Evidence map›Paper›PMID 40390743›Full record

ArticleCureus2025

Urinary Incontinence in Men and Women After Total Hip Arthroplasty: A Retrospective Observational Cohort Study.

Mitchell Wolden, Samantha Khanna, Cameron New, Corrina Moore, Marie K March, Edward Graham, Bijoy Thomas, Gregory C Gass, Nick Vertzyas, Sean F Mungovan

Abstract read
In one paragraph

Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Mitchell WoldenPhysical Therapy Program, University of Jamestown, Fargo, USA.
Samantha KhannaDepartment of Orthopaedics, Westmead Private Hospital, Westmead, AUS.
Cameron NewDepartment of Orthopaedics, Westmead Private Hospital, Westmead, AUS.
Corrina MooreDepartment of Orthopaedics, Westmead Private Hospital, Westmead, AUS.
Marie K MarchDepartment of Orthopaedic Surgery, St. Vincent's Private Hospital, Sydney, AUS.
Edward GrahamDepartment of Orthopaedics, Westmead Private Hospital, Westmead, AUS.
Bijoy ThomasDepartment of Orthopaedics, Westmead Private Hospital, Westmead, AUS.
Gregory C GassDepartment of Orthopaedics, The Clinical Research Institute, Westmead, AUS.
Nick VertzyasDepartment of Orthopaedic Surgery, St. Vincent's Private Hospital, Sydney, AUS.
Sean F MungovanDepartment of Orthopaedics, The Clinical Research Institute, Westmead, AUS.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundOur understanding of improved urinary incontinence (UI) following total hip arthroplasty (THA) is incomplete. Accordingly, our aim was to investigate the association between THA (anterior and posterior approach) on UI (stress, urge, and mixed urge/stress) in older women and men presenting with UI prior to THA.

methodsA retrospective review of 318 consecutive patients who underwent primary unilateral THA in an acute surgical hospital was undertaken. Pre- and postoperative continence status was assessed using the International Consultation of Incontinence Questionnaire Urinary Incontinence (ICIQ-UI) Short Form (ICIQ-SF).

resultsOf the 288 patients included in our study, 120 patients had preoperative UI (Incontinent Group) and 168 were continent preoperatively (Continent Group). Postoperatively, 101 patients in the Incontinent Group and 114 patients in the Continent Group completed the ICIQ-SF. Following THA, patients in the Incontinent Group had significant changes in ICIQ-SF total scores (MD=1.7; 95% CI=0.93-2.56; p<0.01), frequency scores (MD=0.7; 95% CI=0.46-0.94; p<0.01), and severity scores (MD=0.6; 95% CI=0.31-0.84; p<0.01) and a non-significant decrease in the ICIQ-SF quality of life scores (MD=0.5; 95% CI=-0.10-1.03; p<0.01). Patients' sex (p=0.94), THA surgical approach (p=0.62), and the type of UI (p=0.61) had no significant effect on postoperative ICIQ-SF total scores. There was a non-significant relationship between age (r=0.03; p=0.79) and time to postoperative follow-up visit (r=-0.11; p=0.27) with ICIQ-SF total scores. In the Continent Group, 11 patients (9.6%) had postoperative UI.

conclusionsFor women and men with UI prior to THA, there was a significant postoperative improvement in UI, independent of sex or surgical approach. Including UI assessment and clinical management strategies into the pre- and postoperative care of women and men undergoing THA procedures is indicated.

Indexed as

hipstotal hip arthroplasty (tha)total joint arthroplastyurinary incontinence (ui)urinary tract function

Identifiers

PMID40390743
PMCPMC12088703

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.