Is measuring the posterior urethrovesical angle of clinical value for controlling pelvic organ Prolapse?. Retrospective analysis of 107 postoperative cases.
Vaginal total hysterectomy with vaginal plasty was performed in 107 patients with pelvic organ prolapse. The posterior urethrovesical angle (PUVA) was measured by chain urethrocystography. Bladder capacity, residual and incontinence urine volume were measured before and after surgery, and the data obtained were analyzed in relation to postoperative improvement and recurrence of urinary dysfunction. There were no significant differences between the background of patients with dysuria, incontinence, a mixture of dysuria and incontinence, and neither of these symptoms. Postoperative incontinence and residual urine volume decreased in all groups. However there was no correlation between the preoperative PUVA and either incontinence or residual urine volume. Measurement of PUVA was neither helpful in making the diagnosis nor predictive of the recurrence of urinary dysfunction.
Sumi
T
T
Department of Obstetrics and Gynecology, Osaka City University Medical School, Osaka, Japan.
Ishiko
O
O
Hirai
K
K
Yoshida
H
H
Ogita
S
S
D000368:Aged; D005260:Female; D005831:Genital Diseases, Female / Q000150:complications / Q000473:pathology* / Q000601:surgery; D006801:Humans; D007044:Hysterectomy; D008875:Middle Aged; D011391:Prolapse; D014521:Urethra / Q000473:pathology*; D001743:Urinary Bladder / Q000473:pathology*; D014549:Urinary Incontinence / Q000209:etiology*; D014556:Urine; D014596:Uterine Prolapse / Q000473:pathology / Q000601:surgery; D014621:Vagina / Q000601:surgery; D014623:Vaginal Diseases / Q000473:pathology / Q000601:surgery