Do overactive bladder symptoms improve after repair of anterior vaginal wall prolapse?

Digesu, G. Alessandro; Salvatore, Stefano; Chaliha, Charlotte; Athanasiou, Stavros; Milani, Rodolfo; Khullar, Vik

doi:10.1007/s00192-007-0375-z

Cited by 91 publications

(67 citation statements)

References 30 publications

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“…All of this most likely reflects the fact that the etiology of urinary symptoms in the setting of POP is multifactorial. And, while others have demonstrated high rates of improvement in these symptoms after repair, 8,9 other pathologies, such as idiopathic OAB, should be considered as part of surgical planning.…”

Section: Discussionmentioning

confidence: 96%

“…Recent surgical series have published post-operative resolution rates of 55-59% for frequency, and 75-82% for UUI. 8,9 While these studies, and ours, used validated questionnaire instruments to measure urinary symptoms, results are difficult to compare given the different measures used. Our improvement rates may be lower due to the fact that we were specific in analyzing data from women with pre-operative moderate/severe bother (score of 2 or 3), and defining improvement as a decrease of !2 points.…”

Section: Discussionmentioning

confidence: 97%

“…7 While one study regarding pessary placement found a modest 29% improvement in UUI, the handful of surgical series available report very good resolution of OAB symptoms. [8][9][10] Foster et al demonstrated a 76% and 75% resolution of frequency and UUI, respectively, at 12-month follow-up after POP repair. Digesu et al noted improvement rates of 59% and 82% for those symptoms at the same followup interval.…”

Section: Introductionmentioning

confidence: 95%

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Demographic and urodynamic factors associated with persistent OAB after anterior compartment prolapse repair

Fletcher

Haverkorn

Yan

et al. 2010

Neurourology and Urodynamics

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Section: Discussionmentioning

confidence: 96%

Section: Discussionmentioning

confidence: 97%

Section: Introductionmentioning

confidence: 95%

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Demographic and urodynamic factors associated with persistent OAB after anterior compartment prolapse repair

Fletcher

Haverkorn

Yan

et al. 2010

Neurourology and Urodynamics

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“…The only symptom related to vaginal prolapse that one can be sure of being relieved of after surgery is the sensation of bulging. Other symptoms related to bowel, bladder, or sexual function among women with prolapse can either be improved [11,[16][17][18], remain unaltered, or even become worse after surgery [19,20]. Against this background, every woman who undergoes surgery for prolapse should be adequately informed about the effects and side effects of the surgery regarding sexual function and functioning of the bladder and the bowel.…”

Section: Discussionmentioning

confidence: 99%

Are women adequately informed before gynaecological surgery?

2017

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Background: Surgery for pelvic organ prolapse, urinary incontinence, and hysterectomy are the most common gynaecological surgeries that can affect the function of the bladder and bowel as well as one's sexual life. There is evidence that adequate patient information given preoperatively regarding expected outcomes of surgery is important because well-informed patients are more satisfied with the results of surgery and recover faster. However, there is little known about the amount and quality of information given to women before surgery. This study investigates whether women received information before gynaecological surgery on the effect of surgery with respect to the functioning of the bladder (micturition, ability to stay continent) and the bowel (empty bowel) as well as the surgery's effect on sexual functioning. Methods: A prospective, cross-sectional study was conducted. Women undergoing hysterectomy, surgery for vaginal prolapse, or surgery for urinary incontinence (n = 972) and included in the Swedish National Register for Gynaecological Surgery participated in the study. A questionnaire was developed and distributed to the women along with the preoperative questionnaire from the register. Results: About 50% of the women undergoing prolapse surgery were supplied with information regarding the effect of the surgery with respect to remaining continent, to emptying bowels, micturitaion, and sexual life. One out of four women undergoing hysterectomy received information about the effect of the surgery on the sexual life and bladder function. In the incontinence group, the given information about the surgery's effect on bladder function and sexual function was 80 and 30%, respectively. Conclusion: Surgery in the vagina and the genital organs may affect function of the organs close to the surgical area (i.e., bladder and bowel) and may affect sexual function. According to this study, women are inadequately informed before surgery. Access to information via oral and written counselling needs to be improved.

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“…Other investigators have found a significant improvement in OAB symptoms up to 53-82% following surgical repair of POP. 17,18 Of course, the mere presence of POP is not an indication for any treatment at all; it is a quality-oflife decision. Nevertheless, we believe that for patients with Grade 3 and 4 POP with refractory OAB, surgical treatment offers the best chance of symptom amelioration.…”

Section: Discussionmentioning

confidence: 99%

Urogynecological conditions associated with overactive bladder symptoms in women

Forde

Davila

Marks³

et al. 2017

CUAJ

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Cite as: Can Urol Assoc J 2017;11(3-4):E83-7. http://dx.doi.org/10.5489/cuaj.3962 Published online March 16, 2017 Abstract Introduction: Overactive bladder symptoms (OAB) affect 9-43% of women and are associated with underlying disorders, including pelvic organ prolapse (POP) and stress urinary incontinence (SUI). The aim of this study is to identify urogynecological conditions associated with OAB symptoms. Methods: This prospective, institutional review board-approved study included women referred to a tertiary centre with lower urinary tract symptoms (LUTS). All women completed the selfadministered OAB questionnaire (OABSS). Those with an OABSS ≥8, the cutoff, were considered to have OAB symptoms. Patients underwent a history and physical examination (including BadenWalker prolapse grading and stress test), 24-hour voiding diary, pad test (for urinary incontinence), urinalysis, and uroflow with post-void residual volume. Patients were classified clinically into the following: idiopathic OAB, SUI, POP, bladder outlet obstruction (BOO) neurogenic bladder (NGB), recurrent urinary tract infection (UTI), and miscellaneous. Results: In total, 148 women met the inclusion criteria with a mean age of 67 years. Only 27% had no comorbid conditions and were considered idiopathic OAB. Associated urogynecological conditions included SUI in 37%, POP in 26%, miscellaneous conditions in 18%, recurrent UTI in 11%, NGB in 9%, and BOO in 8%. Some patients met criteria for more than one category, thus the total is greater than 100%. Conclusions: In a tertiary care setting, a significant proportion of women with OAB symptoms have underlying conditions that may cause or contribute to their symptoms. Appropriate evaluation is desirable to enhance our understanding of the relationship of these conditions to the diagnosis, treatment, outcomes, and pathophysiology of OAB.

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Do overactive bladder symptoms improve after repair of anterior vaginal wall prolapse?

Cited by 91 publications

References 30 publications

Demographic and urodynamic factors associated with persistent OAB after anterior compartment prolapse repair

Demographic and urodynamic factors associated with persistent OAB after anterior compartment prolapse repair

Are women adequately informed before gynaecological surgery?

Urogynecological conditions associated with overactive bladder symptoms in women

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