Postoperative detrusor contractility temporarily decreases in patients undergoing pelvic organ prolapse surgery.
Int J Urol
; 22(2): 201-5, 2015 Feb.
Article
in En
| MEDLINE
| ID: mdl-25358481
ABSTRACT
OBJECTIVES:
To assess the postoperative lower urinary tract function in patients undergoing pelvic organ prolapse surgery.METHODS:
A total of 24 women with advanced anterior vaginal wall prolapse underwent transvaginal repair using a polypropylene mesh. The preoperative, 1-week and 3-month postoperative evaluations were carried out by urodynamics. Maximal flow rate detrusor pressure at maximal flow rate, voided volume and bladder contractility index were measured. A value of P < 0.05 was considered to be statistically significant.RESULTS:
The mean age of patients was 73.5 years (range 49-84 years). The mean postoperative maximal flow rate, voiding efficiency and bladder contractility index decreased significantly after the operation compared with the preoperative values (P < 0.05). No significant differences were observed between preoperative and 3-month postoperative parameters. Of the patients, 33.3%, 11.1% and 50% were classified as having normal/strong contractility preoperative, 1 week and 3 months, respectively. The proportion of normal/strong contractility decreased significantly after the operation, and it recovered 3 months postoperatively. The grade of obstruction did not change significantly.CONCLUSIONS:
Patients undergoing pelvic organ prolapse surgery present temporary impaired detrusor contractility, which improves significantly during the midterm postoperative period.Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Gynecologic Surgical Procedures
/
Urodynamics
/
Urinary Bladder
/
Pelvic Organ Prolapse
/
Muscle Contraction
Type of study:
Observational_studies
/
Prognostic_studies
Limits:
Aged
/
Aged80
/
Female
/
Humans
/
Middle aged
Language:
En
Journal:
Int J Urol
Journal subject:
UROLOGIA
Year:
2015
Type:
Article
Affiliation country:
Japan