eISSN: 2299-0038
ISSN: 1643-8876
Menopause Review/Przegląd Menopauzalny
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vol. 8
Original paper

The evaluation of the influence of cystocoele correcting procedure on lower part urinary tract function in women without symptoms of stress urinary incontinence before operation

Beata Rutkowska, Katarzyna Lau, Marek Wieczorek, Anna Rżanek, Artur Bobeff, Sławomir Jędrzejczyk

Przegląd Menopauzalny 2009; 5: 278-283
Online publish date: 2009/11/23
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Background: Pelvic organ prolapse (POP) often coexists with urinary incontinence, although not all patients with POP report such ailments. Symptoms of urinary incontinence may appear unexpectedly after POP correcting operations.
Aim of the study: The assessment of incidence of occult urinary incontinence in women with POP.
Material and methods: In our research we included 25 female patients, aged between 36-78 years old, operated in our Department between March 2008 and March 2009, who underwent pre- and postoperative urogynaecological and urodynamic examination.
Results: In preoperative examination occult urinary incontinence was diagnosed in 5 women, one was diagnosed both with occult urinary incontinence and overactive bladder. In postoperative course in discussed above group of 6 patients, symptoms of stress urinary incontinence (SUI) were found in 5 of them. One patient was free of symptoms of SUI.
Conclusions: Occult urinary incontinence occurs in approximately 25% patient with prolapse of anterior vaginal wall. Cystocoele correcting procedure is correlated with high rate of postoperative stress urinary incontinence.

pelvic organ prolapse, occult urinary incontinence, urodynamic study

Postawski K, Rechberger T. Obiektywna ocena zaburzeń statyki narządu płciowego kobiety. W: Uroginekologia praktyczna. Rechberger T (red.). Bifolium, Lublin 2007; 33-7.
Petros Papa PE. The female pelvic floor: function, dysfunction and management according to the Integral Theory. Springer 2004.
Hendrix SL, Clark A, Nygaard I, et al. Pelvic organ prolapse in the Women’s Health Initiative: gravity and gravidity. Am J Obstet Gynecol 2002; 186: 1160-6.
Bump RC, Mattiasson A, Bo/ K, et al. The standardization of terminology of female pelvic organ prolapse and pelvic floor dysfunction. Am J Obstet Gynecol 1996; 175: 10-7.
Swift SE, Tate SB, Nicholas J. Correlation of symptoms with degree of pelvic organ support in a general population of women: what is pelvic organ prolapse? Am J Obstet Gynecol 2003; 189: 372-9.
Halligan S, Spence-Jones C, Kamm MA, Bartram CI. Dynamic cystoproctography and physiological testing in women with urinary stress incontinence and urogenital prolapse. Clin Radiol 1996; 51: 785-90.
Haessler AL, Lin LL, Ho MH, et al. Reevaluating occult incontinence. Curr Opin Obstet Gynecol 2005; 17: 535-40.
de Tayrac R, Gervaise A, Chauveaud-Lambling A, Fernandez H. Combined genital prolapse repair reinforced with a polypropylene mesh and tension-free vaginal tape in women with genital prolapse and stress urinary incontinence: a retrospective case-control study with short-term follow-up. Acta Obstet Gynecol Scand 2004; 83: 950-4.
Barnes NM, Dmochowski RR, Park R, Nitti VW. Pubovaginal sling and pelvic prolapse repair in women with occult stress urinary incontinence: effect on postoperative emptying and voiding symptoms. Urology 2002; 59: 856-60.
Clemons JL, Aguilar VC, Sokol ER, et al. Suburethral sling treatment of occult stress incontinence and intrinsic sphincter deficiency in women with severe vaginal prolapse of the anterior vs posterior/apical compartment. American Journal of Obstetrics and Gynecology 2005; 192: 1566-72.
Meschia M, Pifarotti P, Spennacchio M, et al. A randomized comparison of tension-free vaginal tape and endopelvic fascia plication in women with genital prolapse and occult stress urinary incontinence. Am J Obstet Gynecol 2004; 190: 609-13.
Kotarski J, Stachowicz N, Maciejczyk-Pencuła M. Ukryte nietrzymanie moczu (UNM) – czy stosować profilaktyczne leczenie operacyjne? W: Urogine-kologia praktyczna. Rechberger T (red.). Bifolium, Lublin 2007; 241-3.
Chaikin DC, Groutz A, Blaivas JG. Predicting the need for anti-incontinence surgery in continent women undergoing repair of severe urogenital prolapse. J Urol 2000; 163: 531-4.
Veronikis DK, Nichols DH, Wakamatsu MM. The incidence of low-pressure urethra as a function of prolapse-reducing technique in patients with massive pelvic organ prolapse (maximum descent at all vaginal sites). Am J Obstet Gynecol 1997; 177: 1305-13.
Gordon D, Gold RS, Pauzner D, et al. Combined genitourinary prolapse repair and prophylactic tension-free vaginal tape in women with severe prolapse and occult stress urinary incontinence: preliminary results. Urology 2001; 58: 547-50.
Swift SE, Tate SB, Nicholas J. Correlation of symptoms with degree of pelvic organ support in a general population of women: what is pelvic organ prolapse? Am J Obstet Gynecol 2003; 189: 372-9.
Clemons JL, Aguilar VC, Tillinghast TA, et al. Patient satisfaction and changes in prolapse and urinary symptoms in women who were fitted successfully with a pessary for pelvic organ prolapse. Am J Obstet Gynecol 2004; 190: 1025-9.
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