Development and Validation of a Risk Prediction Model for De Novo Stress Urinary Incontinence After Pelvic Floor Reconstruction Surgery

Development and Validation of a Risk Prediction Model for De Novo Stress Urinary Incontinence After Pelvic Floor Reconstruction Surgery: A Case-Control Study

This observational study aims to develop a predictive model for the occurrence of new-onset stress urinary incontinence (SUI) after pelvic organ prolapse (POP) repair surgery in women. The primary questions it seeks to answer are:

Which risk factors and anatomical characteristics predispose women to new-onset stress urinary incontinence following pelvic organ prolapse repair surgery?

Female POP patients without any preoperative symptoms of urinary incontinence will receive telephone follow-ups at 3, 6, and 12 months after undergoing standard surgical treatment.

Inclusion Criteria:

1. Patients with pelvic organ prolapse quantification (POP-Q) stage II or higher;
2. Patients who require surgical treatment for pelvic organ prolapse;
3. Patients with no evidence of urinary incontinence before surgery.

Exclusion Criteria:

1. Patients confirmed to have urinary incontinence before surgery;
2. Patients with urinary or reproductive system infections;
3. Patients with a history of prior surgery for urinary incontinence;
4. Patients who have undergone previous mesh repair surgery for pelvic organ prolapse;
5. Patients with a history of psychiatric disorders, hearing impairment, or communication difficulties;
6. Patients receiving hormone replacement therapy;
7. Patients with neurodegenerative diseases such as stroke or multiple sclerosis, or neurological conditions such as spinal cord injury.