E-Posters-Accuracy in Predicting "de novo" Stress Urinary Incontinence in Women Undergoing Surgical Correction of Pelvic Organ Prolapse with Mesh

Accuracy in Predicting "de novo" Stress Urinary Incontinence in Women Undergoing Surgical Correction of Pelvic Organ Prolapse with Mesh - Rodrigo A Cruz, MD

Back to course

Pdf Summary

This study aimed to assess the accuracy of an online calculator in predicting the occurrence of "de novo" stress urinary incontinence (SUI) in women who underwent surgical correction of anterior vaginal compartment prolapse with synthetic mesh. A retrospective cohort study was conducted with 146 patients who met the inclusion criteria. The incidence of "de novo" SUI requiring treatment after 12 months of follow-up was found to be 17.1%. The online calculator was used to predict the occurrence of SUI, and it demonstrated an area under the ROC curve (AUC) of 0.739. The optimal cutoff point for this predictive model was determined to be a probability greater than 35.5%, with a sensitivity of 80% and a specificity of 64.1%. The positive predictive value was 31.7%, and the negative predictive value was 93.9%. The calculator was found to provide more accurate risk estimates for "de novo" SUI compared to preoperative stress tests or expert predictions. The study concluded that the calculator could be useful in clinical settings for physicians discussing surgical alternatives for pelvic organ prolapse (POP) with their patients. The study population consisted of women with a mean age of 61.2 years, a mean BMI of 27.4 kg/m², and various demographic and medical characteristics. Overall, this study contributes to the understanding of risk factors and prediction for "de novo" SUI in women undergoing surgical correction of POP with mesh.

Keywords

online calculator

de novo

stress urinary incontinence

surgical correction

retrospective cohort study

predictive model

probability

sensitivity

specificity

risk factors