Key Messages of Urodynamic Studies in Cases of Urinary Incontinence and Pelvic Organ Prolapse: A Retrospective Review

2016 ◽  
Vol 8 (4) ◽  
pp. 299-303
Author(s):  
Novera G Chughtai ◽  
Raheela M Rizvi ◽  
Urooj Kashif
Keyword(s):  
Urinary Incontinence ◽  
Pelvic Organ Prolapse ◽  
Retrospective Review ◽  
Pelvic Organ ◽  
Cross Sectional ◽  
Urodynamic Studies ◽  
Conflicting Evidence ◽  
Clinical Diagnoses ◽  
The Mean ◽  
The Cost

ABSTRACT Objectives There is conflicting evidence regarding the indications of urodynamic studies (UDS) and various guidelines. American urogynecologic Society (AUGS), National Instititute of Health and Care Excellence (NICE), and WHO provide variant indications for UDS testing. For developing countries, there are no data to support the usefulness of UDS. Considering the cost, invasiveness, and expertise required for UDS, we planned to review UDS performed at Aga Khan University and Hospital (AKUH) from 2007 to 2014. Our purpose of study was to derive important conclusive messages as a guideline for future practices. Study design This is a cross-sectional retrospective review of 500 patients undergoing UDS from 2007 to 2014. Results Comparison between clinical diagnoses and urodynamic diagnoses was done and frequencies were computed. The mean age of the patients was 61.1 years, the mean body mass index was 25 and mean parity was 4.1. There was a matching between clinical and urodynamic findings of stress urinary incontinence (SUI) and overactive bladder (OAB), but disparity was observed in cases of mixed urinary incontinence (MUI) and lower urinary tract symptoms (LUTS). Occult SUI was found in 33% of patients with POP. Conclusion Key messages were derived for future practice stating that for cases of SUI and OAB, UDS are not required, but patients with complex MUI, chronic LUTS, and neurogenic bladder warrant UDS. How to cite this article Chughtai NG, Rizvi RM, Kashif U. Key Messages of Urodynamic Studies in Cases of Urinary Incontinence and Pelvic Organ Prolapse: A Retrospective Review. J South Asian Feder Obst Gynae 2016;8(4):299-303.

scholarly journals Symptoms of urinary incontinence and pelvic organ prolapse and physical performance in middle-aged women from Northeast Brazil: a cross-sectional study

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Mariana Carmem Apolinário Vieira ◽  
Saionara Maria Aires da Câmara ◽  
Mayle Andrade Moreira ◽  
Catherine McLean Pirkle ◽  
Afshin Vafaei ◽  
...  
Keyword(s):  
Urinary Incontinence ◽  
Pelvic Organ Prolapse ◽  
Physical Performance ◽  
Pelvic Organ ◽  
Cross Sectional Study ◽  
Northeast Brazil ◽  
Sectional Study ◽  
Middle Aged ◽  
Cross Sectional

De Novo Urinary Symptoms after Pelvic Organ Prolapse Repair Surgery: A Cross Sectional Study at AKU Hospital

2021 ◽  
Vol 15 (5) ◽  
pp. 1176-1179
Author(s):  
S. Ilyas ◽  
S. Najmusahar ◽  
D. Rehmani ◽  
S. Agha ◽  
N. Mushtaq
Keyword(s):  
Urinary Incontinence ◽  
Pelvic Organ Prolapse ◽  
De Novo ◽  
Pelvic Organ ◽  
Cross Sectional Study ◽  
Urinary Symptoms ◽  
Prolapse Repair ◽  
Cross Sectional ◽  
Pelvic Organ Prolapse Repair ◽  
New Onset

Objective: To determine the frequency of new onset urinary symptoms after surgery for pelvic organ prolapse repair. Study Design: Descriptive Cross-Sectional Study. Place and Duration: This study was conducted at Outpatient Gynecological Clinics, Aga Khan University Hospital (AKUH) Karachi, Pakistan from January 19, 2018 to July 18, 2018. Materials and Methods: Eighty one women were included in the study. Informed consent was taken after explaining the procedure, risks and benefits of the study. Women who underwent POP repair surgery in the past 6 weeks were recruited. They were asked to complete the proforma including personal information and details of all urinary symptoms like frequency, urgency and incontinence etc. provided by residents after informed consent through validated questionnaire UDI SF6. All the collected data were entered into the proforma attached at the end and used electronically for research purpose. Results: Mean ± SD of age was 52.75±9.71 years. Out of 81 patients, 47 (58%) women were menopause. In frequency of new onset of urinary symptoms De novo urinary incontinence was noted in 12 (14.8%) women, 20 (24.6%) had De novo urges urinary incontinence, while 15 (18.5%), 28 (34.5%) and 20 (24.6%) women had De novo stress urinary incontinence, De novo urinary frequency and De novo urinary urgency respectively. Conclusion: It is to be concluded that De novo urinary frequency was found to be the most common new onset urinary symptoms followed by De novo urinary Urgency and De novo Urge Urinary Incontinence. Keywords: De novo urinary symptoms, Pelvic Organ Prolapse (POP), Post- Operative Stress Urinary Incontinence (SUI), Quality of Life (QoL), Urinary Incontinence (UI)

scholarly journals Quo Vadis Urogynecology 2020 – Innovative Treatment Concepts for Urinary Incontinence and Pelvic Organ Prolapse

2021 ◽  
Vol 81 (02) ◽  
pp. 183-190
Author(s):  
Gert Naumann
Keyword(s):  
Urinary Incontinence ◽  
Pelvic Organ Prolapse ◽  
Pelvic Floor ◽  
Professional Training ◽  
Pelvic Floor Dysfunction ◽  
Estrogen Therapy ◽  
Pelvic Organ ◽  
Alloplastic Materials ◽  
Wide Range ◽  
Quo Vadis

AbstractThe current treatment for urinary incontinence and pelvic organ prolapse includes a wide range of innovative options for conservative and surgical therapies. Initial treatment for pelvic floor dysfunction consists of individualized topical estrogen therapy and professional training in passive and active pelvic floor exercises with biofeedback, vibration plates, and a number of vaginal devices. The method of choice for the surgical repair of stress urinary incontinence consists of placement of a suburethral sling. A number of different methods are available for the surgical treatment of pelvic organ prolapse using either a vaginal or an abdominal/endoscopic approach and autologous tissue or alloplastic materials for reconstruction. This makes it possible to achieve optimal reconstruction both in younger women, many of them affected by postpartum trauma, and in older women later in their lives. Treatment includes assessing the patientʼs state of health and anesthetic risk profile. It is important to determine a realistically achievable patient preference after explaining the individualized concept and presenting the alternative surgical options.

Sexual function after vaginal surgery for pelvic organ prolapse and urinary incontinence

2007 ◽  
Vol 197 (6) ◽  
pp. 622.e1-622.e7 ◽  
Author(s):  
Rachel N. Pauls ◽  
W. Andre Silva ◽  
Christopher M. Rooney ◽  
Sam Siddighi ◽  
Steven D. Kleeman ◽  
...  
Keyword(s):  
Urinary Incontinence ◽  
Pelvic Organ Prolapse ◽  
Sexual Function ◽  
Vaginal Surgery ◽  
Pelvic Organ
Sign in / Sign up

Export Citation Format

Share Document