https://doi.org/10.4081/uij.2021.264
Urinary symptoms and urodynamic findings before and after vaginal surgery for pelvic organ prolapse
Submitted: 27 November 2020
Accepted: 15 June 2021
Published: 30 June 2021
Accepted: 15 June 2021
Abstract Views: 1548
PDF: 250
Publisher's note
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.
Authors
To ascertain the difference in urodynamic findings, specifically bladder sensation, and urinary symptoms after vaginal surgery for Pelvic Organ Prolapse (POP). Retrospective data analysis of 126 women who underwent vaginal surgery for POP without simultaneous anti-incontinence procedure from January 2013 to April 2019 at Siriraj Hospital, Thailand. Baseline characteristics, intraoperative details and pre and post-operative urinary symptoms and urodynamic findings were recorded. There was no significant difference in the pre and post-operative first desire to void, at 158±53 mL and 162±64 mL, respectively (p=0.518). Incidence of increased bladder sensation was also unchanged, from 46.0% to 46.8% (p=1.00). Post-operative urodynamic stress incontinence was significantly increased, from 15.9% to 31.0% (p=0.003), as was the incidence of weak bladder contractility index (<100), from 47.3% to 61.8% (p=0.005). Significant improvements in post-operative urge urinary incontinence, urgency and voiding dysfunction were noted, from 50.8% to 31.7% (p=0.001), 63.5% to 38.9% (p<0.001) and 42.9% to 5.6% (p<0.001), respectively. No significant difference in bladder sensation after vaginal surgery for POP repair was noted. However, urinary symptoms significantly improved after surgery.
Haylen BT, Maher CF, Barber MD, et al. An International Urogynecological Association (IUGA) / International Continence Society (ICS) joint report on the terminology for female pelvic organ prolapse (POP). Int Urogynecol J 2016;27:165-94.
DOI: https://doi.org/10.1007/s00192-015-2932-1
Jackson SL, Weber AM, Hull TL, et al. Fecal incontinence in women with urinary incontinence and pelvic organ prolapse. Obstet Gynecol 1997;89:423-7.
DOI: https://doi.org/10.1097/00006250-199703000-00021
Panicker R, Srinivas S. Urodynamic Changes in Pelvic Organ Prolapse and the Role of Surgery. Med J Armed Forces India 2009;65:221-24.
DOI: https://doi.org/10.1016/S0377-1237(09)80007-5
Madhu CK, Hashim H. Surgery for pelvic organ prolapse. Eur Urol Suppl 2018;17:119-25.
DOI: https://doi.org/10.1016/j.eursup.2018.01.002
Clark AL, Gregory T, Smith VJ, et al. Epidemiologic evaluation of reoperation for surgically treated pelvic organ prolapse and urinary incontinence. Am J Obstet Gynecol 2003;189:1261-7.
DOI: https://doi.org/10.1067/S0002-9378(03)00829-9
Brown JS, Waetjen LE, Subak LL, et al. Pelvic organ prolapse surgery in the United States, 1997. Am J Obstet Gynecol 2002;186:712-6.
DOI: https://doi.org/10.1067/mob.2002.121897
Lensen EJM, Withagen MIJ, Kluivers KB, et al. Urinary incontinence after surgery for pelvic organ prolapse. Neurourol Urodyn 2013;32:455-9.
DOI: https://doi.org/10.1002/nau.22327
Ugianskiene A, Kjargaard N, Lindquist ASI, et al. Retrospective study on de novo postoperative urinary incontinence after pelvic organ prolapse surgery. Eur J Obstet Gynecol Reprod Biol 2017;219:10-4.
DOI: https://doi.org/10.1016/j.ejogrb.2017.10.002
Frigerio M, Manodoro S, Palmieri S, et al. Risk factors for stress urinary incontinence after native-tissue vaginal repair of pelvic organ prolapse. Int J Gynecol Obstet 2018;141:349-53.
DOI: https://doi.org/10.1002/ijgo.12443
Alas AN, Chinthakanan O, Espaillat L, et al. De novo stress urinary incontinence after pelvic organ prolapse surgery in women without occult incontinence. Int Urogynecol J 2017;28:583-90.
