Prospective correlation of multinational association for supportive care in cancer risk index score with outcomes in neutropenic fever

Objectives: The aim of the study was evaluate the effect of gynecologic cancer treatment on urinary incontinence symptoms. Methods: This study included 76 patients who underwent gynecologic radical surgery for endometrial cancer and ovarian cancer. Preoperatively, a urogynecologic examination and Urinary Incontinence Score for Females test were performed. Incontinence Impact Questionnaire-7 (IIQ-7) and Urogenital Distress Inventory-6 (UDI-6) were performed before treatment and at the sixth week after surgery for all patients. Results: The mean age and parity of patients were 57.7 ± 10.5 years and 2.6 ± 1.2. A total of 44 patients (57%)were diagnosedwith stress or urge incontinence by examination or Urinary Incontinence Score for Females' test. The percentages of patients with stress urinary incontinence and urge incontinence were 52.3% and 9%, respectively. The percentage of mixed incontinence was 38.7%. Twenty-four of 76 procedures (31%) were performed for ovarian cancer and 52 (69%) procedures were performed for endometrial cancer. There was no urinary tract injury during procedures. The percentage of urinary incontinence at the sixth postoperative week was 71% and the difference was significant (P b 0.05). The difference between preoperative and postoperative IIQ-7 and UDI-6 scores was significant (P b 0.05). There was no significant difference in a comparison of the items of physical activity and travel on the IIQ-7 test. Conclusions: Radical gynecologic surgery has serious adverse effects on urinary continence. Urinary symptoms could impair quality of life after surgery. Urinary incontinence is one of the important symptoms of pelvic organ prolapse. Neural injuries, muscle injuries, radiotherapy, or edema could be the source of pelvic organ prolapse and incontinence. Preventive approaches should be suggested to patients early after surgery.