Prévalence des troubles fonctionnels et associations anatomo-fonctionnelles chez les femmes présentant un prolapsus génital

Adjoussou, S.; Bohoussou, Eric; Bastide, Sophie; Letouzey, V.; Fatton, B.; Tayrac, Renaud de

doi:10.1016/j.purol.2013.11.015

Cited by 15 publications

(6 citation statements)

References 14 publications

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“…The type of care centers, and the older population in Dillon et al [7]’s study may explain these differences. In the general population, like in our study, anterior prolapses seem to be more common [17]. The number of pregnancies was only associated with SUI in a univariate analysis.…”

Section: Discussionsupporting

confidence: 65%

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Stress Urinary Incontinence in Women With Multiple Sclerosis

et al. 2016

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PurposeTo report the prevalence and risk factors of stress urinary incontinence (SUI) and the prevalence of intrinsic sphincter deficiency in women with multiple sclerosis (MS).MethodsWe conducted a retrospective study. Female patients with MS, followed for lower urinary tract symptoms (LUTS) during a 15-year period were included. Demographic data, MS history, expanded disability status scale (EDSS) score at the urodynamic visit, obstetrical past, birth weight, LUTS, and urodynamic findings were collected. SUI was defined as incontinence during cough, or any effort. A maximum urethral closure pressure less than 30 cm H2O defined intrinsic sphincter deficiency.ResultsWe included 363 women with a mean age of 46.7±10.8 years and a mean disease duration of 12.9±8.7 years. The incidence of relapsing remitting MS, a secondary progressive form, and a primary progressive form was 60.6%, 32.8%, and 6.6%, respectively. The prevalence of SUI was 31.4%. The prevalence of intrinsic sphincter deficiency was 1.4% and 0.8% of these patients had a SUI (P=0.300). In a multivariate analysis, women with a SUI had significantly higher birth weight (P=0.030), a pelvic organ prolapse (P=0.021), urgent urinary incontinence (P=0.006), a lower EDSS score (P=0.019), and a weaker containing effort (P<0.001).ConclusionsThe prevalence of SUI in women with MS was 31.4%. This symptom could affect the quality of life of women with MS.

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Section: Discussionsupporting

confidence: 65%

“…SUI increases with age in the general population, but in our study, SUI affects young women too. Some risk factors of SUI in MS are common in the general population like a birth weight >4 kg, a POP, and the number of pregnancies [15-17]’s. The risk of SUI was increased 8 fold by a birth weight >4 kg and by a POP.…”

Section: Discussionmentioning

confidence: 99%

Stress Urinary Incontinence in Women With Multiple Sclerosis

et al. 2016

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“…Study done on func onal symptoms and associa ons of women with genital prolapse showed SUI, urgency, and voiding difficul es as common urinary symptoms and defecatory dysfunc on, anal incon nence as colo-rectal symptom and anterior vaginal wall prolapse were found the most common. Similar to our study, anterior segment prolapse was found to be common and significant correla on was found between push up on the bulge to 13 ini ate or complete urina on and point Gh and Pb.…”

Section: Discussionsupporting

confidence: 90%

Correlation of Pelvic Organ Prolapse Quantification Technique with Pelvic Floor Dysfunction Symptoms

Pradhan

Rijal

Thapa

et al. 2019

Birat J. Health Sci.

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Introduction: Assessment of POP by POP-Q gives anatomical site-specific measurement, which helps in surgery, follow-up and reduces inter-observer variation. The Pelvic Floor Distress Inventory (PFDI) is condition-specific health-related quality of life questionnaires for women with pelvic floor disorders. Objective: To assess pelvic organ prolapse by POP-Q technique and to correlate pelvic floor distress inventory questionnaire with POP-Q segments. Methodology A prospective study was done from March 2014 to February 2015 after ethical approval from IRC, B.P. Koirala Institute of Health Sciences. All patients with pelvic organ prolapse were included after informed verbal consent. The patients were then asked questions as in pelvic floor distress inventory questionnaire (PFDI) and noted in performa. The patients were then examined by POP-Q technique and noted. The informations were entered in the MS excel chart and statistical analysis done using SPSS 11.5. Results: There were 72 patients enrolled. The mean age of patients was 53.65 years. Majority of patients were found to have stage 4 prolapse (43.1%). POP-Q examination showed majority of patients had anterior and apical compartment defect. Correlation between POP-Q points and urinary symptoms showed significant relation with points in anterior compartment, genital hiatus and perineal bodies. Correlation with POP-Q points with colorectal symptoms showed involvement of genital hiatus significantly with strain stool and incomplete bowel movement. Correlation with pelvic distress symptoms with POP-Q sites showed significant relation with bulging, push up vagina for urination and defecation. Conclusion: POP-Q site specific points showed significant correlation with symptoms from Pelvic Floor Distress Inventry (PFDI) questionnaires.

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“…In a 4-year prospective study, progression from grade II to higher POP-Q grades was seen to be positively correlated with the severity of obstructive symptoms and increased constipation rate [26]. It has also been shown that patients with rectocele are more likely to experience defecation and constipation disturbances, while other LUTS do not show such correlation [27].…”

Section: Discussionmentioning

confidence: 96%

The Influence of Vaginal Native Tissues Pelvic Floor Reconstructive Surgery in Patients with Symptomatic Pelvic Organ Prolapse on Preexisting Storage Lower Urinary Tract Symptoms (LUTS)

Rechberger

Skorupska

Rechberger

et al. 2020

JCM

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The aim of this study was to assess the effectiveness of vaginal native tissue repair (VNTR) on preexisting Lower Urinary Tract Symptoms (LUTS) in women with symptomatic pelvic organ prolapse (POP). Two hundred patients who underwent VNTR for symptomatic POP from January 2018 to February 2019 were followed up for 6 months. All patients underwent VNTR, but in the posterior compartment, the rectovaginal fascia was reconnected to the uterosacral ligaments and additionally sutured to the iliococcygeus fascia and muscle. To assess the severity and change in storage phase LUTS before and after surgery, all participants were asked to complete 3 questionnaires: the International Consultation on Incontinence Questionnaire-Short Form (ICIQ-SF), Urogenital Distress Inventory-6 (UDI-6), and Incontinence Impact Questionnaire-7 (IIQ-7). The data were assessed with Statistica package version 12.0, using Kalmogorow-Smirnoff, W Shapiro-Wilk tests. Furthermore, one-way analysis of variance was applied with post-hoc Tukey test. The study results indicate that the majority of patients with advanced POP suffered from various LUTS. Among storage symptoms, the occurrence of urinary incontinence (UI) and urgency decreased significantly after surgery. Moreover, ICIQ-SF, UDI-6, and IIQ-7 results showed statistically significant improvement in the impact of UI on the quality of life (QoL) in the vast majority of patients after surgery. VNTR is an effective way to treat not only anatomical, but also functional problems in such patients.

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Prévalence des troubles fonctionnels et associations anatomo-fonctionnelles chez les femmes présentant un prolapsus génital

Cited by 15 publications

References 14 publications

Stress Urinary Incontinence in Women With Multiple Sclerosis

Stress Urinary Incontinence in Women With Multiple Sclerosis

Correlation of Pelvic Organ Prolapse Quantification Technique with Pelvic Floor Dysfunction Symptoms

The Influence of Vaginal Native Tissues Pelvic Floor Reconstructive Surgery in Patients with Symptomatic Pelvic Organ Prolapse on Preexisting Storage Lower Urinary Tract Symptoms (LUTS)

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