Patients reporting that their symptoms of urinary incontinence have decreased after total hip arthroplasty can be encountered in orthopedic practice.
In this questionnaire-based study, we prospectively evaluated the symptoms of urinary incontinence before and after total hip arthroplasty. The International Consultation on Incontinence Questionnaire-Short Form was used to prospectively evaluate these symptoms in 189 consecutive female patients undergoing total hip arthroplasty. The patients were asked to fill in a questionnaire before and 3 months after surgery. A decrease in the International Consultation on Incontinence Questionnaire-Short Form score of ā„1 point was defined as an improvement, whereas an increase of ā„1 point was defined as worsening. A total of 81 (43%) patients reported urinary incontinence before total hip arthroplasty. At 3 months after surgery, symptoms of urinary incontinence were improved in 64% of these patients, remained unchanged in 32% and worsened in 4%. Mean International Consultation on Incontinence Questionnaire-Short Form score in patients with urinary incontinence before surgery significantly improved from 6.0 to 3.5 (Pā=ā0.0002). These findings suggest a relationship between hip joint function and pelvic floor function, and consequently a hip dysfunction-related urinary incontinence.
Written by:
Tamaki T, Oinuma K, Shiratsuchi H, Akita K, Iida S. Are you the author?
Joint Replacement Center, Funabashi Orthopedic Hospital, Funabashi, Chiba; Unit of Clinical Anatomy, Graduate School, Tokyo Medical and Dental University, Tokyo.
Reference: Int J Urol. 2014 Mar 4. Epub ahead of print.
doi: 10.1111/iju.12404
PubMed Abstract
PMID: 24593237
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