Effects of internal iliac artery ligation on stress and urge incontinence: a retrospective evaluation

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dc.authorwosidIrmak Kübra / KWV-3738-2024
dc.contributor.authorAkay, Emrullah
dc.contributor.authorGül, Alime Dilayda Uzun
dc.contributor.authorMutlu, Enes Burak
dc.contributor.authorNalbant, Ayşe Ceren
dc.contributor.authorIrmak, Kübra
dc.contributor.authorErsan, Fırat
dc.date.accessioned2025-04-18T10:50:41Z
dc.date.available2025-04-18T10:50:41Z
dc.date.issued2024
dc.departmentİstinye Üniversitesi, Tıp Fakültesi, İSÜ Hastaneleri
dc.description.abstractIntroduction: Does bilateral internal iliac artery ligation (BIIAL), a fundamental intervention in the treatment of postpartum hemorrhage, increase the risk of urinary incontinence (UI)? This study aims to shed light on the effects of BIIAL on bladder perfusion and urinary system integrity, thereby elucidating urinary function disorders following pelvic surgery. Methods: Demographic and medical data were collected from a total of 192 female patients, with and without the application of BIIAL. Urinary incontinence conditions were assessed using the Questionnaire for Urinary Incontinence Diagnosis (QUID) test. The data collection process was conducted according to ethical standards, and the results were analyzed to determine the types of incontinence. Results: In the group that underwent BIIAL, the number of pregnancies and births was statistically higher compared to the control group. A significant effect of BIIAL was seen in cases of urge urinary incontinence (UUI), while no meaningful impact was detected on stress urinary incontinence (SUI). After the BIIAL procedure, an increase in the rate of urinary leakage was seen in certain cases. Conclusion: Bilateral internal iliac artery ligation has proven to be a safe and effective intervention in the management of postpartum hemorrhage. The findings suggest a potential impact of BIIAL on UUI but not on SUI. Comprehensive and long-term prospective studies are needed to further investigate the effects of BIIAL on pelvic blood flow and bladder functions.
dc.identifier.citationAkay, E., Gül, A. D. U., Mutlu, E. B., Nalbant, A. C., Irmak, K., & Ersan, F. (2024). Effects of Internal Iliac Artery Ligation on Stress and Urge Incontinence: A Retrospective Evaluation. Cureus, 16(6), e63465.
dc.identifier.doi10.7759/cureus.63465
dc.identifier.issn2168-8184
dc.identifier.issue6
dc.identifier.pmid39077305
dc.identifier.urihttp://dx.doi.org/10.7759/cureus.63465
dc.identifier.urihttps://hdl.handle.net/20.500.12713/7213
dc.identifier.volume16
dc.identifier.wosWOS:001262723700015
dc.identifier.wosqualityN/A
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakPubMed
dc.institutionauthorIrmak, Kübra
dc.language.isoen
dc.publisherSpringer
dc.relation.ispartofCureus journal of medical science
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectStress Urinary Incontinence
dc.subjectQuid Test
dc.subjectUrge Urinary Incontinence
dc.subjectInternal Iliac Artery Ligation
dc.subjectMassive Postpartum Hemorrhage
dc.titleEffects of internal iliac artery ligation on stress and urge incontinence: a retrospective evaluation
dc.typeArticle

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