DOI: https://doi.org/10.1007/s00192-016-3149-7
Long CY, Hsu SC, Wu TP, et al. Urodynamic comparison of continent and incontinent women with severe uterovaginal prolapse. J Reprod Med 2004;49:33-7.
Richardson D, Bent A, Ostergard D. The effect of uterovaginal prolapse on urethrovesical pressure dynamics. Am J Obstet Gynecol 1983;146:901-5.
DOI: https://doi.org/10.1016/0002-9378(83)90961-4
Bump RC, Fantl JA, Hurt WG. The mechanism of urinary continence in women with severe uterovaginal prolapse: results of barrier studies. Obstet Gynecol 1988;72:291-5.
Lo TS, Bt Karim N, Nawawi EA, et al. Predictors for de novo stress urinary incontinence following extensive pelvic reconstructive surgery. Int Urogynecol J 2015;26:1313-9.
DOI: https://doi.org/10.1007/s00192-015-2685-x
Foster Sr RT, Barber MD, Parasio MF, et al. A prospective assessment of overactive bladder symptoms in a cohort of elderly women who underwent transvaginal surgery for advanced pelvic organ prolapse. Am J Obstet Gynecol 2007;197:82.e1-4.
DOI: https://doi.org/10.1016/j.ajog.2007.02.049
Illiano E, Natale F, Giannantoni A, et al. Urodynamic findings and functional outcomes after laparoscopic sacrocolpopexy for symptomatic pelvic organ prolapse. Int Urogynecol J 2019;30:589-94.
DOI: https://doi.org/10.1007/s00192-019-03874-4
Abdullah B, Nomura J, Moriyama S, et al. Clinical and urodynamic assessment in patients with pelvic organ prolapse before and after laparoscopic sacrocolpopexy. Int Urogynecol J 2017;28:1543-9.
DOI: https://doi.org/10.1007/s00192-017-3306-7
Kummeling MTM, Rietbergen JBW, Withagen MIJ, et al. Sequential urodynamic assessment before and after laparoscopic sacrocolpopexy. Acta Obstet Gynecol Scand 2013;92:172-7.
DOI: https://doi.org/10.1111/aogs.12045
Haylen BT, de Ridder D, Freeman RM, et al. An International Urogynecological Association (IUGA)/International Continence Society (ICS) joint report on the terminology for female pelvic floor dysfunction. Neurourol Urodyn 2010;29:4-20.
DOI: https://doi.org/10.1002/nau.20798
Drake MJ, Doumouchtsis SK, Hashim H, et al. Fundamentals of urodynamic practice, based on International Continence Society good urodynamic practices recommendations. Neurourol Urodyn 2018;37:S50-60.
DOI: https://doi.org/10.1002/nau.23773
Yao M, Simoes A. Urodynamic Testing and Interpretation. [Updated 2020 Sep 1]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2021 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK562310/
Blaivas JG, Groutz A. Bladder outlet obstruction nomogram for women with lower urinary tract symptomatology. Neurourol Urodyn 2000;19:553-64.
DOI: https://doi.org/10.1002/1520-6777(2000)19:5<553::AID-NAU2>3.0.CO;2-B
Nitti VW. Pressure flow urodynamic studies: the gold standard for diagnosing bladder outlet obstruction. Rev Urol 2005;7:S14-21.
Barber MD, Brubaker L, Nygaard I, et al. Defining success after surgery for pelvic organ prolapse. Obstet Gynecol 2009;114:600-9.
DOI: https://doi.org/10.1097/AOG.0b013e3181b2b1ae
Siroky MB. The aging bladder. Rev Urol 2004;6:S3-7.
Boer TA, Salvatore S, Cardozo L, et al. Pelvic organ prolapse and overactive bladder. Neurourol Urodyn 2010;29:30–9.
DOI: https://doi.org/10.1002/nau.20858
Romanzi LJ, Chaikin DC, Blaivas JG. The effect of genital prolapse on voiding. J Urol 1999;161:581–6.
