S A Adjoussou1, E Bohoussou2, S Bastide3, V Letouzey4, B Fatton4, R de Tayrac5. 1. Service de gynécologie-obstétrique, CHU Carémeau, place du Pr-Robert-Debré, 30029 Nîmes cedex 9, France; Service de gynécologie-obstétrique, CHU de Yopougon, Abidjan, Côte d'Ivoire. 2. Service de gynécologie-obstétrique, CHU Carémeau, place du Pr-Robert-Debré, 30029 Nîmes cedex 9, France; Service de gynécologie-obstétrique, CHU de Treichville, Abidjan, Côte d'Ivoire. 3. Département d'épidémiologie et de biostatistiques, CHU Carémeau, 30029 Nîmes cedex 9, France. 4. Service de gynécologie-obstétrique, CHU Carémeau, place du Pr-Robert-Debré, 30029 Nîmes cedex 9, France. 5. Service de gynécologie-obstétrique, CHU Carémeau, place du Pr-Robert-Debré, 30029 Nîmes cedex 9, France. Electronic address: renaud.detayrac@chu-nimes.fr.
Abstract
OBJECTIVE: To assess functional symptoms related to genital prolapse and to test anatomo-functional associations. PATIENTS AND METHODS: Observational study, performed between January 2005 and June 2012, on all patients operated for prolapse in a French tertiary referral centre. Data were collected from standardized patients' notes, including baseline characteristics, complete interview on urinary and colo-rectal functional symptoms, MHU score, and POP-Q (Pelvic Organ Prolapse Quantification) clinical evaluation. RESULTS: Three hundred and seventy-four patients, with a mean age of 65.1 years old, mean parity of 2.5, and mean BMI of 25.4, were included. These patients were post-menopausal in 92.5% of cases. Urinary symptoms were: SUI in 30.5%, urgencies in 44.4%, and voiding difficulties in 38.8%. Colo-rectal symptoms, such as defecatory dysfunction and anal incontinence, occurred in 25.1% and 18.5%, respectively. On clinical examination, anterior vaginal wall prolapses were the most common (74.1%). Patients with stage 3-4 cystocele suffered significantly more frequently of nocturia (P=0.04), voiding difficulties (P=0.04), and occult stress urinary incontinence (P<0.001). Patients with stage 3-4 rectocele suffered significantly more frequently of defecatory dysfunction (P=0.005) and performed more often maneuver for defecation (P<0.001). CONCLUSION: Urinary and colo-rectal symptoms are commonly associated with genital prolapse. Anatomo-functional associations were shown regarding different prolapse types and stages. LEVEL OF PROOF: 4.
OBJECTIVE: To assess functional symptoms related to genital prolapse and to test anatomo-functional associations. PATIENTS AND METHODS: Observational study, performed between January 2005 and June 2012, on all patients operated for prolapse in a French tertiary referral centre. Data were collected from standardized patients' notes, including baseline characteristics, complete interview on urinary and colo-rectal functional symptoms, MHU score, and POP-Q (Pelvic Organ Prolapse Quantification) clinical evaluation. RESULTS: Three hundred and seventy-four patients, with a mean age of 65.1 years old, mean parity of 2.5, and mean BMI of 25.4, were included. These patients were post-menopausal in 92.5% of cases. Urinary symptoms were: SUI in 30.5%, urgencies in 44.4%, and voiding difficulties in 38.8%. Colo-rectal symptoms, such as defecatory dysfunction and anal incontinence, occurred in 25.1% and 18.5%, respectively. On clinical examination, anterior vaginal wall prolapses were the most common (74.1%). Patients with stage 3-4 cystocele suffered significantly more frequently of nocturia (P=0.04), voiding difficulties (P=0.04), and occult stress urinary incontinence (P<0.001). Patients with stage 3-4 rectocele suffered significantly more frequently of defecatory dysfunction (P=0.005) and performed more often maneuver for defecation (P<0.001). CONCLUSION: Urinary and colo-rectal symptoms are commonly associated with genital prolapse. Anatomo-functional associations were shown regarding different prolapse types and stages. LEVEL OF PROOF: 4.
Authors: Daniel Gagyor; Vladimir Kalis; Martin Smazinka; Zdenek Rusavy; Radovan Pilka; Khaled M Ismail Journal: BMC Womens Health Date: 2021-02-17 Impact factor: 2.809