Improvements in overactive bladder syndrome after polypropylene mesh surgery for cystocele

Okui, Nobuo; Okui, Machiko; Horie, Shigeo

doi:10.1111/j.1479-828x.2009.00965.x

Cited by 14 publications

(16 citation statements)

References 14 publications

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“…Anatomic cure rate was 95.8% at 1 year, and symptom scores showed significant improvement in the combined OAB symptom score, specifically in urgency, daytime frequency, and incontinence. There was also a significant increase in maximum flow rate, from 9.2 to 15.0 mL/s, to which the authors attributed much of the subjective improvement [35]. The Prolift system was also studied in 121 patients in a multi-institutional trial in Scandinavia.…”

Section: Surgical Repair Of Pelvic Organ Prolapsementioning

confidence: 95%

“…Okui et al [35] carried out a study of the Gynecare Prolift (Ethicon, Somerville, NJ) four-point transobturator mesh anterior repair in 20 patients with grade 2 or 3 POP and OAB syndrome on questionnaire, and compared these with 18 conservatively managed controls. Anatomic cure rate was 95.8% at 1 year, and symptom scores showed significant improvement in the combined OAB symptom score, specifically in urgency, daytime frequency, and incontinence.…”

Section: Surgical Repair Of Pelvic Organ Prolapsementioning

confidence: 98%

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Overactive Bladder Prevalence after Surgery for Pelvic Organ Prolapse

Menchen

Smith

2011

Curr Bladder Dysfunct Rep

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In this review, we set out to address the clinically complex question of how patients with overactive bladder (OAB) syndrome and pelvic organ prolapse (POP) fare with respect to symptomatic improvement after surgical treatment of POP. Our objectives are to use the current literature to define appropriate patient expectations for improvement and cure and to look for factors predicting divergent outcomes, with the goal of offering realistic preoperative patient counseling. Secondary aims include highlighting areas of needed research, defining outcome measures, and examining theories regarding the relationship between OAB and POP. Relevant original papers and review articles were identified by conducting a literature search using PubMed and Medline. The cause of OAB symptoms and the relationship between vaginal wall prolapse and OAB remain unclear. However, POP repair seems to improve the symptoms of OAB syndrome in 30% to 80% of patients, with a small but significant percentage of patients (≤20%) developing de novo symptoms of OAB.

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Section: Surgical Repair Of Pelvic Organ Prolapsementioning

confidence: 95%

Section: Surgical Repair Of Pelvic Organ Prolapsementioning

confidence: 98%

Overactive Bladder Prevalence after Surgery for Pelvic Organ Prolapse

Menchen

Smith

2011

Curr Bladder Dysfunct Rep

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“…Therefore, a direct comparison between that study and ours is problematic. Okui et al [22] conducted a study to observe the improvements in the overactive bladder syndrome after cystocele repair. In that study, the anatomical success rate was similar to ours, and the UDI scores showed significant improvement 1 year postoperatively.…”

Section: Discussionmentioning

confidence: 99%

Changes in Urinary and Sexual Function 6 Months after Cystocele Repair with a Polypropylene Mesh

Lee¹,

Park

Choe³

et al. 2012

Urol Int

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Introduction: We used quantitative parameters obtained during the voiding phase, urinary symptoms and sexual functioning to investigate the symptomatic and functional changes after cystocele repair with a polypropylene mesh. Patients and Methods: The maximum urinary flow rate (Q_max), residual urine (RU) volume and two symptom questionnaires, the Urinary Distress Inventory (UDI-6) and the Female Sexual Function Index (FSFI), were used to retrospectively evaluate 39 consecutive cystocele patients before and 6 months after surgery. Results: Q_max, RU and FSFI were not significantly different (p = 0.366, 0.286 and 0.100, respectively) pre- and postoperatively, but the UDI-6 score had significantly improved (p < 0.001) 6 months after the cystocele repair. A concomitant sling procedure was significantly correlated with changes in the UDI-6 score (p < 0.001); the patients without stress urinary incontinence (SUI) who underwent cystocele repair only showed no symptomatic improvements in the UDI-6 score (p = 0.560). Conclusions: Correction of SUI resulted in urinary symptom improvement in cystocele patients. Cystocele repair with or without sling placement did not change Q_max, RU or sexual functioning at the 6-month follow-up.

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“…Paraiso was the only one to report a pelvic abscess after surgery [5]. In 11 non-randomized studies (623 patients), nine of which using NAS meshes, no post-surgical infection was detected [33,[36][37][38][39][40][41][42][43][44][45]. Six studies with NAS meshes reported post-surgical hyperthermia, meaning 3.15% out of 755 cases [46][47][48][49][50][51].…”

Section: Infectionmentioning

confidence: 99%

Use of vaginal mesh for pelvic organ prolapse repair: a literature review

et al. 2011

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The use of mesh for pelvic organ prolapse repair through the vaginal route has increased during this last decade. The objective is to improve anatomical results (sacropexy with mesh seeming better than traditional surgery) and keep still the advantage of vaginal route. Numbers of cohort series and randomized control trials have been recently published. These works increase our knowledge of advantages and risks of mesh. It has been shown that the use of mesh to treat cystocoele through vaginal route improves anatomical results when compared to traditional surgery. The rate of complications, especially de novo dyspareunia, remains equivalent between the two techniques.

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Improvements in overactive bladder syndrome after polypropylene mesh surgery for cystocele

Abstract: Our study confirmed the efficacy of the propylene mesh introduction surgery for cystocele for the improvement of OABS symptoms.

Cited by 14 publications

References 14 publications

Overactive Bladder Prevalence after Surgery for Pelvic Organ Prolapse

Overactive Bladder Prevalence after Surgery for Pelvic Organ Prolapse

Changes in Urinary and Sexual Function 6 Months after Cystocele Repair with a Polypropylene Mesh

Use of vaginal mesh for pelvic organ prolapse repair: a literature review

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