wieczorek
Ginekol Pol 2010;81(5).

open access

Vol 81, No 5 (2010)
ARTICLES

Abstract

Summary Objectives: The aim of the study was to estimate the prevalence rate of patients with urinary incontinence after pelvic surgery, as well as the distribution of urinary incontinence types depending on the type of surgery. Material and methods: 200 consecutive female patients, aged between 33 and 85 years old, administered to urodynamic diagnostic due to urinary incontinence, were included in the study. After collecting medical history and performing a urogynecological examination, a urodynamic study was done. We estimated the relation between urinary incontinence types, bladder activity and type of surgical procedure. Results: 35,5% of patients had undergone obstetric-gynecological operations (abdominal hysterectomy was most frequent, followed by vaginal reconstructive operations, Caesarean sections, adnexal operations and vaginal hysterectomy). We observed 56% of stress urinary incontinence (SUI), 35% of mixed urinary incontinence (MUI) and 9% of overactive bladder (OAB). Among patients with SUI, we found 55% women after abdominal hysterectomy, 5% after vaginal hysterectomy, 20% after adnexal operations, 15% after vaginal reconstructive operations and 5% after Caesarean section. In the group with MUI, 40% patients were after vaginal reconstructive operations, 32% after Caesarean sections, 20% after abdominal hysterectomy and 8% after adnexal operations. Among women with OAB we noticed 33% patients after vaginal reconstructive operations, 33% after abdominal hysterectomy, 17% after Cesarean sections and 17% after vaginal hysterectomy. Conclusions: The results of the study show that patients after obstetric-gynecological surgery procedures make up 30% of all urinary incontinence cases. Distribution of urinary incontinence types in the group of operated women is similar in the entire investigated group. Abdominal hysterectomy and reconstructive vaginal operations are clearly connected with urinary incontinence.

Abstract

Summary Objectives: The aim of the study was to estimate the prevalence rate of patients with urinary incontinence after pelvic surgery, as well as the distribution of urinary incontinence types depending on the type of surgery. Material and methods: 200 consecutive female patients, aged between 33 and 85 years old, administered to urodynamic diagnostic due to urinary incontinence, were included in the study. After collecting medical history and performing a urogynecological examination, a urodynamic study was done. We estimated the relation between urinary incontinence types, bladder activity and type of surgical procedure. Results: 35,5% of patients had undergone obstetric-gynecological operations (abdominal hysterectomy was most frequent, followed by vaginal reconstructive operations, Caesarean sections, adnexal operations and vaginal hysterectomy). We observed 56% of stress urinary incontinence (SUI), 35% of mixed urinary incontinence (MUI) and 9% of overactive bladder (OAB). Among patients with SUI, we found 55% women after abdominal hysterectomy, 5% after vaginal hysterectomy, 20% after adnexal operations, 15% after vaginal reconstructive operations and 5% after Caesarean section. In the group with MUI, 40% patients were after vaginal reconstructive operations, 32% after Caesarean sections, 20% after abdominal hysterectomy and 8% after adnexal operations. Among women with OAB we noticed 33% patients after vaginal reconstructive operations, 33% after abdominal hysterectomy, 17% after Cesarean sections and 17% after vaginal hysterectomy. Conclusions: The results of the study show that patients after obstetric-gynecological surgery procedures make up 30% of all urinary incontinence cases. Distribution of urinary incontinence types in the group of operated women is similar in the entire investigated group. Abdominal hysterectomy and reconstructive vaginal operations are clearly connected with urinary incontinence.
Get Citation

Keywords

urinary incontinence, gynecologic surgical procedures, urodynamica

About this article
Title

Urinary incontinence after obstetric-gynecological surgery – urodynamic studies

Journal

Ginekologia Polska

Issue

Vol 81, No 5 (2010)

Bibliographic record

Ginekol Pol 2010;81(5).

Keywords

urinary incontinence
gynecologic surgical procedures
urodynamica

Authors

Sławomir Jędrzejczyk
Katarzyna Lau
Beata Rutkowska
Anna Rżanek
Artur Bobeff
Marek Wieczorek

Regulations

Important: This website uses cookies. More >>

The cookies allow us to identify your computer and find out details about your last visit. They remembering whether you've visited the site before, so that you remain logged in - or to help us work out how many new website visitors we get each month. Most internet browsers accept cookies automatically, but you can change the settings of your browser to erase cookies or prevent automatic acceptance if you prefer.

By "Via Medica sp. z o.o." sp.k., ul. Świętokrzyska 73, 80–180 Gdańsk
tel.:+48 58 320 94 94, faks:+48 58 320 94 60, e-mail:  viamedica@viamedica.pl