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Prospective analyses of female urinary incontinence symptoms following total hip arthroplasty

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Abstract

Introduction and hypothesis

Some patients with hip osteoarthritis report that urinary incontinence (UI) is improved following total hip arthroplasty (THA). However, the type and severity of UI remain unclear. In this study, we hypothesize that both stress urinary incontinence (SUI) and urge urinary incontinence (UUI) are improved after THA. We assess the characteristics of UI and discuss the anatomical factors related to UI and THA for improved treatment outcome.

Methods

Fifty patients with UI who underwent direct anterior-approach THA were evaluated. Type of UI was assessed using four questionnaires: Core Lower Urinary Tract Symptom Score (CLSS), Urogenital Distress Inventory Short Form (UDI-6), International Prostate Symptom Score (IPSS), and Overactive Bladder Symptom Score (OABSS). Uroflowmetry and postvoid residual urine were measured using ultrasound technology. Hip-joint function was evaluated using Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) and range of motion (ROM).

Results

Of the 50 patients, 21 had SUI, 16 had mixed urinary incontinence (MUI), and eight had urgency urinary incontinence (UUI). In total, 36 patients were better than improved (72 %). The rate of cured and improved was 76 % for SUI, 100 % MUI, and 50 % UUI. The improvement of ROM was more significant in cured or improved patients than in stable or worse patients.

Conclusions

Improvement in mild UI may be an added benefit for those undergoing THA for hip-joint disorders. These data suggest that for patients with hip-joint disorder, hip-joint treatment could prove to also be a useful treatment for UI.

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Author information

Authors and Affiliations

  1. Department of Clinical Anatomy, Tokyo Medical and Dental University, Tokyo, Japan

    Keiko Okumura & Keiichi Akita

  2. Department of Urology, Tosei General Hospital, Aichi, Japan

    Keiko Okumura

  3. Institute of Education, Tokyo Medical and Dental University, Tokyo, Japan

    Kumiko Yamaguchi

  4. Joint Replacement Center, Funabashi Orthopedic Hospital, Funabashi, Chiba, Japan

    Tatsuya Tamaki & Kazuhiro Oinuma

  5. Department of Pelvic Reconstructive Surgery, Urology, Tokyo Women’s Medical University Medical Center East, Tokyo, Japan

    Hikaru Tomoe

Authors
  1. Keiko Okumura
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  2. Kumiko Yamaguchi
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  3. Tatsuya Tamaki
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  4. Kazuhiro Oinuma
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  6. Keiichi Akita
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Corresponding author

Correspondence to Keiichi Akita.

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Additional information

This work has been presented at prior conferences The 38th Annual Meeting of International Urogynecological Association, Dublin, Ireland, 29 May 2013; and the 40th Annual Meeting of the Japanese Hip Society, Hiroshima, Japan, 30 November 2013

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Okumura, K., Yamaguchi, K., Tamaki, T. et al. Prospective analyses of female urinary incontinence symptoms following total hip arthroplasty. Int Urogynecol J 28, 561–568 (2017). https://doi.org/10.1007/s00192-016-3138-x

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  • DOI: https://doi.org/10.1007/s00192-016-3138-x

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