Incidence of stress urinary incontinence after laparoscopic sacrocolpopexy

Abstract

Objective: The aim of the study was to evaluate the occurrence of stress urinary incontinence after pelvic organ prolapse surgery using the laparoscopic sacrocolpopexy method. This is a retrospective multicenter study. Methods: The study included 131 patients who underwent laparoscopic sacrocolpopexy and underwent at least a one-year follow-up in the form of a clinical examination. Results:  The group included patients with an average age of 63.4 years (38–80 years),  BMI 26.6 kg/m² (19.4–36 kg/m²), and parity 2 (0–4). Before  surgery, 30 (22.9%) patients showed stress incontinence, and after surgery there were 50 (38.2%); the difference was statistically significant (P = 0.0007). Thirty (22.9%) patients underwent subsequent anti-incontinence surgery, while 10 (7.6%) patients experienced significant improvement of stress incontinence. Conclusion: Pelvic organ prolapse reconstruction surgery by laparoscopic sacrocolpopexy is associated with the risk of  postoperative stress incontinence in 38.2%, of which de novo in 22.9% of cases.