J K Nguyen1, N N Bhatia. 1. Division of Urogynecology and Reconstructive Pelvic Surgery, Department of Obstetrics and Gynecology, Harbor-University of California-Los Angeles Medical Center, Los Angeles, California, USA.
Abstract
PURPOSE: We determined the resolution rate of urge incontinence in women with uterine and/or vaginal vault prolapse plus coexistent motor urge incontinence after the surgical repair of prolapse as well as predictors of postoperative urge incontinence status. MATERIALS AND METHODS: We retrospectively reviewed the medical records of 38 women with grade 2 or greater uterine and/or vaginal vault prolapse plus coexistent motor urge incontinence who were evaluated and treated at our institution between July 1, 1996 and December 31, 1999. RESULTS: Urge incontinence resolved in 24 of the 38 women (63%) and persisted in 14 (37%) after the surgical repair of uterine and/or vaginal vault prolapse. Patient age, vaginal parity, body mass index, menopausal status, bladder compliance and the number who underwent previous pelvic surgery were similar in the 2 groups. Uninhibited detrusor contractions less than 25 cm. water during cystometry (p = 0.01) and bladder trabeculation (p = 0.03) were each an independent predictor of urge incontinence resolution after repair. CONCLUSIONS: In most women with grade 2 or greater uterovaginal and coexistent motor urge incontinence urge incontinence resolved after the surgical repair of prolapse.
PURPOSE: We determined the resolution rate of urge incontinence in women with uterine and/or vaginal vault prolapse plus coexistent motor urge incontinence after the surgical repair of prolapse as well as predictors of postoperative urge incontinence status. MATERIALS AND METHODS: We retrospectively reviewed the medical records of 38 women with grade 2 or greater uterine and/or vaginal vault prolapse plus coexistent motor urge incontinence who were evaluated and treated at our institution between July 1, 1996 and December 31, 1999. RESULTS: Urge incontinence resolved in 24 of the 38 women (63%) and persisted in 14 (37%) after the surgical repair of uterine and/or vaginal vault prolapse. Patient age, vaginal parity, body mass index, menopausal status, bladder compliance and the number who underwent previous pelvic surgery were similar in the 2 groups. Uninhibited detrusor contractions less than 25 cm. water during cystometry (p = 0.01) and bladder trabeculation (p = 0.03) were each an independent predictor of urge incontinence resolution after repair. CONCLUSIONS: In most women with grade 2 or greater uterovaginal and coexistent motor urge incontinence urge incontinence resolved after the surgical repair of prolapse.
Authors: Joseph K-S Lee; Peter L Dwyer; Anna Rosamilia; Yik N Lim; Alexander Polyakov; Kobi Stav Journal: Int Urogynecol J Date: 2012-06-22 Impact factor: 2.894
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