Predictive factors for overactive bladder symptoms after pelvic organ prolapse surgery

Boer, T.A. de; Kluivers, Kirsten B.; Withagen, Mariëlla I. J.; Milani, Alfredo L.; Vierhout, Mark E.

doi:10.1007/s00192-010-1152-y

Cited by 51 publications

(45 citation statements)

References 27 publications

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“…A possible explanation for this finding is that women after prolapse surgery achieved de novo urgency, as was found in 5% of the patients in one study [28]. …”

Section: Discussionmentioning

confidence: 92%

The prevalence and risk factors of overactive bladder symptoms and its relation to pelvic organ prolapse symptoms in a general female population

2010

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Introduction and hypothesisTo study the prevalence and risk factors of overactive bladder (OAB) symptoms and its relationship with symptoms of pelvic organ prolapse (POP).MethodsThis is a cross-sectional study including women aged between 45 and 85 years, registered in eight general practices. All women were asked to self complete the validated Dutch translated questionnaires. All symptoms were dichotomized as present or absent based on responses to each symptom and degree of bother.ResultsForty-seven percent of the women filled out the questionnaire. Prevalence of urgency was 34% and the prevalence of any OAB symptoms 49%. Prevalence of OAB symptoms increased with advancing age. Symptoms of POP were an independent risk factor for symptomatic OAB. Other risk factors were continence and prolapse surgery in the past, age above 75, overweight, postmenopausal status and smoking.ConclusionsThe prevalence of any OAB symptoms was 49%. POP symptoms were an independent risk factor for symptomatic OAB.

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“…A possible explanation for this finding is that women after prolapse surgery achieved de novo urgency, as was found in 5% of the patients in one study [28]. …”

Section: Discussionmentioning

confidence: 92%

The prevalence and risk factors of overactive bladder symptoms and its relation to pelvic organ prolapse symptoms in a general female population

2010

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“…Similarly, prolapse repairs alone have shown improvement in OAB symptoms (10, 11, 12, 13, 14). However, whether that same effect can be seen in women receiving slings and undergoing complex prolapse surgery is not as well defined.…”

Section: Discussionmentioning

confidence: 96%

Effect of sacrocolpopexy and retropubic sling on overactive bladder symptoms

Aslam

Gregory

Osmundsen

2017

J Turkish German Gynecol AssocJ Turkish German Gynecol Assoc

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Objective:In this study, we aimed to evaluate the effect of sacrocolpopexy and retropubic midurethral sling, or transvaginal tape (TVT) procedure, on overactive bladder (OAB) symptoms. Our null hypothesis was that concomitant sacrocolpopexy and TVT exacerbate OAB symptoms.Material and Methods:This is a prospective cohort study. All subjects had apical/anterior prolapse and underwent robotic-assisted sacrocolpopexy and TVT, with or without concomitant hysterectomy. All subjects completed a standardized one-year follow-up between 2009 and 2014. To assess for OAB symptoms, we used the Urogenital Distress Inventory subscale questions #15 and/or question #16. Reponses to these questions are based on a five-point 0 to 4 Likert scale (0 represents a negative response or no symptoms, and 4 represents the most problems). Any patient who answered 1 or higher on the Likert scale, either on the frequency or urge incontinence question, was defined as having OAB symptoms.Results:Sixty-six subjects completed 12 months of visits. Preoperatively, 54 patients (83%) had OAB symptoms, and postoperatively 29 patients (45%) had OAB symptoms (p<0.001). Patients with postoperative OAB had a lower patient global impression of improvement (PGI-I) scores, PGI-I 5.8 with OAB, and PGI-I 6.6 without OAB (p<0.003).Conclusion:We found that sacrocolpopexy and concomitant retropubic midurethral sling does not contribute to additive OAB symptoms, and symptoms actually resolved in 38% of women in our cohort. The presence of postoperative OAB contributes to lower global impression of improvement.

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“…Studies have shown that prior pelvic and reconstructive surgeries may denervate the bladder [28,29]. Patients who underwent a hysterectomy may experience OAB symptoms postoperatively due to the disruption of autonomic nerve fibers running along the pelvic plexus.…”

Section: Discussionmentioning

confidence: 97%

Prevalence and Risk Factors Associated with Overactive Bladder

Ho¹,

Yang

Fang

et al. 2012

UIJ

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Introduction:The pathophysiology and management of overactive bladder (OAB) has been the subject of intensive research, but the prevalence of OAB in the community has not been well documented. This study aims to determine the prevalence of OAB among men and women attending the Universiti Kebangsaan Malaysia Medical Centre (UKMMC). This study also shows the impact of OAB on daily life activities and associated risk factors.Methods: Four hundred respondents, aged between 18 to 70 years and visiting UKMMC, were interviewed and scored using the validated OAB screener. Information on sociodemographic data, the effects of OAB on daily living activities, and possible risk factors were included in the questionnaire. Results:The prevalence of overactive bladder in the study population was 42%. The most common symptom complaint was nocturia (94%). Gender (p = 0.004) and family history (p = 0.016) were related to a higher prevalence of overactive bladder. Males were significantly affected with the odd ratio of 1.792 compared to females. Race, age, monthly income, occupation, family, and smoking history were not associated with OAB. The most commonly affected activity of daily living in OAB patients is sleep disturbance (43.5%). Conclusion:The study has shown that the prevalence of OAB is relatively high in the Malaysian community, especially among males, and those with a positive family history. This has warranted closer attention to the issue.Preemptive measures should be taken by health care givers, the government, and the community to raise OAB awareness among society.

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Predictive factors for overactive bladder symptoms after pelvic organ prolapse surgery

Cited by 51 publications

References 27 publications

The prevalence and risk factors of overactive bladder symptoms and its relation to pelvic organ prolapse symptoms in a general female population

The prevalence and risk factors of overactive bladder symptoms and its relation to pelvic organ prolapse symptoms in a general female population

Effect of sacrocolpopexy and retropubic sling on overactive bladder symptoms

Prevalence and Risk Factors Associated with Overactive Bladder

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