Abstract
Overactive bladder (OAB) symptoms often accompany pelvic organ prolapse. While there seems to be a relationship between symptom resolution and anatomic repair, a subset of patients will not experience improvement in OAB symptoms. Our aim was to identify preoperative demographic and urodynamic (UD) parameters related to persistence of OAB symptoms after anterior vaginal prolapse (AVP) repair. This retrospective cohort study examined demographic and UD data from patients undergoing AVP surgery. Pre- and post-operative Urogenital Distress Inventory (UDI-6) scores for frequency, urge urinary incontinence (UUI), and difficulty voiding were analyzed, as were correlations between scores and pre-operative UD data. From 2002 to 2008, 88 patients underwent AVP repair and were included in the final analysis. Surgery resulted in a reduction of frequency (33%), UUI (49%), and difficulty voiding (74%) at median 21 months follow-up. Change in symptom scores was unrelated to age, parity, BMI, or AVP grade, although older women reported greater improvement in difficulty emptying after repair. Improvement in difficulty emptying was related to a larger pre-operative post-void residual (PVR) (129 ml vs. 31 ml, P = 0.0008). Persistent UUI after rep...Continue Reading
References
Dec 1, 1972·Clinical Obstetrics and Gynecology·W F Baden, T A Walker
Jun 1, 1982·British Journal of Obstetrics and Gynaecology·S L StantonL Cardozo
Jan 1, 1995·Neurourology and Urodynamics·J S UebersaxJ A Fantl
Jan 23, 1999·The Journal of Urology·L J RomanziJ G Blaivas
May 8, 2000·Neurourology and Urodynamics·A GroutzD C Chaikin
May 8, 2000·The Journal of Urology·G E Lemack, P E Zimmern
Nov 7, 2001·The Journal of Urology·J K Nguyen, N N Bhatia
Feb 22, 2002·Neurourology and Urodynamics·Paul AbramsUNKNOWN Standardisation Sub-committee of the International Continence Society
Jul 13, 2002·American Journal of Obstetrics and Gynecology·Paul AbramsAlan Wein
Sep 17, 2004·The Journal of Urology·Wendy W LengMichael B Chancellor
Jun 17, 2005·BJOG : an International Journal of Obstetrics and Gynaecology·G Alessandro DigesuVik Khullar
Jul 16, 2005·American Journal of Obstetrics and Gynecology·Chiara GhettiAmanda L Clark
Oct 4, 2005·Obstetrics and Gynecology·Catherine S Bradley, Ingrid E Nygaard
Jan 13, 2006·The Journal of Urology·Igor But
Jan 24, 2006·International Urogynecology Journal and Pelvic Floor Dysfunction·Jeffrey SegalMickey Karram
Jan 25, 2006·BJU International·Jason P GilleranPhilippe E Zimmern
Jul 4, 2006·Obstetrics and Gynecology·Ruwan J FernandoPeter W Jones
Dec 16, 2006·International Urology and Nephrology·Onder KayigilAli Fuat Atmaca
Apr 13, 2007·International Urogynecology Journal and Pelvic Floor Dysfunction·G Alessandro DigesuVik Khullar
Jul 10, 2007·American Journal of Obstetrics and Gynecology·Raymond T FosterCindy L Amundsen
Jan 22, 2008·The Journal of Urology·Jonathan S StarkmanRoger R Dmochowski
Oct 3, 2008·American Journal of Obstetrics and Gynecology·Robert E GutmanVictoria L Handa
Feb 14, 2009·International Urogynecology Journal and Pelvic Floor Dysfunction·Maya Basu, Jonathan Duckett
Citations
Jul 2, 2011·International Urogynecology Journal·Paulo PalmaSebastiano Bandiera
Dec 12, 2012·International Urogynecology Journal·Jeannine M MiranneVivian W Sung
Dec 13, 2012·International Urogynecology Journal·Maya BasuJonathan Duckett
Oct 12, 2012·Current Urology Reports·Maria VellaD Staskin
Jun 15, 2014·International Urogynecology Journal·Sophie FletcherDiaa E E Rizk
May 9, 2014·International Urogynecology Journal·Alexis A DieterNazema Y Siddiqui
Jul 27, 2014·The Urologic Clinics of North America·Katie N Ballert
Jan 15, 2014·Taiwanese Journal of Obstetrics & Gynecology·Chia-Jen WuMing-Ping Wu
Sep 29, 2011·Neurourology and Urodynamics·Rajeev RamanahEmile Daraï
Mar 16, 2012·Neurourology and Urodynamics·Montserrat Espuña-PonsMichael G Kirby
Mar 15, 2012·Neurourology and Urodynamics·Dudley RobinsonHeinz Koelbl
Jan 7, 2015·Cell Biochemistry and Biophysics·Mingsen MengWeibing Li
Oct 16, 2014·International Urogynecology Journal·Maurizio SeratiLinda Cardozo
Sep 7, 2016·Progrès en urologie : journal de l'Association française d'urologie et de la Société française d'urologie·L DononL Le Normand
Feb 19, 2017·Current Urology Reports·Juan Guzman-Negron, Sandip Vasavada
Jun 6, 2018·International Urogynecology Journal·Aiste UgianskieneKarin Glavind
Sep 6, 2017·International Urogynecology Journal·Dimitrios ZacharakisStavros Athanasiou
May 21, 2016·Obstetrics & Gynecology Science·Mi Sun KimHyeon Chul Kim
Jun 29, 2012·Korean journal of urology·Dong Min LeeSeung Hee Yum
Feb 3, 2019·International Urogynecology Journal·Ester IllianoElisabetta Costantini
Dec 1, 2013·Arab Journal of Urology·A Abdel Raheem, Helmut Madersbacher
Dec 15, 2019·Lower Urinary Tract Symptoms·Atsushi OtsukaHideaki Miyake
Sep 17, 2016·Female Pelvic Medicine & Reconstructive Surgery·Jamie M BartleyKenneth M Peters
Jul 1, 2014·Female Pelvic Medicine & Reconstructive Surgery·Alexis A DieterNazema Y Siddiqui
Mar 12, 2017·International Urogynecology Journal·Bahiyah AbdullahMio Togo
Oct 17, 2019·Neurourology and Urodynamics·Wen-Chen HuangHsin-Fu Chen
Jul 26, 2018·Current Urology Reports·Annie ChenElise J B De
Apr 3, 2019·Arab Journal of Urology·Anne P Cameron
Aug 13, 2011·Current Opinion in Obstetrics & Gynecology·Tiny A de Boer, Mark E Vierhout
Nov 23, 2020·Progrès en urologie : journal de l'Association française d'urologie et de la Société française d'urologie·X Gamé, V Phé
Aug 3, 2021·International Urogynecology Journal·Marie-Andrée HarveyAlexandriah Nicole Alas