Does menopausal status impact urinary continence outcomes following abdominal sacrocolpopexy without anti-incontinence procedures in continent women?

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 questionnaire7 (iiq-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-ii). 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-i patients and in 6 of 84 (7.1%; p < 0.01) group-ii 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. © 2016,pakistan journal of medical sciences. all rights reserved.