[Does cystocele have a role in bladder outlet obstruction].
BACKGROUND
Controversy exists as to whether cystocele has a causative role in bladder outlet obstruction (BOO).


OBJECTIVE
To assess the relationship between cystocele and bladder outlet obstruction.


METHODS
Two hundred women undergoing a urodynamic study from December 2007 to December 2008 were retrospectively assessed. Patients were divided into two groups: Group A: Patients with no cystocele (Grade 0) and Grade I cystocele Group B: Patients with Grade II-IV cystocele.


METHODS
1. Absence of flowmetry or voided volume < 150 ml. 2. Neurological disorders. 3. History of urogenital surgery. Bladder outlet obstruction was defined as follows: Postvoid residue (PVR) > 20%; peak flow (Qmax) < 15 ml/sec; detrusor pressure at maximum flow (PdetQmax) > 25 cm H2O.


RESULTS
Group A included 64% of patients, and Group B the remaining 36%. A pathological PVR > 20% was found in 26.6% and 40.3% of patients in Group A and Group B respectively (p=0.04). A Qmax < 15 mL/sec was seen in 15.6% and 27.8% of Group A and Group B patients respectively (p=0.03). A PdetQmax > 25 cm H2O was found in 26.3% and 47.8% of Group A and Group B patients respectively (p=0.01).


CONCLUSIONS
A statistically significant association exists between cystocele and bladder outlet obstruction.
López González
P A
PA
Servicio de Urología, Hospital Virgen de la Arrixaca, Murcia, España. pedroa.lopezgonzalez@gmail.com
López López
A I
AI
López Cubillana
P
P
Escudero Bregante
F
F
Doñate Iñiguez
G
G
Ruiz Morcillo
J C
JC
Pérez Albacete
M
M
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002648:Child; D015897:Comorbidity; D052858:Cystocele / Q000150:complications* / Q000453:epidemiology / Q000503:physiopathology; D005260:Female; D006801:Humans; D008365:Manometry; D008875:Middle Aged; D012189:Retrospective Studies; D001748:Urinary Bladder Neck Obstruction / Q000453:epidemiology / Q000209:etiology* / Q000503:physiopathology; D014549:Urinary Incontinence / Q000209:etiology; D016055:Urinary Retention / Q000209:etiology; D014563:Urodynamics; D055815:Young Adult