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