title: Anterior vaginal wall prolapse and voiding dysfunction in urogynecology patients.
abstract: We investigated whether women with and without anterior vaginal wall prolapse have voiding differences. Women (n=109) who presented to a urogynecology practice were categorized into two groups based on anterior vaginal wall prolapse: stages 0 and 1 and stages 2, 3, and 4. Women with prolapse were older than the women without prolapse but the groups were otherwise similar demographically. There was a higher rate of activity-related urine loss and use of wetness protection amongst women without prolapse. There was no significant difference for urgency symptoms or urge incontinence. Urodynamic testing found no significant differences for maximal flow rate or maximal urethral closing pressures. Postvoid residual volume and detrusor overactivity were not different but approached significance. Anterior vaginal wall prolapse of stage 2 or greater was not associated with urge incontinence or voiding function in this population. Women without prolapse were more likely to report stress incontinence.
authors.affiliation: Division of Urogynecology, Department of Obstetrics and Gynecology, Hartford Hospital, 85 Seymour Street, Suite 525, Hartford, CT 06106, USA. mschimp@harthosp.org
authors.forename: Megan O
authors.initials: MO
authors.lastname: Schimpf
authors.forename: David M
authors.initials: DM
authors.lastname: O'Sullivan
authors.forename: Christine A
authors.initials: CA
authors.lastname: LaSala
authors.forename: Paul K
authors.initials: PK
authors.lastname: Tulikangas
mesh_terms: D000328:Adult; D000368:Aged; D005260:Female; D006801:Humans; D008875:Middle Aged; D012189:Retrospective Studies; D053201:Urinary Bladder, Overactive / Q000150:complications* / Q000503:physiopathology; D014550:Urinary Incontinence, Stress / Q000150:complications* / Q000503:physiopathology; D014554:Urination / Q000502:physiology; D014563:Urodynamics / Q000502:physiology; D014596:Uterine Prolapse / Q000150:complications* / Q000503:physiopathology