DOI: https://doi.org/10.1016/S0022-5347(01)61957-8
Miyazato M, Yoshimura N, Chancellor MB. The other bladder syndrome: underactive bladder. Rev Urol 2013;15:11-22.
How to Cite
Srikureja, N., Hengrasmee, P., Leerasiri, P., & Asumpinwong, C. (2021). Urinary symptoms and urodynamic findings before and after vaginal surgery for pelvic organ prolapse. Urogynaecologia, 33(1). https://doi.org/10.4081/uij.2021.264
PAGEPress has chosen to apply the Creative Commons Attribution NonCommercial 4.0 International License (CC BY-NC 4.0) to all manuscripts to be published.
An Open Access Publication is one that meets the following two conditions:
- the author(s) and copyright holder(s) grant(s) to all users a free, irrevocable, worldwide, perpetual right of access to, and a license to copy, use, distribute, transmit and display the work publicly and to make and distribute derivative works, in any digital medium for any responsible purpose, subject to proper attribution of authorship, as well as the right to make small numbers of printed copies for their personal use.
- a complete version of the work and all supplemental materials, including a copy of the permission as stated above, in a suitable standard electronic format is deposited immediately upon initial publication in at least one online repository that is supported by an academic institution, scholarly society, government agency, or other well-established organization that seeks to enable open access, unrestricted distribution, interoperability, and long-term archiving.
Authors who publish with this journal agree to the following terms:
- Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
- Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
- Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.
Similar Articles
- Maxime Marcelli, Gilles Karsenty, Jean-Philippe Estrade, Aubert Agostini, Ludovic Cravello, Gérard Serment, Marc Gamerre, Factors influencing sexual function in women with genital prolapse , Urogynaecologia: Vol. 25 No. 1 (2011)
- Colin Walsh, Wendy Allen, Katrina Parkin, Chinmoy Mukerjee, Kate Moore, Low-count bacteriuria in refractory idiopathic detrusor overactivity versus controls , Urogynaecologia: Vol. 25 No. 1 (2011)
- Dorota Borawski, Martin H. Bluth, Wellman W. Cheung, Prevalence of urinary incontinence and other lower tract urinary symptoms in patients with uterine myomas , Urogynaecologia: Vol. 25 No. 1 (2011)
- Kristina Crafoord, Jan Brynhildsen, Olof Hallböök, Preben Kjølhede, Pelvic organ prolapse and anorectal manometry: a prospective study , Urogynaecologia: Vol. 26 No. 1 (2012)
- Nisarath Soontrapa, Sukree Soontrapa, Srinaree Kaewrudee, Woraluk Somboonporn, Chuanchom Sakondhavat, Urogenital symptoms in postmenopausal women: a hospital-based prevalence study , Urogynaecologia: Vol. 25 No. 1 (2011)
- Chendrimada Madhu, Penelope Harber, David Holmes, Unexpected benefits and potential therapeutic opportunities of tension free vaginal tape for stress urinary incontinence , Urogynaecologia: Vol. 27 No. 1 (2013)
- Khaled Refaat, Constanze Fischer-Hammadeh, Mohamad Eid Hammadeh, Overview of pelvic floor failure and associated problems , Urogynaecologia: Vol. 26 No. 1 (2012)
- Marie-Andrée Harvey, The size of the cervix and its relationship with age and parity , Urogynaecologia: Vol. 29 No. 1 (2016)
- Leena Mawaldi, Charu Guptaa, Hanadi Bakhsha, Maissa Saadeh, Mostafa A. Abolfotouh, Diagnostic accuracy of ultrasound in suspected ovarian torsion , Urogynaecologia: Vol. 25 No. 1 (2011)
- F. Bernasconi, V. Napolitano, M. Primicerio, D. Lijoi, E. Leone, F. Armitano, M. Luerti, G.C. Sugliano, D. Vitobello, D. Riva, D. Gregori, SUI AND TVT IUS ND TVT SECURE SYSTEM: A PROSPECTIVE OBSERVATIONAL MULTICENTRIC STUDY. MORBIDITY AND SHORT-TERM PERCENTAGES OF SUCCESS , Urogynaecologia: Vol. 23 No. 3 (2009)
You may also start an advanced similarity search for this article.