scholarly journals Prevalence of voiding and defecatory dysfunction in postmenopausal women with pelvic organ prolapse: a prospective observational study

2018 ◽  
Vol 7 (6) ◽  
pp. 2230
Author(s):  
Nanthini Saravanan ◽  
Emily Divya Ebenezer ◽  
Vaibhav Londhe ◽  
Lilly Varghese ◽  
Aruna N. Kekre ◽  
...  
Keyword(s):  
Pelvic Organ Prolapse ◽  
Pelvic Floor ◽  
Vaginal Hysterectomy ◽  
Voiding Dysfunction ◽  
Short Form ◽  
Pelvic Organ ◽  
Primary Objective ◽  
P Value ◽  
Pelvic Floor Repair ◽  
Defecatory Dysfunction

Background: Primary objective of this work was to study the prevalence of voiding and defecatory dysfunction in women with pelvic organ prolapse and correlate the stage and compartment of prolapse with voiding and defecatory dysfunction. The secondary objective was to correlate stage of prolapse with flow rate and post void residue and to study the voiding dysfunction in pelvic organ prolapse.Methods: A prospective observational cohort study in 120 post-menopausal women scheduled for vaginal hysterectomy pelvic floor repair. Short form of pelvic floor distress inventory (PFDI-20) and International prostate symptom questionnaire I-PSS score for Lower urinary tract symptoms (LUTS)was employed.Results: The prevalence of voiding dysfunction in this study was 78% and defecatory dysfunction was 77%. Higher stage of prolapse had significant correlation with voiding dysfunction. (P value was 0.028). Women with posterior compartment defect had more voiding dysfunction with the significant P value (p value was 0.04). Pre-operative voiding dysfunction resolved post operatively in 86%, the p<0.000 which was highly significant.Conclusions: Women with pelvic organ prolapse had high prevalence of voiding and defecatory dysfunction. Stages of prolapse have positive correlation with voiding dysfunction. Pre-operative voiding dysfunction resolved after vaginal hysterectomy and pelvic floor repair.

scholarly journals Surgery for pelvic organ prolapse and stress urinary incontinence and female sexual functions: A quasi-experimental study

2021 ◽  
Vol 37 (4) ◽  
Author(s):  
Saida Abrar ◽  
Raheela Mohsin ◽  
Huda Saleem
Keyword(s):  
Experimental Study ◽  
Urinary Incontinence ◽  
Pelvic Organ Prolapse ◽  
Stress Urinary Incontinence ◽  
Sexual Function ◽  
Pelvic Floor ◽  
Pelvic Floor Disorders ◽  
Pelvic Organ ◽  
Pelvic Floor Repair ◽  
Quasi Experimental

Objectives: To assess the effect of pelvic organ prolapse (POP) and/or stress urinary incontinence (SUI) on various domains of female sexual functions in patients before and after reconstructive surgery for these pelvic floor disorders. Methods: We conducted a quasi-experimental study of 126 women aged 25-65 years, presenting with POP / SUI, from January 1st 2019 to December 31st 2019 at Aga Khan University Hospital. POP surgery was performed only in patients with symptomatic POP ≥ stage 2 according to POP-Q (quantification). Sexual functions were assessed using Female Sexual Function Index (FSFI) questionnaire, among sexually active women at baseline and 18 months after surgery. Results: Mean age of the participants was 51.6, with a mean parity of four. Out of 126 patients, 31 patients underwent vaginal hysterectomy, pelvic floor repair and mid-urethral sling (MUS), 55 had vaginal hysterectomy with pelvic floor repair, 12 women had only pelvic floor repair and 10 patients had uterine suspension surgery for prolapse, while 18 patients underwent MUS operation alone for SUI. There was a statistically significant difference in female sexual functions after surgery for POP and/or SUI (p<0.01). This improvement was observed in both total and individual scores of each domain of FSFI with an overall improvement in sexual function from a mean of 18.5 pre-surgery to 20.8 post-surgery. Conclusions: This study reveals that women sexual functions are affected by POP and SUI and improve remarkably after reconstructive surgeries for these pelvic floor disorders. doi: https://doi.org/10.12669/pjms.37.4.3892 How to cite this:Abrar S, Mohsin R, Saleem H. Surgery for pelvic organ prolapse and stress urinary incontinence and female sexual functions: A quasi-experimental study. Pak J Med Sci. 2021;37(4):---------. doi: https://doi.org/10.12669/pjms.37.4.3892 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

scholarly journals Long-term outcomes of pelvic organ prolapse repair using a mesh-capturing device when comparing single- versus multicenter use

