Journal of Medical Council of Iran
Volume 44, Issue 3 (2026)
jmciri 2026, 44(3): 69-74 |
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Taheriazam A, Momenilandi F, Safdari F. Urinary Incontinence in Patients Undergoing Total Hip Replacement. jmciri 2026; 44 (3) :69-74
URL: http://jmciri.ir/article-1-3464-en.html
URL: http://jmciri.ir/article-1-3464-en.html
Department of Orthotics and Prosthetics, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran & Bone Joint and Related Tissues Research Center, Akhtar Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran
Abstract: (21 Views)
Abstract
Background: Urinary disorders can complicate the outcomes of total hip arthroplasty (THA) and affect patient satisfaction. Urinary inconsistence (UI) is one the urinary disorders that has been investigated in THA patients in recent years. The current study examines the incidence of UI in the patients with end-stage hip osteoarthritis before and after THA.
Methods: From 2021 to 2024, 400 THA patients were enrolled in this study. Preoperatively and six months postoperatively, the International Consultation on Incontinence Questionnaire-Short Form (ICIQ-SF) was administered to assess the presence of UI.
Results: The incidence of UI was 26.2% before THA which decreased to 22.5% after the operation. Following THA, UI resolved in 46.7% of patients with preoperative UI. However, there were 34 new cases of UI after the operation. The UI status remained unchanged in 79.3% of the patients. There was no statistically significant difference between the patients’ pre- and post-operative UI status (p=0.102).
Conclusion: UI is an important urinary disorder in THA patients which should be assessed both preoperatively and postoperatively. Although, UI resolved in half of the affected patients after the operation, approximately 11% developed UI postoperatively. Future studies are needed to investigate the underlying mechanism.
Background: Urinary disorders can complicate the outcomes of total hip arthroplasty (THA) and affect patient satisfaction. Urinary inconsistence (UI) is one the urinary disorders that has been investigated in THA patients in recent years. The current study examines the incidence of UI in the patients with end-stage hip osteoarthritis before and after THA.
Methods: From 2021 to 2024, 400 THA patients were enrolled in this study. Preoperatively and six months postoperatively, the International Consultation on Incontinence Questionnaire-Short Form (ICIQ-SF) was administered to assess the presence of UI.
Results: The incidence of UI was 26.2% before THA which decreased to 22.5% after the operation. Following THA, UI resolved in 46.7% of patients with preoperative UI. However, there were 34 new cases of UI after the operation. The UI status remained unchanged in 79.3% of the patients. There was no statistically significant difference between the patients’ pre- and post-operative UI status (p=0.102).
Conclusion: UI is an important urinary disorder in THA patients which should be assessed both preoperatively and postoperatively. Although, UI resolved in half of the affected patients after the operation, approximately 11% developed UI postoperatively. Future studies are needed to investigate the underlying mechanism.
Type of Study: Research |
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