title: Predicting the development of stress urinary incontinence 3 years after hysterectomy.
abstract: OBJECTIVE
  We aimed to develop a prediction rule to predict the individual risk to develop stress urinary incontinence (SUI) after hysterectomy.
  
  
  METHODS
  Prospective observational study with 3-year follow-up among women who underwent abdominal or vaginal hysterectomy for benign conditions, excluding vaginal prolapse, and who did not report SUI before surgery (n = 183). The presence of SUI was assessed using a validated questionnaire.
  
  
  RESULTS
  Significant prognostic factors for de novo SUI were BMI (OR 1.1 per kg/m(2), 95% CI 1.0-1.2), younger age at time of hysterectomy (OR 0.9 per year, 95% CI 0.8-1.0) and vaginal hysterectomy (OR 2.3, 95% CI 1.0-5.2). Using these variables, we developed the following rule to predict the risk of developing SUI: 32 + BMI-age + (7.5 × route of surgery).
  
  
  CONCLUSIONS
  We defined a prediction rule that can be used to counsel patients about their individual risk on developing SUI following hysterectomy.
authors.affiliation: Department of Obstetrics and Gynaecology, Academic Medical Centre, Room H4-205, PO Box 22700, 1105 DE Amsterdam, The Netherlands. m.m.lakeman@amc.uva.nl
authors.forename: Mariëlle M E
authors.initials: MM
authors.lastname: Lakeman
authors.forename: C Huub
authors.initials: CH
authors.lastname: Van Der Vaart
authors.forename: Jan Willem
authors.initials: JW
authors.lastname: Van Der Steeg
authors.forename: Jan-Paul W R
authors.initials: JP
authors.lastname: Roovers
mesh_terms: D000328:Adult; D000367:Age Factors; D015992:Body Mass Index; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007045:Hysterectomy, Vaginal / Q000009:adverse effects*; D016015:Logistic Models; D008875:Middle Aged; D011237:Predictive Value of Tests; D011379:Prognosis; D011446:Prospective Studies; D012372:ROC Curve; D012307:Risk Factors; D011795:Surveys and Questionnaires; D014550:Urinary Incontinence, Stress / Q000175:diagnosis / Q000209:etiology*