[Value of postoperative urodynamic assessment for long-term urinary function results after treatment of genital prolapse. 103 examinations after treatment of genital prolapse].
OBJECTIVE
To evaluate the predictive value of postoperative urodynamic assessment on the apparition or the resurgence of genuine stress incontinence after a surgical procedure for genitourinary prolapse.


METHODS
103 patients operated on for prolapse, with or without an associated surgical procedure for genuine stress incontinence. A review of the results of the urodynamic assessment carried out during the early post operative period was effected.


RESULTS
77.7% of the patients had an associated procedure for stress incontinence during surgery for prolapse. An urodynamic abnormality such as intrinsic sphincter deficiency and/or transmission ratio default was noted in 83.3% of the women who demonstrated incontinency during postoperative assessment, and in 76.7% of the patients without any problem of continence. During long term follow up, only 41.7% of the women who were incontinent shared intrinsic sphincter deficiency, and an abnormal cytometric parameter was noted in 74.4% of continent patients. 86% of the patients who were incontinent in the early postoperative period will remain so, whatever the result of the cystometric evaluation.


CONCLUSIONS
Our results show that there is no correlation between the various cystometric parameters evaluated during the postoperative period, and the symptoms described by the patients. The absence of abnormal urodynamic assessment cannot consistently predict normal bladder function. Only postoperative symptoms can be considered to be predictive of a satisfactory surgical cure.
Therby
D
D
Clinique Universitaire de Gynécologie, Obstétrique et Pathologie de la Reproduction, Pavillon Paul-Gellé, Roubaix.
Viala
F
F
Cosson
M
M
Querleu
D
D
Crépin
G
G
D000328:Adult; D000368:Aged; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008875:Middle Aged; D011182:Postoperative Care / Q000379:methods*; D011237:Predictive Value of Tests; D011379:Prognosis; D015203:Reproducibility of Results; D014550:Urinary Incontinence, Stress / Q000209:etiology* / Q000503:physiopathology; D014563:Urodynamics; D014596:Uterine Prolapse / Q000150:complications* / Q000601:surgery*
Valeur du bilan urodynamique postopératoire dans la prédiction du résultat urinaire à long terme des cures de prolapsus génital. A propos de 103 examens réalisés après cure de prolapsus.