The effect of prolapse surgery on voiding function.


Journal

International urogynecology journal
ISSN: 1433-3023
Titre abrégé: Int Urogynecol J
Pays: England
ID NLM: 101567041

Informations de publication

Date de publication:
09 2023
Historique:
received: 28 12 2022
accepted: 09 03 2023
medline: 19 9 2023
pubmed: 4 4 2023
entrez: 3 4 2023
Statut: ppublish

Résumé

Of women with symptomatic prolapse, 13-39% experience voiding dysfunction (VD). The aim of our observational cohort study was to determine the effect of prolapse surgery on voiding function. Retrospective analysis of 392 women who underwent surgery between May 2005 and August 2020. All had a standardized interview, POP-Q, uroflowmetry and 3D/4D transperineal ultrasound (TPUS) pre-and postoperatively. Primary outcome was change in VD symptoms. Secondary outcomes were changes in maximum urinary flow rate (MFR) centile and post-void residual urine (PVR). Explanatory measures were change in pelvic organ descent as seen on POP-Q and TPUS. Of 392 women, 81 were excluded due to missing data, leaving 311. Mean age and BMI were 58 years and 30 kg/m Prolapse repair significantly reduces symptoms of VD and improves PVR and flowmetry.

Identifiants

pubmed: 37010545
doi: 10.1007/s00192-023-05520-6
pii: 10.1007/s00192-023-05520-6
doi:

Types de publication

Observational Study Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

2141-2146

Informations de copyright

© 2023. The International Urogynecological Association.

Références

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Auteurs

Sascha Vereeck (S)

Department of Obstetrics and Gynaecology, Antwerp University Hospital UZA, Edegem, Belgium. sascha.vereeck@student.uantwerpen.be.
Antwerp Surgical Training, Anatomy and Research Centre (ASTARC), Faculty of Medicine and Health Sciences, University of Antwerp, 2610, Antwerp, Belgium. sascha.vereeck@student.uantwerpen.be.
Global Health Institute (GHI), Faculty of Medicine and Health Sciences, University of Antwerp, 2610, Antwerp, Belgium. sascha.vereeck@student.uantwerpen.be.

Stefaan Pacquée (S)

Nepean Hospital, University of Sydney, Sydney, Australia.

Stefan De Wachter (S)

Antwerp Surgical Training, Anatomy and Research Centre (ASTARC), Faculty of Medicine and Health Sciences, University of Antwerp, 2610, Antwerp, Belgium.
Department of Urology, Antwerp University Hospital UZA, Edegem, Belgium.

Yves Jacquemyn (Y)

Department of Obstetrics and Gynaecology, Antwerp University Hospital UZA, Edegem, Belgium.
Antwerp Surgical Training, Anatomy and Research Centre (ASTARC), Faculty of Medicine and Health Sciences, University of Antwerp, 2610, Antwerp, Belgium.
Global Health Institute (GHI), Faculty of Medicine and Health Sciences, University of Antwerp, 2610, Antwerp, Belgium.

Hedwig Neels (H)

Department of Obstetrics and Gynaecology, Antwerp University Hospital UZA, Edegem, Belgium.
MOVANT, Faculty of Rehabilitation Sciences and Physiotherapy, University of Antwerp, 2610, Antwerp, Belgium.

Hans Peter Dietz (HP)

Sydney Urodynamic Centres, Sydney, Australia.

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