scholarly journals Is Urodynamic Study an Essential Step in Preoperative Evaluation of Women with Pelvic Organ Prolapse with Urinary Tract Dysfunction: Prospective Comparative Study

2021 ◽  
Vol 11 (4) ◽  
pp. 362-367
Author(s):  
Mervat Elsersy
Keyword(s):  
Urinary Tract ◽  
Pelvic Organ Prolapse ◽  
Comparative Study ◽  
Preoperative Evaluation ◽  
Pelvic Organ ◽  
Urodynamic Study ◽  
Essential Step ◽  
Prospective Comparative Study

scholarly journals Role of urodynamics in evaluation of lower urinary tract dysfunction in women of pelvic organ prolapse

2020 ◽  
Vol 9 (9) ◽  
pp. 3790
Author(s):  
Neha Khatik ◽  
Ratna Biswas
Keyword(s):  
Urinary Tract ◽  
Pelvic Organ Prolapse ◽  
Surgical Management ◽  
Stress Incontinence ◽  
Detrusor Overactivity ◽  
Lower Urinary Tract ◽  
Pelvic Organ ◽  
Lower Urinary Tract Dysfunction ◽  
Urodynamic Study ◽  
Lower Urinary

Background: Utero-vaginal prolapse is a common gynecological disorder, result from weakness of musculoskeletal structure that support the pelvic organ. Although it is not an emergency situation but severely affect the quality of life. Women with utero-vaginal prolapse may present with lower urinary tract dysfunction but association of urological changes with UV prolapse and beneficial effect of surgery on these changes is still debatable. Urodynamic study such as cystometry and uroflowmetry help in better understanding of lower urinary tract dysfunction and assist to plan appropriate surgical management thereby reduce chances of postoperative voiding dysfunction.Methods: A total of 30 women of pelvic organ prolapse with lower urinary tract dysfunction, over a period of one year, were subjected to urodynamic studies after thorough evaluation by history, examination and standardized questionnaire both pre and post operatively and data analysed.Results: In present study, urodynamic study identified urinary dysfunction in 93.34% of women recruited in study. Obstruction was present in 36.67% of women. Detrusor overactivity along with obstruction was seen in 20.00% of women. Urodynamic stress incontinence and urodynamic stress incontinence along with obstruction was identified in 13.33% of women each and detrusor overactivity was observed in 10.00% of women.Conclusions: In present study it was found that, if surgical management of pelvic organ prolapse is planned according to urodynamic study, it will improve urologic profile of patients. To conclude that urodynamic study should be an integral part of diagnostic work up of uterovaginal prolapse patients require larger sample size and at least 6 months follow-up duration after surgery.

Renal dysfunction due to advance pelvic organ prolapse

2021 ◽  
Vol 71 (11) ◽  
pp. 2662-2664
Author(s):  
Lubna Razzak ◽  
Sherjeel Saulat
Keyword(s):  
Renal Failure ◽  
Urinary Tract Infection ◽  
Renal Function ◽  
Urinary Tract ◽  
Chronic Renal Failure ◽  
Pelvic Organ Prolapse ◽  
Renal Dysfunction ◽  
Pelvic Organ ◽  
Uterovaginal Prolapse ◽  
Irreversible Damage

Uterovaginal prolapse is the downward descent of the pelvic organ, resulting in protrusion of the vagina, uterus, bladder or rectum. The association between POP and hydronephrosis has been shown by various studies, but severe hydronephrosis leads to renal dysfunction are rarely seen. We report a case of 70 years old female with massive vaginal prolapse and chronic renal impairement. She presented with urinary tract infection (UTI) and raised creatinine levels of 4.5mg/dl. After correction of UTI, she surgically managed to relieve her obstructive symptoms. After surgery her creatinine levels drop to 2.0mg/dl but chronic renal failure persisted. Advance stage prolapsed may damage renal function if left untreated. Timely diagnosis and management may prevent irreversible damage to kidneys Continuous...

Urinary Tract Infection and Pelvic Organ Prolapse—an Association that Needs Further Clarification

2020 ◽  
Vol 15 (4) ◽  
pp. 320-324
Author(s):  
Gláucia Miranda Varella Pereira ◽  
Luiz Gustavo Oliveira Brito ◽  
Paulo Cesar Rodrigues Palma
Keyword(s):  
Urinary Tract Infection ◽  
Urinary Tract ◽  
Pelvic Organ Prolapse ◽  
Tract Infection ◽  
Pelvic Organ

Pelvic organ prolapse: surgical repair – Helpful as a therapy for urinary tract infections?

2002 ◽  
Vol 59 (9) ◽  
pp. 469-474
Author(s):  
Eberhard ◽  
Geissbühler
Keyword(s):  
Urinary Tract ◽  
Pelvic Organ Prolapse ◽  
Urinary Tract Infections ◽  
Operative Therapie ◽  
Konservative Therapie ◽  
Surgical Repair ◽  
Pelvic Organ ◽  
Anatomische Rekonstruktion ◽  
Rezidivierende Harnwegsinfekte ◽  
Tract Infections

Urogynäkologische Deszensusbeschwerden und chronisch rezidivierende Harnwegsinfekte kommen häufig gemeinsam vor. Zurückzuführen ist dies auf gleiche ätiologische Faktoren (hormonmangelbedingte Atrophie, neurogene Erkrankungen, Stoffwechselstörungen) und auf direkte mechanische Einflüsse des Deszensus auf die Harnröhrenfunktion (Abknicken mit Miktionsstörungen und Restharnanstieg bei großer Zystozele oder Stressinkontinenz und Drangsymptomatik bei großer Urethrozele). Die Therapie soll konservativ beginnen und möglichst alle ätiologischen Faktoren angehen. Bausteine der konservativen Therapie sind Östrogene, Beckenbodentraining, Pessare, Trink- und Miktionstraining und Sanierung der urogenitalen Infektkette [1]. Führt die konservative Therapie innert einiger Monate nicht zur Heilung oder zur befriedigenden Besserung, ist in der Regel eine operative Therapie zu empfehlen. Dabei sind moderne Operationsmethoden zu wählen, die nicht nur eine anatomische Rekonstruktion sondern auch eine funktionelle Restitution zum Ziel haben, d.h. Kontinenz, gute Blasenentleerung und Defäktion und schmerzfreie Kohabitation.

Effects of pelvic organ prolapse repair on urinary symptoms: A comparative study between the laparoscopic and vaginal approach

2011 ◽  
Vol 31 (1) ◽  
pp. 126-131 ◽  
Author(s):  
Rajeev Ramanah ◽  
Marcos Ballester ◽  
Elisabeth Chereau ◽  
Roman Rouzier ◽  
Emile Daraï
Keyword(s):  
Pelvic Organ Prolapse ◽  
Comparative Study ◽  
Pelvic Organ ◽  
Urinary Symptoms ◽  
Prolapse Repair ◽  
Pelvic Organ Prolapse Repair
Sign in / Sign up

Export Citation Format

Share Document