Predicting the development of stress urinary incontinence 3 years after hysterectomy

Marielle M. E. Lakeman*, C. Huub Van Der Vaart, Jan Willem Van Der Steeg, Jan-Paul W. R. Roovers, HysVA Study Grp

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

9 Citations (Scopus)

Abstract

Introduction and hypothesis We aimed to develop a prediction rule to predict the individual risk to develop stress urinary incontinence (SUI) after hysterectomy.

Methods Prospective observational study with 3-year follow-up among women who underwent abdominal or vaginal hysterectomy for benign conditions, excluding vaginal prolapse, and who did not report SUI before surgery (n = 183). The presence of SUI was assessed using a validated questionnaire.

Results Significant prognostic factors for de novo SUI were BMI (OR 1.1 per kg/m(2), 95% CI 1.0-1.2), younger age at time of hysterectomy (OR 0.9 per year, 95% CI 0.8-1.0) and vaginal hysterectomy (OR 2.3, 95% CI 1.0-5.2). Using these variables, we developed the following rule to predict the risk of developing SUI: 32 + BMI-age+(7.5 x route of surgery).

Conclusions We defined a prediction rule that can be used to counsel patients about their individual risk on developing SUI following hysterectomy.

Original languageEnglish
Pages (from-to)1179-1184
Number of pages6
JournalInternational urogynecology journal
Volume22
Issue number9
DOIs
Publication statusPublished - Sep-2011

Keywords

  • Hysterectomy
  • Prognosis
  • Stress urinary incontinence
  • UROGENITAL DISTRESS INVENTORY
  • QUALITY-OF-LIFE
  • RISK-FACTORS
  • ABDOMINAL HYSTERECTOMY
  • VAGINAL HYSTERECTOMY
  • IMPACT QUESTIONNAIRE
  • WOMEN
  • SURGERY
  • MODELS

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