2020 ◽  
Author(s):  
Christian Falconer ◽  
Daniel Altman ◽  
Georgios Poutakidis ◽  
Päivi Rahkola-Soisalo ◽  
Tomi Mikkola ◽  
...  
Keyword(s):  
Pelvic Organ Prolapse ◽  
Pelvic Floor ◽  
Multicenter Study ◽  
Short Form ◽  
High Volume ◽  
Pelvic Organ ◽  
Single Center ◽  
Specific Symptom ◽  
Pop Repair

Abstract Purpose The aim of this study was to compare long-term effects of high-volume surgery at a single-center to multicenter use when using a mesh-capturing device for pelvic organ prolapse (POP) repair. Methods Five years after surgery 101 (88%) at the single center were compared with 164 (81.2%) in the multicenter trial. Outcome measurements included clinical examination, prolapse-specific symptom questionnaires [Pelvic Floor Distress Inventory 20 (PFDI-20), Pelvic Floor Impact Questionnaire—short form (PFIQ-7), Pelvic Organ Prolapse/Urinary Incontinence Sexual Questionnaire (PISQ-12)] and pain estimation by VAS (0–10). Results Optimal apical segment outcome was 95% in the single- compared to 83.3% in the multicenter study (p < 0.001). POP recurrence in the anterior and posterior walls (POP-Q, Ba and Bp ≥ 0) was more common at the multicenter as compared to the single center [(19.8% vs 5.4%) and (26% vs 2.7%), (p < 0.001)]. Reoperations for POP and mesh-related complications were more frequent in the multicenter study [31/202 (15.3%) vs 7/116 (6.1%), p < 0.001]. Total PFDI-20, PFIQ-7 and PISQ-12 scores were comparable between the cohorts. There were no significant differences in overall pain scores in-between the cohorts during follow-up. At the single center, 1/81 patients (1.2%) had VAS 7/10, i.e. severe pain, as compared to 3/131 (2.3%) in the multicenter study (p = 0.277). Conclusions Despite the high objective and subjective long-term effectiveness of the procedure in both regular use, and at a high-volume center, centralizing the use of a standardized capturing-device guided transvaginal mesh for POP repair reduced secondary interventions by more than half.

scholarly journals Pelvic organ prolapse after laparoscopic hysterectomy compared with vaginal hysterectomy: the POP-UP study

2020 ◽  
Author(s):  
Carolien K. M. Vermeulen ◽  
Joggem Veen ◽  
Caroline Adang ◽  
Sanne A. L. van Leijsen ◽  
Anne-Lotte W. M. Coolen ◽  
...  
Keyword(s):  
Pelvic Organ Prolapse ◽  
Pelvic Floor ◽  
Vaginal Hysterectomy ◽  
Laparoscopic Hysterectomy ◽  
Pelvic Organ ◽  
Vault Prolapse ◽  
Apical Surgery ◽  
Chi Squared ◽  
Observational Cohort

Abstract Introduction and hypothesis The objective was to review the long-term prevalence of pelvic organ prolapse (POP) after laparoscopic hysterectomy (LH) compared with vaginal hysterectomy (VH). Methods An observational cohort study was conducted amongst women who underwent an LH or a VH for benign indications during the period 1996–2004: the POP-UP study. The prevalence of POP was inventoried by a questionnaire involving the Pelvic Floor Distress Inventory (PFDI-20) and a pelvic floor examination (POP-Q). Women were divided into groups based on route and indication of hysterectomy: LH, VH-1 (for nonprolapse), and VH-2 (prolapse). Results Four hundred and six of the 706 eligible patients (58%) returned the questionnaire and 247 underwent POP-Q examination. Sixty-eight patients (17%) received treatment for prolapse; 8% LH, 10% VH-1, and 29% VH-2 (Chi-squared test, p < 0.001). The prevalence of vaginal vault prolapse (apical surgery or ≥ stage 2 at POP-Q) was 4.4% for LH and 5.8% for VH-1 (p = 0.707); and 23% for VH-2 (VH-2 versus others, p < 0.0001). The prevalence of prolapse ≥ stage 2 in any compartment was 62% (n = 153) in total and in 42% of the LH group, 51% of the VH-1 group, and 84% of the VH-2 group (Chi-squared test, p < 0.001). A symptomatic POP (anatomical POP ≥ stage 2 with bulging) was present in 11% of the population. Conclusions No difference was found in the prevalence of POP between LH and VH for nonprolapse indications. However, POP after VH for prolapse occurs more frequently than after hysterectomy for other indications.

