The association of pelvic organ prolapse severity and improvement in overactive bladder symptoms after surgery for pelvic organ prolapse
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ObjectiveThe purpose of this study was to evaluate the impact of pelvic organ prolapse (POP) repair on overactive bladder (OAB) symptoms in women with POP and the effect of baseline POP severity on improvement in OAB after surgical repair of POP. And we also tried to identify any preoperative factors for persistent postoperative OAB symptoms. MethodsA total of 87 patients with coexisting POP and OAB who underwent surgical correction of POP were included and retrospectively analyzed and postoperative data was obtained by telephone interview. OAB was defined as an affirmative response to item no. 15 (urinary frequency) and item no. 16 (urge incontinence) of the Pelvic Floor Distress Inventory. POP severity was dichotomized by Pelvic Organ Prolapse Quantification stage 1 to 2 (n=22) versus stage 3 to 4 (n=65). ResultsOAB symptoms were significantly improved after surgical treatment (P<0.001). But there was no significant differences in postoperative improvement of frequency and urge incontinence between stage 1 to 2 group versus stage 3 to 4 group. Preoperative demographic factors (age, parity, and POP stage) were not significantly related to persistent postoperative OAB symptoms. ConclusionWomen with coexisting POP and OAB who undergo surgical repair experience significant improvement in OAB symptoms after surgery, but severity of POP had no significant difference in improvement of OAB symptoms. Postoperative persistent OAB symptoms were not related to age, parity, body mass index, and POP stage.
Abstract
ObjectiveThe purpose of this study was to evaluate the impact of pelvic organ prolapse (POP) repair on overactive bladder (OAB) symptoms in women with POP and the effect of baseline POP severity on improvement in OAB after surgical repair of POP. And we also tried to identify any preoperative factors for persistent postoperative OAB symptoms. MethodsA total of 87 patients with coexisting POP and OAB who underwent surgical correction of POP were included and retrospectively analyzed and postoperative data was obtained by telephone interview. OAB was defined as an affirmative response to item no. 15 (urinary frequency) and item no. 16 (urge incontinence) of the Pelvic Floor Distress Inventory. POP severity was dichotomized by Pelvic Organ Prolapse Quantification stage 1 to 2 (n=22) versus stage 3 to 4 (n=65). ResultsOAB symptoms were significantly improved after surgical treatment (P<0.001). But there was no significant differences in postoperative improvement of frequency and urge incontinence between stage 1 to 2 group versus stage 3 to 4 group. Preoperative demographic factors (age, parity, and POP stage) were not significantly related to persistent postoperative OAB symptoms. ConclusionWomen with coexisting POP and OAB who undergo surgical repair experience significant improvement in OAB symptoms after surgery, but severity of POP had no significant difference in improvement of OAB symptoms. Postoperative persistent OAB symptoms were not related to age, parity, body mass index, and POP stage.
참고문헌 (17)
- de Boer TA, "Pelvic organ prolapse and overactive bladder", Neurourol Urodyn, 29, pp.30~39 (2010)
- Lawrence JM, "Prevalence and co-occurrence of pelvic floor disorders in community-dwelling women", Obstet Gynecol, 111, pp.678~685 (2008)
- Miedel A, "Symptoms and pelvic support defects in specific compartments", Obstet Gynecol, 112, pp.851~858 (2008)
- Abrams P, "The standardisation of terminology in lower urinary tract function : report from the standardisation subcommittee of the International Continence Society", Urology, 61, pp.37~49 (2003)
- Digesu GA, "Do overactive bladder symptoms improve after repair of anterior vaginal wall prolapse?", Int Urogynecol J Pelvic Floor Dysfunct, 18, pp.1439~1443 (2007)
- Clemons JL, "Patient satisfaction and changes in prolapse and urinary symptoms in women who were fitted successfully with a pessary for pelvic organ prolapse", Am J Obstet Gynecol, 190, pp.1025~1029 (2004)
- de Boer TA, "Predictive factors for overactive bladder symptoms after pelvic organ prolapse surgery", Int Urogynecol J, 21, pp.1143~1149 (2010)
- Fletcher SG, "Demographic and urodynamic factors associated with persistent OAB after anterior compartment prolapse repair", Neurourol Urodyn, 29, pp.1414~1418 (2010)
- Miranne JM, "The effect of pelvic organ prolapse severity on improvement in overactive bladder symptoms after pelvic reconstructive surgery", Int Urogynecol J, 24, pp.1303~1308 (2013)
- Barber MD, "Short forms of two condition-specific quality-of-life questionnaires for women with pelvic floor disorders(PFDI-20 and PFIQ-7)", Am J Obstet Gynecol, 193, pp.103~113 (2005)
- Bump RC, "The standardization of terminology of female pelvic organ prolapse and pelvic floor dysfunction", Am J Obstet Gynecol, 175, pp.10~17 (1996)
- Digesu GA, "The relationship of vaginal prolapse severity to symptoms and quality of life", BJOG, 112, pp.971~976 (2005)
- Basu M, "Effect of prolapse repair on voiding and the relationship to overactive bladder and detrusor overactivity", Int Urogynecol J Pelvic Floor Dysfunct, 20, pp.499~504 (2009)
- Harrison SC, "Bladder instability and denervation in patients with bladder outflow obstruction", Br J Urol, 60, pp.519~522 (1987)
- Harrison SC, "Effect of bladder outflow obstruction on the innervation of the rabbit urinary bladder", Br J Urol, 66, pp.372~379 (1990)
- Azadzoi KM, "Canine bladder blood flow and oxygenation: changes induced by filling, contraction and outlet obstruction", J Urol, 155, pp.1459~1465 (1996)
- Romanzi LJ, "The effect of genital prolapse on voiding", J Urol, 161, pp.581~586 (1999)