Do overactive bladder symptoms improve after repair of anterior vaginal wall prolapse?
This study aims to evaluate the changes of overactive bladder symptoms to anterior vaginal wall prolapse repair. Ninety-three consecutive women with symptomatic anterior vaginal wall prolapse >or= stage II and coexistent overactive bladder symptoms were prospectively studied using a urinalysis, urodynamics, King's Health Questionnaire (KHQ), Prolapse Quality of Life (P-QOL) questionnaire and pelvic organ prolapse quantification (POP-Q) system before and 1 year after surgery. All women underwent a standard fascial anterior repair. Postoperatively, urinary frequency, urgency and urge incontinence disappeared in 60, 70 and 82% of women respectively (p value < 0.001). The vaginal examination findings as well as the quality of life of the women assessed using KHQ and P-QOL significantly improved after surgery (p value < 0.001). This study has demonstrated that anterior vaginal repair does produce significant improvement in overactive bladder symptoms. A larger longer-term study is required to assess if these changes persist over time.
Digesu
G Alessandro
GA
Urogynaecology Unit, Buzzi Hospital, ICP, Milan, Italy. digesualex@hotmail.com
Salvatore
Stefano
S
Chaliha
Charlotte
C
Athanasiou
Stavros
S
Milani
Rodolfo
R
Khullar
Vik
V
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D016001:Confidence Intervals; D005260:Female; D006801:Humans; D008875:Middle Aged; D011182:Postoperative Care; D011391:Prolapse; D011788:Quality of Life; D011795:Surveys and Questionnaires; D053201:Urinary Bladder, Overactive / Q000503:physiopathology / Q000601:surgery*; D014563:Urodynamics; D014623:Vaginal Diseases / Q000503:physiopathology / Q000601:surgery*; D014945:Wound Healing