Is There Any Relationship between Total Hip Arthroplasty and Urinary Incontinent?
- 1 Institute of Joint Replacement and Rheumatology, Zama General Hospital, Zama, Japan
- 2 Institute of Joint Replacement and Rheumatology, Zama General Hospital, Zama, Japan
- 3 Institute of Joint Replacement and Rheumatology, Zama General Hospital, Zama, Japan
- 4 Department of Orthopedic Surgery, Showa University Fujigaoka Hospital, Yokohama, Japan
- 5 Department of Orthopedic Surgery, Showa University Fujigaoka Hospital, Yokohama, Japan
Abstract
Introduction: In my daily practice as a hip surgeon, I have observed some circumstances where urinary incontinence (UI) improves after total hip arthroplasty (THA). We investigated UI symptoms before and after THA at our facility and considered the factors that influence UI. Patients and Method: The subjects were 113 female patients who underwent primary THA in our facility. An anterior lateral approach was used in all cases. Using the International Consultation on Incontinence Questionnaire-Short Form (ICIQ-SF), we conducted an investigation into the presence of UI before and 2 weeks after THA. An improvement in UI was defined as a decrease of 1 point or more, a worsening is defined as an increase of 1 point or more. Results: The responses from the 113 subjects were analyzed. Of the 113 patients, prior to THA, UI was prevalent among 59 patients and was absent among 54 patients. In the group where UI was prevalent, it improved after THA in 50 patients (85%), remained unchanged in 5 (8%) and worsened in 4 (7%). In the group where UI was absent, 49 patients (91%) remained unchanged and UI appeared in 5 (9%). Compared with the non-prevalence group (62 patients), the prevalence group (50 patients) had a noticeable improvement rate of internal rotation of the surgical hip side (P < 0.01). Conclusion: UI greatly reduces the quality of life (QOL). In this study, there is a possibility that THA improves UI.
- Nakamura, S., Ninomiya, S. and Nakamura, T. (1989) Primary Osteoarthritis of the Hip Joint in Japan. Clinical Orthopaedics and Related Research, 24, 190-196. https://doi.org/10.1097/00003086-198904000-00021
- Laupacis, A., Bourne, R., Rorabeck, C., Feeny, D., Wong, C., Tugwell, P., et al. (1993) The Effect of Elective Total Hip Replacement on Health-Related Quality of Life. Journal of Bone and Joint Surgery-American Volume, 75, 1619-1626. https://doi.org/10.2106/00004623-199311000-00006
- Okumura, K., Yamaguchi, K., Tamaki,T., Oinuma, K., Tomoe, H. and Akita K. (2017) Prospective Analyses of Female Urinary Incontinence Symptoms Following Total Hip Arthroplasty. International Urogynecology Journal, 28, 561-568. https://doi.org/10.1007/s00192-016-3138-x
- Irwin, D.E., Milsom, I., Hunskaar, S., Reilly, K., Kopp, Z., Herschorn, S., et al. (2006) Population-Based Survey of Urinary Incontinence, Overactive Bladder, and Other Lower Urinary Tract Symptoms in Five Countries: Results of the EPIC Study. European Urology, 50, 1306-1315. https://doi.org/10.1016/j.eururo.2006.09.019
- Homma, Y., Yamaguchi, O., Hayashi, K. and Neurogenic Bladder Society Committee. (2006) Epidemiologic Survey of Lower Urinary Tract Symptoms in Japan. Journal of Urology, 68, 560-564. https://doi.org/10.1016/j.urology.2006.03.035
- Coyne, K.S., Zhou, Z., Thompson, C. and Versi, E. (2003) The Impact on Health-Related Quality of Life of Stress, Urge and Mixed Urinary Incontinence. BJU International, 92, 731-735. https://doi.org/10.1046/j.1464-410X.2003.04463.x
- Tamaki, T., Oinuma, K., Shiratsuchi, H., Akita, K. and Iida, S. (2014) Hip Dysfunction-Related Urinary Incontinence: A Prospective Analysis of 189 Female Patients Undergoing Total Hip Arthroplasty. International Journal of Urology, 21,729-731. https://doi.org/10.1111/iju.12404
- Baba, T., Homma, Y., Takazawa, N., Kobayashi, H., Matsumoto, M., Aritomi, K., et al. (2014) Is Urinary Incontinence the Hidden Secret Complications after Total Hip Arthroplasty? European Journal of Orthopaedic Surgery and Traumatology, 24, 1455-1460. https://doi.org/10.1007/s00590-014-1413-4
- Kikuchi, A., Niu, K., Ikeda, Y., Hozawa, A., Nakagawa, H., Guo, H., et al. (2007) Association between Physical Activity and Urinary Incontinence in a Community-Based Elderly Population Aged 70 Years and over. European Urology, 52, 868-874. https://doi.org/10.1016/j.eururo.2007.03.041
- Hannestad, Y.S., Rortveit, G., Sandvik, H. and Hunskaar, S. (2000) A Community-Based Epidemiological Survey of Female Urinary Incontinence: The Norwegian EPINCONT Study. Epidemiology of Incontinence in the County of Nord-Trøndelag. Journal of Clinical Epidemiology, 53, 1150-1157. https://doi.org/10.1016/S0895-4356(00)00232-8