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

doi:10.1007/s00192-011-1427-y

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

University of Groningen

Research output: Contribution to journal › Article › Academic › peer-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 language	English
Pages (from-to)	1179-1184
Number of pages	6
Journal	International urogynecology journal
Volume	22
Issue number	9
DOIs	https://doi.org/10.1007/s00192-011-1427-y
Publication status	Published - 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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10.1007/s00192-011-1427-y

Cite this

@article{c20bf1db30c94a7f8ac2e2cbe63b465e,

title = "Predicting the development of stress urinary incontinence 3 years after hysterectomy",

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.",

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

author = "Lakeman, {Marielle M. E.} and {Van Der Vaart}, {C. Huub} and {Van Der Steeg}, {Jan Willem} and Roovers, {Jan-Paul W. R.} and {HysVA Study Grp}",

year = "2011",

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doi = "10.1007/s00192-011-1427-y",

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T1 - Predicting the development of stress urinary incontinence 3 years after hysterectomy

AU - Lakeman, Marielle M. E.

AU - Van Der Vaart, C. Huub

AU - Van Der Steeg, Jan Willem

AU - Roovers, Jan-Paul W. R.

AU - HysVA Study Grp

PY - 2011/9

Y1 - 2011/9

N2 - 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.

AB - 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.

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KW - Prognosis

KW - Stress urinary incontinence

KW - UROGENITAL DISTRESS INVENTORY

KW - QUALITY-OF-LIFE

KW - RISK-FACTORS

KW - ABDOMINAL HYSTERECTOMY

KW - VAGINAL HYSTERECTOMY

KW - IMPACT QUESTIONNAIRE

KW - WOMEN

KW - SURGERY

KW - MODELS

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DO - 10.1007/s00192-011-1427-y

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JO - International urogynecology journal

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