Points Aa and Ba are factors associated with preoperative voiding dysfunction in patients with cystocele

Chae, Ji Yun; Park, Gil Young; Kim, Jae Heon; Kim, Hyung Jee; Bae, Jae Hyun; Lee, Jeong Gu; Moon, Du Geon; Oh, Mi Mi

doi:10.1016/j.ejogrb.2013.12.015

Cited by 9 publications

(8 citation statements)

References 17 publications

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“…12 A study done by Chae et al showed POP-Q points Aa and Ba were significantly longer in women with voiding dysfunction. 3 In contrast to the above, the present study showed that the POP-Q points Aa and Ba did not correlate with voiding dysfunction. P values (p=0.73 & p=0.4) not significant.…”

Section: Discussioncontrasting

confidence: 99%

“…A possible explanation for this finding may be that the prolapse of the anterior wall compartment produces pressure more directly on the urethra through a buttressing effect. 3 In this study the overall prevalence of defecatory dysfunction was 77%. In stage II, stage III and stage IV prolapse the presence of defecatory dysfunction was reported in 71.4% (n=5), 76% (n=73), 88.2% (n=15) respectively.…”

Section: Discussionmentioning

confidence: 55%

“…The possible explanation could be urethral kinking and obstruction. 3 chae et al reported the POP-Q stage specially the anterior compartment prolapse had greater incidence of voiding dysfunction compared to posterior and apical compartments with significant P value (p=0.018). 3 In this study though women with anterior compartment prolapse had voiding dysfunction with the odds ratio of 3.72 (95% CI=0.23-61.59).…”

Section: Discussionmentioning

confidence: 97%

“…3 chae et al reported the POP-Q stage specially the anterior compartment prolapse had greater incidence of voiding dysfunction compared to posterior and apical compartments with significant P value (p=0.018). 3 In this study though women with anterior compartment prolapse had voiding dysfunction with the odds ratio of 3.72 (95% CI=0.23-61.59). Women with posterior compartment had more voiding dysfunction with Odds ratio of 2.77 (95% CI=1.00-7.66) and the calculated p value was significant (p=0.044).…”

Section: Discussionmentioning

confidence: 97%

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Prevalence of voiding and defecatory dysfunction in postmenopausal women with pelvic organ prolapse: a prospective observational study

Saravanan¹,

Ebenezer²,

Londhe³

et al. 2018

Int J Reprod Contracept Obstet Gynecol

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Background: Primary objective of this work was to study the prevalence of voiding and defecatory dysfunction in women with pelvic organ prolapse and correlate the stage and compartment of prolapse with voiding and defecatory dysfunction. The secondary objective was to correlate stage of prolapse with flow rate and post void residue and to study the voiding dysfunction in pelvic organ prolapse.Methods: A prospective observational cohort study in 120 post-menopausal women scheduled for vaginal hysterectomy pelvic floor repair. Short form of pelvic floor distress inventory (PFDI-20) and International prostate symptom questionnaire I-PSS score for Lower urinary tract symptoms (LUTS)was employed.Results: The prevalence of voiding dysfunction in this study was 78% and defecatory dysfunction was 77%. Higher stage of prolapse had significant correlation with voiding dysfunction. (P value was 0.028). Women with posterior compartment defect had more voiding dysfunction with the significant P value (p value was 0.04). Pre-operative voiding dysfunction resolved post operatively in 86%, the p<0.000 which was highly significant.Conclusions: Women with pelvic organ prolapse had high prevalence of voiding and defecatory dysfunction. Stages of prolapse have positive correlation with voiding dysfunction. Pre-operative voiding dysfunction resolved after vaginal hysterectomy and pelvic floor repair.

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Section: Discussioncontrasting

confidence: 99%

Section: Discussionmentioning

confidence: 55%

Section: Discussionmentioning

confidence: 97%

Section: Discussionmentioning

confidence: 97%

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Prevalence of voiding and defecatory dysfunction in postmenopausal women with pelvic organ prolapse: a prospective observational study

Saravanan¹,

Ebenezer²,

Londhe³

et al. 2018

Int J Reprod Contracept Obstet Gynecol

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“…The clinical risk factors that affected POUR included age, female sex, lower body mass index, previous incontinence surgery, advanced stage of prolapse and postoperative UTI 1112. The intraoperative risk factors of POUR have been reported as spinal anesthesia, administration of >750 mL of intraoperative fluid, estimated blood loss >100 mL and postoperative opioid use 71314.…”

Section: Discussionmentioning

confidence: 99%

Predictors of Acute Postoperative Urinary Retention after Transvaginal Uterosacral Suspension Surgery

et al. 2018

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ObjectivesTo investigate the rate of postoperative urinary retention (POUR) and identify the risk factors for this complication in women who underwent transvaginal uterosacral suspension surgery.MethodsA retrospective chart review was conducted for 75 women who underwent transvaginal uterosacral suspension surgery with vaginal hysterectomy, repair of cystocele, and levator myorrhaphy with/without transobturator anti-incontinence surgery. POUR was defined as a need for continuous intermittent catheterization on the third day subsequent to removal of the urethral indwelling catheter.ResultsAcute POUR was reported in 18 women (24.0%). Thirty-six of the 75 patients (48.0%) had undergone anti-incontinence surgery. Crude analysis revealed significant association between the following variables and the risk of POUR: hypertension, the lower average flow rate in the pressure-flow study (PFS), greater post-void residual (PVR) urine volume in PFS, and PVR >30% of the total bladder capacity (TBC) in PFS. In the logistic regression analysis, PVR >30% of the TBC in PFS was identified as the only significant predictor of POUR (odds ratio, 15.4; 95% confidence interval, 2.5–90.9; P = 0.003).ConclusionsThe PVR >30% of the TBC in PFS was identified as the only predictive factor of acute POUR in women who underwent transvaginal uterosacral suspension surgery.

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Dilemmas in Management of the Geriatric Bladder

Hartigan

Reynolds

Smith

2019

Curr Bladder Dysfunct Rep

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Points Aa and Ba are factors associated with preoperative voiding dysfunction in patients with cystocele

Cited by 9 publications

References 17 publications

Prevalence of voiding and defecatory dysfunction in postmenopausal women with pelvic organ prolapse: a prospective observational study

Prevalence of voiding and defecatory dysfunction in postmenopausal women with pelvic organ prolapse: a prospective observational study

Predictors of Acute Postoperative Urinary Retention after Transvaginal Uterosacral Suspension Surgery

Dilemmas in Management of the Geriatric Bladder

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