EP26.13: Urinary incontinence incidence in women with uterine prolapse in “Queen Geraldine” University Hospital

To perform a retrospective evaluation of the incidence of urinary incontinence in patients with uterine prolapse. This study is retrospective and extends over the period January 2020 - June 2022 and includes 260 patients hospitalised in “Queen Geraldine” maternity with partial or total uterus prolapse with or without urinary incontinence and treated in our hospital. Diagnosis of urinary incontinence is based on anamnesis data, physical examination, simple tests (voiding diary, urinalysis, postvoid residual volume, cough stress test, Pad test), advanced urodynamics testing (cystometry, uroflowmetry). In 260 patients hospitalised in our maternity with partial or total uterine prolapse diagnosis, 185 vaginal hysterectomies were performed and 60 patients with urinary incontinence were diagnosed for the period January 2020-June 2022. In 2020, 25% of patients with uterine prolapses exhibited urinary incontinence. In 2021, 18% of patients with uterine prolapse presented urinary incontinence. In the first six months of 2022, 27% of patients with uterine prolapses exhibited urinary incontinence. There is an increased incidence of urinary incontinence in the first 6 months of 2022 and vaginal hysterectomy from year to year. In our hospital “ Queen Geraldine “ there is a high incidence of vaginal hysterectomies. The increase in incidence of urinary incontinence comes as a result of growing age, menopause, chronic constipation, Caucasian race, pregnancy, vaginal births, obesity, smoking, lack of physical activity as well as deviation of patients from regional hospitals in our maternity. Vaginal hysterectomy in vaginal prolapse is the chosen intervention. Vaginal hysterectomy with TOT plastica (sling surgery) is preferred in patients with uterine prolapse who present urinary incontinence. TOT sling is an effective low-morbid treatment, has the potential to be New Gold Standard in the treatment of urinary incontinence compared to other sling procedures.