ArticleEuropean journal of orthopaedic surgery & traumatology : orthopedie traumatologie2014
Is urinary incontinence the hidden secret complications after total hip arthroplasty?
Article in European journal of orthopaedic surgery & traumatology : orthopedie traumatologie, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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Who cites it
13 citing papers in PubMed.
- Surgical injury and repair of hip external rotators in THA via posterior approach: a three-dimensional MRI-evident quantitative prospective study.BMC musculoskeletal disorders · 2019Trial
- The design of a randomised controlled trial to evaluate the (cost-) effectiveness of the posterolateral versus the direct anterior approach for THA (POLADA - trial).BMC musculoskeletal disorders · 2016Trial
- Hip Muscle Strengthening and Electrical Stimulation as Adjuncts to Pelvic Floor Training on Urinary Incontinence.International urogynecology journal · 2026Article
- Trajectory of urinary incontinence symptoms following total hip arthroplasty for hip osteoarthritis.Archives of orthopaedic and trauma surgery · 2026Article
- Hip Biomechanical and Functional Changes Following Transobturator Tape Surgery for Stress Urinary Incontinence.International urogynecology journal · 2026Article
- Urinary Incontinence in Men and Women After Total Hip Arthroplasty: A Retrospective Observational Cohort Study.Cureus · 2025Article
- Incontinence Is an Independent Risk Factor for Total Hip and Knee Arthroplasty.Arthroplasty today · 2024Article
- Pelvic floor and perineal muscles: a dynamic coordination between skeletal and smooth muscles on pelvic floor stabilization.Anatomical science international · 2023Review
- Effects of knee prosthetic surgery on overactive bladder symptoms and incontinence in women.International urogynecology journal · 2023Article
- Anatomical basis for contribution of hip joint motion by the obturator internus to defaecation/urinary functions by the levator ani via the obturator fascia.Journal of anatomy · 2023Article
- Does total knee arthroplasty affect overactive bladder symptoms in female patients?International urogynecology journal · 2022Article
- Prospective analyses of female urinary incontinence symptoms following total hip arthroplasty.International urogynecology journal · 2017Article
- Movement Impairments in Women with and without Urinary Urgency/Frequency.Journal of women's health physical therapyArticle
Corrections and comments
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Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionWe hypothesized that posterior approach (PA) dissecting the short external rotators and anterior approach (AA) not dissecting these have different influences on the pelvic floor muscles and subsequently affect urinary incontinence. The objective of this study was to investigate whether AA advantageously influences symptoms of urinary incontinence. PATIENTS AND
methodsThe subjects were 76 female patients who underwent their primary total hip arthroplasty. The presence or absence of urinary incontinence before and after surgery was surveyed by a direct interview at the time of outpatient examination within a period from 1.5 year after surgery using the international consultation on incontinence questionnaire-short form.
resultsUrinary incontinence improved after surgery in eight patients (22.2%), slightly improved in one (2.8%), remained unchanged in 26 (72.2%), slightly aggravated in one (2.8%) in the AA group. In the PA group, urinary incontinence improved after surgery in one (2.5%), remained unchanged in 30 (75%), slightly aggravated in four (10%), and aggravated in five (12.5%). Symptoms of urinary incontinence were significantly improved in the AA group and aggravated in the PA group (Mann-Whitney U test, P = 0.0057).
conclusionsAs the anatomical characteristic of the short external rotators, the root of the internal obturator muscle is connected to the levator ani muscle. Among the pelvic floor muscles, this levator ani muscle is closely involved in supporting the pelvic organs. Since the short external rotators may have been atrophied due to hip joint dysfunction before surgery, if the strength of this muscle group recovers, support of the pelvic organs and urinary incontinence may be improved. It was assumed that surgery through AA improved external rotation contracture of the hip joint and leg length, which increased tension of the internal obturator muscle, with which tension of the pelvic floor muscle also increased and improved urinary incontinence.
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