Histerektomi Sonrası Üriner İnkontinansın Görülme Sıklığı ve Risk Faktörleri

Amaç: Benign endikasyonlar için yapılan farklı histerektomi tiplerinden sonra gelişen üriner inkontinans sıklığını ve bu durumla ilişkili olası risk faktörlerini belirlemek. Gereç ve Yöntem: Bir yıllık süre içinde benign endikasyon nedeni ile histerektomi uygulanan kadınların verileri retrospektif olarak incelendi. Olgu grubu olarak postoperatif on iki aylık takipte üriner inkontinansı olduğunu belirten kadınlar belirlendi. Üriner inkontinansı olmayan kadınlar kontrol grubu olarak belirlendi. Histerektomi sonrası gelişen üriner inkontinans ile ilişkili risk faktörleri çoklu regresyon analizi ile incelendi. Bulgular: On iki aylık sürede yapılan 300 total histerektomi sonrası 44 (%14,7) kadında idrar kaçırma tespit edildi. Altmış yaş üstünde olmak, menapoz, obezite ve >2 derece pelvik organ prolapsusu varlığı histerektomi sonrası üriner inkontinans gelişimi için önemli bağımsız faktörler olarak belirlendi. Histerektomi tipi (abdominal, vajinal veya laparoskopik) bir risk faktörü değildi. Sonuç: Histerektomi sonrası üriner inkontinans sıklığı dikkate değer oranlardadır. Histerektominin türü ne olursa olsun, 60 yaş üstü, menapoz, obezite ve şiddetli prolapsus varlığında görülme olasılığı daha yüksektir.

Frequency and Risk Factors of Urinary Incontinence After Hysterectomy

Objectives: To determine the frequency of urinary incontinence developing after different types of hysterectomies performed for benign indications and the possible risk factors associated with this condition. Materials and Methods: Data of women who undergone hysterectomies for benign indications during one-year period were analyzed retrospectively. Women who stated to have urinary incontinence in the twelve-month postoperative follow-up were defined as the case group. Women who did not have urinary incontinence were the control group. Risk factors associated with urinary incontinence developing after hysterectomy were determined by multiple regression analysis. Results: After 300 total hysterectomies performed in a twelve-month period, urinary incontinence was detected in 44 (14.7%) women. Age over 60 years, menopause, obesity and presence of >2 grade pelvic organ prolapse were determined as significant independent factors for the development of urinary incontinence after hysterectomy. The type of hysterectomy (abdominal, vaginal, or laparoscopic) was not a risk factor. Conclusion: Urinary incontinence after hysterectomy can be seen with considerable frequency. Regardless of the type of hysterectomy, it is more likely to be seen in the presence of age over 60 years, menopause, obesity, and severe prolapse.

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