Risk Factors and Prognostic Assessments: Incontinence Prediction via Logistic Regression

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Journal of Innovative Healthcare Practices
Cilt: 6 Sayı: 2
Risk Factors and Prognostic Assessments: Incontinence Prediction via Logistic Regression

Risk Factors and Prognostic Assessments: Incontinence Prediction via Logistic Regression

Authors : Bahtiyar Çiftci, Teymur Bornaun

Pages : 82-89

Doi:10.58770/joinihp.1586563

View : 21 | Download : 10

Publication Date : 2025-08-24

Article Type : Review Paper

Abstract :Risk factors and prognostic assessments were examined, none exhibited as significant a correlation with incontinence as hysterectomy did. This finding underlines the complexity of incontinence as a multifactorial condition. Our study advocates for preoperative counseling on the potential risk of incontinence, especially for women considering hysterectomy. The development of comprehensive risk assessment tools incorporating surgical history is recommended to aid clinicians in predicting postoperative incontinence. This study investigated the outcomes of Transobturator Tape (TOT) surgery for incontinence. Researchers looked back at medical records (retrospective) and divided patients into two groups: those who only had TOT (73 patients) and those who had TOT with additional pelvic floor repair (178 patients). They carefully documented various patient details like age, weight, and medical history to understand if these factors influence the surgery\\\'s effectiveness affect incontinence. More women received combined TOT and pelvic reconstruction surgery, suggesting a preference for treating complex cases. The procedures had a low complication rate. Combined surgery resulted in slightly better perceived improvement. Patients with complications reported lower satisfaction. Other factors like childbirth history or marital status had minimal impact. The study identified a significant association between prior hysterectomy and increased risk of incontinence after TOT surgery. This study underscores the need for a nuanced understanding of urinary incontinence, emphasizing the significant role of surgical history, especially hysterectomy, in its development. It also calls for targeted rehabilitation programs and updated clinical practice guidelines to better manage and mitigate the risk of incontinence.
Keywords : Üriner inkontinans, histerektomi, lojistik regresyon analizi

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