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Fibroid surgery and improvement in bladder symptoms: The FAB study
Sara Houlihan1, Nicole Koenig2, Boris Friedman3
1Department of Obstetrics and Gynecology, University of Calgary, Calgary, Alberta, Canada.
Neurourology and Urodynamics
|June 5, 2018
Summary
Surgical debulking of uterine fibroids significantly improves common bladder and urinary incontinence symptoms. This fibroid surgery offers a potential treatment for women experiencing bothersome urinary issues.
Area of Science:
- Urogynecology
- Gynecologic Oncology
- Female Reproductive Health
Background:
- Uterine fibroids are the most common female reproductive tract tumors.
- Bladder symptoms, including urinary incontinence, are highly prevalent in women with uterine fibroids.
- The impact of fibroid debulking surgery on specific urinary incontinence types remains poorly understood.
Purpose of the Study:
- To determine if surgical debulking of uterine fibroids affects urinary symptoms.
- To establish the baseline prevalence of bladder symptoms in women undergoing fibroid surgery.
- To investigate correlations between fibroid characteristics, surgical approach, and postoperative bladder function.
Main Methods:
- Prospective cohort study of women undergoing myomectomy or hysterectomy (2011-2016).
- Preoperative pelvic ultrasound and baseline demographics collected.
- Urinary Distress Inventory (UDI) administered preoperatively and 6 weeks postoperatively.
Main Results:
- 96.6% of women reported bothersome urinary symptoms at baseline.
- Significant median improvement in UDI total score (39.9, P < 0.001) post-surgery.
- High cure rates for urge (64.7%) and stress (61.1%) urinary incontinence.
Conclusions:
- Urinary symptoms are extremely common in women with uterine fibroids requiring surgery.
- Surgical fibroid debulking demonstrates significant improvement in urinary symptoms and incontinence.
- Fibroid debulking surgery may be a viable treatment option for women with concurrent bladder dysfunction.
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