scholarly journals Managing women with complex presentations: How to approach concomitant prolapse and voiding dysfunction

2013 ◽  
Vol 7 (9-10) ◽  
pp. 197
Author(s):  
Cornelius Kelleher
Keyword(s):  
Pelvic Organ Prolapse ◽  
Voiding Dysfunction ◽  
Pelvic Organ ◽  
Incontinence Surgery ◽  
Voiding Difficulties

Concomitant pelvic organ prolapse and voiding difficulties (e.g., incontinence) can both be corrected surgically at the same time. Voiding dysfunction secondary to incontinence surgery is uncommon, but does occur even in the most experienced hands. Surgical re-intervention can correct these post-surgical voiding difficulties.

Vaginal hysterectomy and risk of pelvic organ prolapse and stress urinary incontinence surgery

2011 ◽  
Vol 23 (1) ◽  
pp. 43-48 ◽  
Author(s):  
Catharina Forsgren ◽  
Cecilia Lundholm ◽  
Anna L. V. Johansson ◽  
Sven Cnattingius ◽  
Jan Zetterström ◽  
...  
Keyword(s):  
Urinary Incontinence ◽  
Pelvic Organ Prolapse ◽  
Stress Urinary Incontinence ◽  
Vaginal Hysterectomy ◽  
Pelvic Organ ◽  
Incontinence Surgery ◽  
Stress Urinary Incontinence Surgery ◽  
Urinary Incontinence Surgery

2083 SIZE OF UROGENITAL HIATUS AND LEVATOR CONTRACTION STRENGTH AS RISK FACTOR FOR VOIDING DYSFUNCTION FOLLOWING SURGICAL CORRECTION OF PELVIC ORGAN PROLAPSE

2011 ◽  
Vol 185 (4S) ◽  
Author(s):  
Mohamed Ghafar ◽  
Cruz Velasco ◽  
Thomas Nolan ◽  
Ralph Chesson ◽  
Ahmet Bedestani ◽  
...  
Keyword(s):  
Risk Factor ◽  
Pelvic Organ Prolapse ◽  
Voiding Dysfunction ◽  
Pelvic Organ ◽  
Surgical Correction

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.

Risk factors for postoperative voiding dysfunction following surgery for pelvic organ prolapse

2021 ◽  
Author(s):  
Vandna Verma ◽  
Kristina Savickaite ◽  
Smita Rajshekhar ◽  
Ashish Pradhan
Keyword(s):  
Risk Factors ◽  
Pelvic Organ Prolapse ◽  
Voiding Dysfunction ◽  
Pelvic Organ

scholarly journals Does Previous Pelvic Organ Prolapse Surgery Influence the Effectiveness of the Sub-Urethral Sling Procedure

2020 ◽  
Vol 9 (3) ◽  
pp. 653
Author(s):  
Edyta Horosz ◽  
Andrzej Pomian ◽  
Aneta Zwierzchowska ◽  
Wojciech Majkusiak ◽  
Paweł Tomasik ◽  
...  
Keyword(s):  
Pelvic Organ Prolapse ◽  
Pelvic Organ ◽  
Control Group ◽  
Study Group ◽  
Complication Rates ◽  
Cure Rate ◽  
Incontinence Surgery ◽  
Tvt Procedure ◽  
Pad Test ◽  
Subjective Cure

Pelvic organ prolapse (POP) often co-occurs with stress urinary incontinence. There is no consensus on whether prolapse repair and anti-incontinence surgery should be performed concomitantly or separately, in a two-step manner. The present study evaluated the effects of the tension-free vaginal tape (TVT) procedure in patients who had previously undergone pelvic floor repair (study group), compared to women who underwent TVT insertion only (control group). The study group comprised 84 patients who underwent the TVT procedure but had previously also undergone surgical POP repair. The control group consisted of 250 women in whom the TVT was inserted. The primary objective was to compare the objective cure rate and the secondary objective was to compare the subjective cure rate in both groups. Negative pad test was achieved in over 91% in both groups. Objective and subjective cure rates were compared, as well as complication rates. Significant improvement was observed in the postoperative 1-h pad test in all patients. In all patients, we observed significant improvement in the quality of life, with no differences between the groups. No differences were found in the occurrence of postoperative urinary retention, urgency and frequency of daytime micturition, or vaginal erosion between the groups. The current results demonstrate that the two-step approach to pelvic reconstruction and anti-incontinence surgery is as safe and effective as primary TVT implantation.

Effect of pelvic organ prolapse repair on detrusor overactivity in women following incontinence surgery: A multivariate analysis

2017 ◽  
Vol 36 (8) ◽  
pp. 2083-2088
Author(s):  
Miguel Virseda-Chamorro ◽  
Jesús Salinas-Casado ◽  
Ana María Tapia-Herrero ◽  
Laura Pesquera ◽  
Santiago Méndez-Rubio ◽  
...  
Keyword(s):  
Multivariate Analysis ◽  
Pelvic Organ Prolapse ◽  
Detrusor Overactivity ◽  
Pelvic Organ ◽  
Prolapse Repair ◽  
Incontinence Surgery ◽  
Pelvic Organ Prolapse Repair
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