Unilateral levator avulsion increases the risk of de novo stress urinary incontinence after cystocele repair

作者全名："Hu, Pan; Liu, Lubin; Dai, Ling; Wang, Ying; Lei, Li"

作者地址："[Hu, Pan; Liu, Lubin; Dai, Ling; Wang, Ying; Lei, Li] Chongqing Hlth Ctr Women & Children, Dept Obstet & Gynecol, Chongqing, Peoples R China; [Hu, Pan; Liu, Lubin; Dai, Ling; Wang, Ying; Lei, Li] Chongqing Med Univ, Dept Obstet & Gynecol, Women & Childrens Hosp, Chongqing, Peoples R China; [Lei, Li] Chongqing Med Univ, Dept Obstet & Gynecol, Women & Childrens Hosp, 120 Longshan Rd, Chongqing 410013, Peoples R China"

通信作者："Lei, L (通讯作者)，Chongqing Med Univ, Dept Obstet & Gynecol, Women & Childrens Hosp, 120 Longshan Rd, Chongqing 410013, Peoples R China."

来源：JOURNAL OF OBSTETRICS AND GYNAECOLOGY RESEARCH

ESI学科分类：CLINICAL MEDICINE

WOS号：WOS:001081683600001

JCR分区：Q3

影响因子：1.6

年份：2024

卷号：50

期号：2

开始页：245

结束页：252

文献类型：Article

关键词：cystocele repair; levator ani; pelvic floor prolapse; stress urinary incontinence; women

摘要："Introduction Patients without concurrent baseline stress urinary incontinence (SUI) can develop de novo SUI after transvaginal mesh surgery (TVM) for cystocele repair. Surgeons should be aware of de novo SUI risk factors after TVM.Methods A total of 1124 women who were underwent TVM surgeries were recruited and assessed for eligibility from January 1, 2012 to April 30, 2021. All data related to patients and surgeries was collected, which included general conditions, clinical examination, surgery records, and follow-up results. Patients were divided into three groups according to follow-up results and data were compared with each group. The relative risk (RR) of de novo SUI with levator avulsion was also calculated.Results Three hundred thirty-six patients were included in this study. They were divided into no complication group (n = 249), de novo SUI group (n = 68), and other complications group (n = 19). It seemed elder or obese women had a higher risk of de novo SUI after TVM (p < 0.05). In de novo SUI group, incidence of levator avulsion before surgery were higher than the other two groups (p = 0.001). TVM can significantly change a prolapse to point Aa and Ba on POP-Q quantification system (p < 0.05). RR ratios of de novo SUI with unilateral avulsion group is 2.60 (95% confidence interval [CI] 1.39-4.87), and 2.58 (95%CI 0.82-8.15) for bilateral group.Conclusion Unilateral levator avulsion, instead of bilateral levator avulsion, is a risk factor of de novo SUI after cystocele repair surgery."

基金机构：national natural science foundation of China [82171622]; Chongqing Medical Research Projects of China [2021MSXM275]

基金资助正文："This work was supported by grant number 82171622 (Lubin Liu) from national natural science foundation of China, and 2021MSXM275 (Li Lei) from Chongqing Medical Research Projects of China."