RÉSUMÉ
Objective: We investigated the impact of menopausal status on urinary continence following abdominal sacrocolpopexy [ASC] without an anti-incontinence procedure in continent women
Methods: We conducted a clinical follow-up study of 137 patients diagnosed with stage 3 or higher pelvic organ prolapse [POP] without urinary incontinence between January 2012 and December 2014. Patients were provided with detailed a priori information pertaining to the abdominal sacrocolpopexy procedure and were invited to attend follow-up visits at 1, 3, 12, and 24 months. Follow-up visits included a gynecological examination, cough test, and validated Urinary Distress Inventory6 [UDI-6] and Incontinence Impact Questionnaire?[[110.-7] questionnaires
Results: The mean follow-up time for the cohort was 16.5 +/- 3.45 months. The study group was divided according to menopausal status: premenopausal [Group-1] and postmenopausal women [Group-ll]
Anatomical recurrence was not detected during the follow-up period in either group, but de novo stress urinary incontinence was seen in 15 of 53 [28.3%] Group-l patients and in 6 of 84 [7.1%; p < 0.01] Group-ll patients
Conclusions: The risk of de novo stress urinary incontinence in postmenopausal women after ASC is low. However, premenopausal patients have a higher incidence of de novo stress incontinence which affect quality of life
RÉSUMÉ
Objective: To investigate the effect of anemia on perinatal outcomes as preterm delivery [PTD] and low birth weight [LBW] in the different stages of pregnancy
Methods: Medical records of 39,587 Turkish pregnant women who delivered between January 2011 and September 2014 were reviewed. Anemia during pregnancy was defined as hemoglobin [Hb]< 11 g/dl, low birth weight was defined as birth weight <2500 gr and PTD was defined as <37 weeks. The pregnant women were divided into three groups [Hb<10 gr/dl, Hb 10-11 gr/dl, Hb>11 gr/dl]. Perinatal outcomes were compared between these anemic and non-anemic groups
Results: The anemia prevalence in our study was 25.1%. In the first and second trimester of Hb<10g/dl group LBW ratio was significantly higher [respectively 13.5%, 9.8%, p=0.03; 22.7%, 14.7%, p=0.01]. In the second and third trimesters of Hb<10 g/dl group PTD ratio was significantly higher [respectively 29.1%, 19%, p=0.00; 17.7%, 15.4% p=0.02]. In the first trimester Hb<10 g/dl group cesarean section rate was significantly higher [respectively 65.2%, 57.6%, p = 0.01]
Conclusions: LBW infants and preterm birth rate was higher in Hb <10 gr/dl group than non-anemic in the first, second and third trimester. Hb <10 gr/dl group had higher cesarean rate in first trimester. The mean birth weight was significantly lower in anemic pregnant women in the second trimester. Preterm birth and cesarean section rate, in the group of anemic throughout pregnancy was higher than those of non-anemic in the whole pregnancy period