Dr Amjad Nawaz, Dr Rimsha Mohsin, Dr Muhammad Shafiq Akbar
Objective: The aim of this research paper is to assess the avoidable risk factors in the females with past history of surgical intervention for treatment of SUI (Stress Urinary Incontinence) or/and POP (Pelvic Organ Relapse). Methodology: We divided 401 females who underwent surgeries into 2 groups as; females who underwent surgery for Pelvic Organ Relapse (n: 325) and females who underwent surgery for Stress Urinary Incontinence (n: 76). There were total 233 persons in the group of controls with BMI and age match and they underwent surgery for some other benign gynecologic causes. All these controls were present without stress urinary incontinence or pelvic organ relapse. The comparison of all these groups carried out regarding age, body mass index, and status of smoking, delivery mode, gravida, menopause status, chronic disease and parity number. Results: Grandmulti-parity (Parity ≥5) enhanced the danger of pelvic organ relapse or stress urinary incontinence operation and pelvic organ relapse operation as 2.710 and stress urinary incontinence surgeries as 2.94 times (P=0.00030& P=0.00010, correspondingly). Delivery through vagina also enhanced the danger of stress urinary incontinence or pelvic organ relapse surgery 2.330 times (P=0.030). Conclusion: Grandmulti-parity enhanced the danger of pelvic organ relapse or stress urinary incontinence surgery and delivery through vagina also increased the risk of surgeries for pelvic organ relapse/stress urinary incontinence. Among various risk factors, especially, grand multi-parity is the only avoidable risk factor. KEYWORDS: Stress Urinary Incontinence, Pelvic Organ Relapse, Risk Factor, Gynecologic.