ArticleBMC women's health2026
The evaluation of the tests that can predict de novo stress urinary incontinence after advanced pelvic organ prolapse surgery: a prospective study.
Article in BMC women's health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
backgroundDe novo stress urinary incontinence (SUI) may reduce patient satisfaction following a pelvic organ prolapse (POP) surgery and may necessitate additional anti-incontinence surgery in the future. The aim of this study is to evaluate physical examination tests that can predict de novo SUI after POP surgery.
methodsA total of 30 patients diagnosed with stage 3-4 POP who underwent POP surgery were included in this study. The results of the Q-tip test, reduced stress test, and urodynamic stress urinary incontinence test, which were performed before the surgery, and stress test results for SUI at 3 and 6 months after the surgery were recorded. The physical examination tests were compared and occult SUI and de novo SUI rates were determined.
resultsOccult SUI detection rates were found to be 46.7% for the Q-tip test, 20% for the reduced stress test, and 3.3% for the urodynamic test. The rates of de novo SUI were determined as 3.3% and 10%, respectively, at the 3rd and 6th months postoperatively. The presence of gravida, parity, and the number of living children increased the detection rate of occult SUI by the Q-tip test at statistically significant level. It was also determined that the high number of abortions statistically increased the risk of de novo SUI at 6 months postoperatively and occult SUI did not significantly affect the risk of de novo SUI.
conclusionOur findings suggest that less invasive and cost-effective physical examination tests may be considered in the preoperative evaluation of patients undergoing POP surgery; however, these results should be interpreted cautiously.
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