Perspective study of urodynamic factors with pre-and post-operation overactive bladder symptoms for anterior vaginal prolapse
10.3760/cma.j.issn.0529-567x.2014.11.006
- VernacularTitle:尿动力学检查与阴道前壁重度脱垂患者手术前后膀胱过度活动症症状关系的前瞻性研究
- Author:
Xin YANG
;
Cheng TAN
;
Fang AN
;
Xiuli SUN
;
Jianliu WANG
- Publication Type:Journal Article
- Keywords:
Uterine prolapse;
Urodynamics;
Urinary bladder,overactive;
Prospective studies;
Pelvic organ prolapse
- From:
Chinese Journal of Obstetrics and Gynecology
2014;49(11):829-833
- CountryChina
- Language:Chinese
-
Abstract:
Objective To identify pre-operative demographic and urodynamic (UD) parameters related to overactive bladder (OAB) symptoms of pre-operation and persistence of after pelvic organ prolapse (POP) repair.Methods From Jan 1,2010 to Oct 31,2012,this perspective study examined demographic and UD data of 175 patients undergoing POP surgery.Pre-and post-operative urinary distress inventory 6 (UDI-6) scores for frequency and urge urinary incontinence (UUI) were analyzed,and correlations between scores and pre-operative UD data were also analyzed.Results (1)Surgery resulted in a improvement of frequency (71.0％,71/100) and UUI (69.2％,63/91) at 12-24 months follow-up.(2)Pre-operative UD parameters:first desire of bladder ＜100 ml,6.3％ (11/175); detrusor overactivity,14.9％ (26/175); post-void residual ≥50 ml,11.4％ (20/175); maximal flow rate (Qmax),(16±7) ml/s.(3)Comparison of pre-operative UD datas between patients with OAB symptoms and without,with OAB symptoms group had more patients of type Ⅲ stress urinary incontinence [5％ (5/91) versus 0 (0/84),P=0.022].(4)Qmax was higher in improvement in UUI group than that in persistent UUI after POP repair [(17±7) m]/s versus (13±5) ml/s,P＜0.01].Conclusions POP repair significantly reduces OAB symptoms; however,there had not exact predictor for symptoms of persistent frequency,UUI after POP repair.Persistent UUI symptom may be related to Qmax of pre-operative UD.