scholarly journals Effect of Hypopressive exercise in women with Pelvic Organ Prolapse

2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Jyoti Parle ◽  
Sana Shahmalak ◽  
Divya Irkar
Keyword(s):  
Pelvic Organ Prolapse ◽  
Muscle Strength ◽  
Pelvic Floor ◽  
Outcome Measures ◽  
Pelvic Floor Muscle ◽  
Pelvic Organ ◽  
P Value ◽  
Pelvic Floor Muscle Strength ◽  
Post Evaluation ◽  
Significant Difference

Aim: To study the effect of Hypopressive exercises to improve pelvic floor muscle strength in women with Pelvic Organ Prolapse.(grade 1and 2). Methods: This is an experimental study conducted on women of urban and rural areas of Kamothe and Kalamboli in India who presented with grade 1 and grade 2 Pelvic Organ Prolapse. 20 women (35 years and above) were recruited after taking their consent. The outcome measures assessed during pre and post evaluation were pelvic floor muscle strength as measured by modified oxford scale and perinometer whereas Pelvic Organ Prolapse symptoms by pelvic floor distress inventory scale-20. Intervention consisted of 6-weeks of Hypopressive exercises with a physiotherapist. The protocol consisted of three sessions weekly with progression in each week. Precautions to be taken during the study were explained to the participants each time. Results: Hypopressive exercises presented positive results with statistically significant difference in pre and post evaluation of outcome measures. Wilcoxon Signed Rank Test analysis reported p-value of 0.00 for modified oxford scale. For perinometer, p-value for peak, average, duration and gradient was 0.00, 0.00, 0.01 and 0.04 respectively. Pelvic Floor Distress Inventory Scale reported p-value of 0.00. Conclusion: Hypopressive exercises exhibited improvements in pelvic floor muscle strength and reducing the symptoms of Pelvic Organ Prolapse. 

scholarly journals COMPARISON OF PREOPERATIVE VERSUS POSTOPERATIVE POST VOID RESIDUAL URINE VOLUME IN PELVIC ORGAN PROLAPSE

2021 ◽  
pp. 1-3
Author(s):  
Aravinda K V Venkataram K T ◽  
Geeta Jagannath Doppa ◽  
Ravikanth G O
Keyword(s):  
Pelvic Organ Prolapse ◽  
Vaginal Hysterectomy ◽  
Bladder Dysfunction ◽  
Urine Volume ◽  
Pelvic Organ ◽  
Anterior Colporrhaphy ◽  
P Value ◽  
Residual Urine Volume ◽  
Residual Urine

Introduction: Post void residual urine is a key marker for the evaluation of the efficacy of bladder emptying particularly in women with pelvic organ prolapse. Objectives of the present study were to compare preoperative versus postoperative post void residual urine volume in patients with pelvic organ prolapse and to assess the role of vaginal hysterectomy with anterior colporrhaphy in relieving urinary disturbances. Methods: This study was done on 50 patients with pelvic organ prolapse admitted for vaginal hysterectomy with anterior colporrhaphy. Staging of the prolapse was done by POP-Q. Ultrasound measurements of post void residual urine volume was done preoperatively and at the time of discharge postoperatively. Post void residual urine volume of more than 50 mL was considered significant. Results: Preoperatively post void residual urine volume < 50 mL seen in 14 women and > 50 mL seen in 36 women respectively. After vaginal hysterectomy with anterior colporrhaphy postoperatively 48 women had post void residual urine volume < 50 mL and only 2 women had > 50 mL respectively,where the P value is < 0.001 which is statistically significant. Conclusion: Vaginal hysterectomy with anterior colporrhaphy will significantly reduce the post void residual urine volume there by correcting the bladder dysfunction.

Sign in / Sign up

Export Citation Format

Share Document