Current treatment of pelvic organ prolapse correlated with chronic pelvic pain, bladder and bowel dysfunction

Abstract

In conclusion, it has to be recognized that women bothered by these symptoms should be examined for POP and appropriately advised for possibility of cure by pelvic floor surgery after careful selection. VIDEO ABSTRACT.

Can surgical reconstruction of vaginal and ligamentous laxity cure overactive bladder symptoms in women with pelvic organ prolapse?

“…The present data also support the findings of previous studies [11][12][13][14][15][16][17][18][19][20][21] showing that OAB symptoms in women with POP significantly improve, and even resolve, after anatomical POP surgical correction, with a durable response in OAB symptom improvement and/or cure observed at 2 years after surgery. Interestingly, in women with ≥stage 2 POP, further delineation of the severity of POP had no significant influence on postoperative OAB symptom cure rates.…”

“…At baseline, 70% of patients had at least one moderate or severe OAB‐related symptom, with 50% reporting symptoms that were severe. In the current literature, the rate of coincidence of POP and OAB varies between 37% and 91% , while the prevalence of OAB in women without POP has been reported to be 4–9% . This provides some epidemiological evidence for the coexistence of POP and OAB, and therefore deserves further study.…”

“…In 2002, using this concept of surgical POP repair for the treatment of bothersome urinary symptoms, Farnsworth [15] reported high cure rates (78-82%) for a variety of bladder symptoms such as urgency, nocturia, and even chronic pelvic pain after posterior/apical intravaginal slingplasty repair. More recent publications have noted surgical success rates of various bothersome OAB symptoms ranging from 37% to 100% [13][14][15][16][17][18][19][20][21], thereby reinforcing the hypothesis that OAB may be treatable via surgical POP restoration.…”

Evaluation of sexual function in Brazilian women with and without chronic pelvic pain

“…9 CPP may be caused by POP due to the laxity of the supporting and/or suspending connective tissue structures. 33 Surgical treatment for POP may improve pelvic pain and quality of life. 34 , 35 Following surgery for POP, some authors have reported an improvement in sexual function, while others have failed to find any difference or have shown a deterioration in sexual function.…”

1. Ahmet Akin Sivaslioglu Sivaslioglu AA. Letter to the Editor. Cent European J Urol. 2017; doi: 10.5173/ceju.2017.1590 [Epub ahead of print] 2. Peter Petros Petros P. Letter to the Editor. Cent European J Urol. 2017; doi: 10.5173/ceju.2017.1592 [Ahead of print] 3. Reut Rotem, Adi Y. Weintraub Rotem R, Weintraub AY. Letter to the Editor. Cent European J Urol. 2017; doi: 10.5173/ceju.2017.1594 [Epub ahead of print]

“…We were very pleased to receive endorsements of the main thrust of our paper by authors of the letter to the editor and that of the other authors quoted [ 1 – 4 ], that symptoms of overactive bladder (OAB), urgency, frequency, urgency incontinence, nocturia, are surgically curable in women with pelvic organ prolapse.…”