{
    "abstract": "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.\nDemographic 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.\nIn 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.\nBilateral 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.",
    "authors": [
        {
            "affiliation": "Obstetrics and Gynecology, Ba\u015fak\u015fehir \u00c7am and Sakura City Hospital, Istanbul, TUR.",
            "firstname": "Emrullah",
            "initials": "E",
            "lastname": "Akay"
        },
        {
            "affiliation": "Obstetrics and Gynecology, Ba\u015fak\u015fehir \u00c7am and Sakura City Hospital, Istanbul, TUR.",
            "firstname": "Alime Dilayda",
            "initials": "AD",
            "lastname": "Uzun G\u00fcl"
        },
        {
            "affiliation": "Obstetrics and Gynecology, Ba\u015fak\u015fehir \u00c7am and Sakura City Hospital, istanbul, TUR.",
            "firstname": "Enes Burak",
            "initials": "EB",
            "lastname": "Mutlu"
        },
        {
            "affiliation": "Obstetrics and Gynecology, Ba\u015fak\u015fehir \u00c7am and Sakura City Hospital, Istanbul, TUR.",
            "firstname": "Ay\u015fe Ceren",
            "initials": "AC",
            "lastname": "Nalbant"
        },
        {
            "affiliation": "Obstetrics and Gynecology, Istanbul Istinye University, Istanbul, TUR.",
            "firstname": "K\u00fcbra",
            "initials": "K",
            "lastname": "Irmak"
        },
        {
            "affiliation": "Perinatology, Bagcilar Training and Research Hospital, Istanbul, TUR.",
            "firstname": "F\u0131rat",
            "initials": "F",
            "lastname": "Ersan"
        }
    ],
    "conclusions": "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.",
    "copyrights": "Copyright \u00a9 2024, Akay et al.",
    "doi": "10.7759/cureus.63465",
    "journal": "Cureus",
    "keywords": [
        "internal iliac artery ligation",
        "massive postpartum hemorrhage",
        "quid test",
        "stress urinary incontinence",
        "urge urinary incontinence"
    ],
    "methods": null,
    "publication_date": "2024-07-30",
    "pubmed_id": "39077305\n0\n30572737\n28498174\n29267732\n22940842\n19787711\n18238969\n23780904\n37158447\n22552376\n27651610\n20598034\n17261120\n38248429\n20309561\n19110184\n21918481\n34397953\n17879830\n29974589\n29102811\n38512006\n9696334\n21944111\n27437534\n28652996\n37907879\n37365141",
    "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.",
    "title": "Effects of Internal Iliac Artery Ligation on Stress and Urge Incontinence: A Retrospective Evaluation.",
    "xml": "<Element 'PubmedArticle' at 0x7885069492b0>"
}