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International Urogynecology Journal

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23-11-2022 | Osteoarthrosis | Original Article

Effects of knee prosthetic surgery on overactive bladder symptoms and incontinence in women

Authors: Halil Ferat Öncel, Remzi Salar, Tuncer Bahçeci, Engin Özbay, Ali Levent

Published in: International Urogynecology Journal | Issue 7/2023

Abstract

Introduction and hypothesis

Urinary incontinence (UI) and overactive bladder (OAB) are common conditions worldwide. These conditions significantly affect the quality of life (QoL) of patients with limited mobility. Total knee arthroplasty (TKA) is one of the most commonly performed orthopedic procedures, resulting in pain relief, as well as improved function and QoL. This study was aimed at evaluating changes in patients' mobility as a result of TKA surgery and the effect of these changes on their OAB and UI symptoms.

Methods

A total of 49 female patients with stage IV osteoarthrosis were included in the study. The International Consultation on Incontinence Question-Short Form (ICIQ-SF), Overactive Bladder-Validated 8 (OAB-V8), Visual Analog Scale (VAS), and Oxford Knee Score (OKS) forms were completed pre-operatively and at the 6th post-operative month. Both knee flexion angles were measured, and the post-void residual urine volume (PVR) was recorded.

Results

A statistically significant (p<0.001) decrease was observed in the ICIQ-SF, VAS, OKS, and OAB-V8 scores in the post-operative period compared with the pre-operative values. No statistically significant change was detected in PVR (p=0.103). There was a statistically significant increase in the flexion angle (p<0.001).

Conclusions

After knee arthroplasty, there was a noticeable improvement in the OAB symptoms and UI complaints of the patients. Therefore, we consider that increasing mobility after TKA will positively affect OAB/UI in female patients.

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Title: Effects of knee prosthetic surgery on overactive bladder symptoms and incontinence in women
Authors: Halil Ferat Öncel
Remzi Salar
Tuncer Bahçeci
Engin Özbay
Ali Levent
Publication date: 23-11-2022
Publisher: Springer International Publishing
Keywords: Osteoarthrosis
Osteoarthrosis
Overactive Bladder
Urinary Incontinence
Urinary Incontinence
Published in: International Urogynecology Journal / Issue 7/2023
Print ISSN: 0937-3462
Electronic ISSN: 1433-3023
DOI: https://doi.org/10.1007/s00192-022-05409-w

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Effects of knee prosthetic surgery on overactive bladder symptoms and incontinence in women

Abstract

Introduction and hypothesis

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Introduction and hypothesis

Methods

Results

Conclusions

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