The Risk of Stress Urinary Incontinence After Hysterectomy for Uterine Fibroids

Autor: Jin-Sung Yuk, In-Chang Cho, Jun Ho Lee
Jazyk: angličtina
Rok vydání: 2023
Předmět:
Zdroj: International Neurourology Journal, Vol 27, Iss 4, Pp 252-259 (2023)
Druh dokumentu: article
ISSN: 2093-4777
2093-6931
DOI: 10.5213/inj.2346192.096
Popis: Purpose We evaluated the relationship between previous hysterectomy for uterine fibroids and subsequent stress urinary incontinence (SUI). Methods This study analyzed national health insurance data. The hysterectomy group (aged 40 to 59) comprised patients who underwent hysterectomy for uterine fibroids between January 1, 2011 and December 31, 2014, and the control group (aged 40 to 59) comprised patients who visited a medical facility for a checkup during the same time span. One-to-one propensity score matching was performed to balance confounders. SUI was defined as the need for SUI surgery accompanied by a diagnosis code for SUI. Results After matching, 81,373 cases (hysterectomy group) and 81,373 controls (nonhysterectomy group) were enrolled. The mean follow-up period was 7.9 years for the cases and 7.8 years for the controls. The incidence of anti-incontinence surgery was slightly but significantly higher in the cases than in the controls (2.0% vs. 1.7%, P
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