title: Does menopausal status impact urinary continence outcomes following abdominal sacrocolpopexy without anti-incontinence procedures in continent women?
abstract: OBJECTIVE
  We investigated the impact of menopausal status on urinary continence following abdominal sacrocolpopexy (ASC) without an anti-incontinence procedure in continent women.
  
  
  METHODS
  We conducted a clinical follow-up study of 137 patients diagnosed with stage 3 or higher pelvic organ prolapse (POP) without urinary incontinence between January 2012 and December 2014. Patients were provided with detailed a priori information pertaining to the abdominal sacrocolpopexy procedure and were invited to attend follow-up visits at 1, 3, 12, and 24 months. Follow-up visits included a gynecological examination, cough test, and validated Urinary Distress Inventory-6 (UDI-6) and Incontinence Impact Questionnaire-7 (IIQ-7) questionnaires.
  
  
  RESULTS
  The mean follow-up time for the cohort was 16.5±3.45 months. The study group was divided according to menopausal status: premenopausal (Group-1) and postmenopausal women (Group-II). Anatomical recurrence was not detected during the follow-up period in either group, but de novo stress urinary incontinence was seen in 15 of 53 (28.3%) Group-I patients and in 6 of 84 (7.1%; p < 0.01) Group-II patients.
  
  
  CONCLUSIONS
  The risk of de novo stress urinary incontinence in postmenopausal women after ASC is low. However, premenopausal patients have a higher incidence of de novo stress incontinence which affect quality of life.
authors.affiliation: Abdurrahman Hamdi Inan, Department of Gynecology and Obstetrics, Ardahan State Hospital, Ardahan, Turkey.
authors.forename: Abdurrahman Hamdi
authors.initials: AH
authors.lastname: Inan
authors.affiliation: Emrah Toz, Department of Gynecology and Obstetrics, Izmir Tepecik Education and Research Hospital, Izmir, Turkey.
authors.forename: Emrah
authors.initials: E
authors.lastname: Toz
authors.affiliation: Emrah Beyan, Department of Gynecology and Obstetrics, Izmir Tepecik Education and Research Hospital, Izmir, Turkey.
authors.forename: Emrah
authors.initials: E
authors.lastname: Beyan
authors.affiliation: Tutku Gurbuz, Department of Gynecology and Obstetrics, Ardahan State Hospital, Ardahan, Turkey.
authors.forename: Tutku
authors.initials: T
authors.lastname: Gurbuz
authors.affiliation: Aykut Ozcan, Department of Gynecology and Obstetrics, Izmir Tepecik Education and Research Hospital, Izmir, Turkey.
authors.forename: Aykut
authors.initials: A
authors.lastname: Ozcan
authors.affiliation: Oznur Oner, Department of Gynecology and Obstetrics, Ardahan Military Hospital, Ardahan, Turkey.
authors.forename: Oznur
authors.initials: O
authors.lastname: Oner
keywords: Abdominal sacrocolpopexy; De novo stress urinary incontinence; Menopausal status; Pelvic organ prolapse