A Predictive Factor in Overactive Bladder Symptoms Improvement after Combined Anterior Vaginal Wall Prolapse Repair: A Pilot Study.
10.4111/kju.2012.53.6.405
- Author:
Dong Min LEE
1
;
Young Woo RYU
;
Yong Taec LEE
;
Seung Hyun AHN
;
June Hyun HAN
;
Seung Hee YUM
Author Information
1. Department of Urology, KEPCO Medical Foundation, Hanil General Hospital, Seoul, Korea. urohee@hanmail.net
- Publication Type:Original Article ; Randomized Controlled Trial
- Keywords:
Pelvic organ prolapse;
Urinary bladder, overactive
- MeSH:
Humans;
Pelvic Organ Prolapse;
Pilot Projects;
Prolapse;
Urinary Bladder, Overactive;
Urinary Incontinence, Urge;
Urodynamics
- From:Korean Journal of Urology
2012;53(6):405-409
- CountryRepublic of Korea
- Language:English
-
Abstract:
PURPOSE: We aimed to determine whether a preoperative urodynamic parameter is a valuable predictor for the persistence of OAB symptoms after the AVP repair. MATERIALS AND METHODS: 65 OAB patients with concomitant POP-Q stage III, IV anterior vaginal wall prolapse underwent a surgical repair were involved. All the patients were subjected to a preoperative urodynamic study, for whom the OABSS on questionnaire were preoperatively recorded. We firstly analyzed the correlation between the BOOI and the OABSS, then randomly divided patients into two groups: the group A (high PdetQmax, BOOI> or =20) and the group B (low PdetQmax, BOOI<20). In each group, the OABSS was repeatedly measured post-operatively and the change were analyzed. RESULTS: 31 patients were classified as the group A and 34 patients were classified as the group B. The group B showed significant decrease of symptom score in daytime frequency (p<0.01), urgency (p=0.04), urge incontinence (p=0.03), nocturnal frequency (p=0.01) and total score (p=0.01). The group A showed no significant decrease of symptom score in daytime frequency (p=0.42), urgency (p=0.61), urge incontinence (p=0.3), total score (p=0.15) except nocturnal frequency (p=0.01). CONCLUSIONS: A preoperative pressure-flow study can be a valuable tool in predicting the OAB symptoms change after the combined AVP repair. While the AVP repair leads to the improvement of OAB symptoms generally, some patients with a higher preoperative PdetQmax are still in need of the additional medical treatment.
