Int Neurourol J.  2025 Mar;29(1):27-33. 10.5213/inj.2448414.207.

The Presence of Preoperative Urinary Incontinence Significantly Correlates With Postoperative Urinary Incontinence Following Laparoscopic Sacrocolpopexy

• Kuroda K
• Hamamoto K
• Kobayashi H
• Horiguchi A
• Ito K

• KMID: 2565946
• DOI: http://doi.org/10.5213/inj.2448414.207

Abstract

Purpose
Urinary incontinence (UI) is a significant complication following surgery for pelvic organ prolapse (POP), including laparoscopic sacrocolpopexy (LSC). Although the incidence of postoperative UI is lower after LSC than after transvaginal mesh surgery, a subset of patients still experience UI. This study aimed to determine which factors, including mesh-related factors, contribute to UI impairing daily life following LSC.
Methods
The study enrolled 96 patients who underwent LSC at our institution between June 2016 and September 2023. The Pearson chi-square test, multiple logistic regression analysis, and Cox proportional hazards model were used to determine the independent factors contributing to UI after LSC.
Results
The Pearson chi-square test showed that body mass index, POP quantification (POP-Q) stage 4 and the presence of preoperative UI significantly correlated with the postoperative UI among preoperative and intraoperative factors (all P<0.05). POP-Q stage 4 and the presence of preoperative UI were also significant factors in both univariate and multivariate analyses of multiple logistic regression analysis (all P<0.05). However, only preoperative UI remained an independent predictor for shorter time to UI onset in the multivariate Cox proportional hazards model (hazard ratio, 3.56; 95% confidence interval, 1.29–11.58; P=0.0158).
Conclusions
Patients with preoperative UI and stage 4 POP should receive close monitoring for postoperative UI.

Keyword

Pelvic organ prolapse; Laparoscopic sacrocolpopexy; Postoperative urinary incontinence