title: Postoperative voiding function in patients undergoing tension-free vaginal mesh procedure for pelvic organ prolapse.
abstract: OBJECTIVE
  We compared pre- and postoperative voiding function in patients with POP and assessed the efficacy of urodynamic studies in these cases.
  
  
  METHODS
  Forty-six patients treated with the tension-free vaginal mesh (TVM) procedure between January 2009 and February 2010 underwent pressure flow study pre- and postoperatively. Pre- and postoperative voiding functions were assessed according to Schäfer nomograms.
  
  
  RESULTS
  The mean postoperative detrusor pressure at maximal flow was decreased significantly compared with that preoperatively. The mean maximum flow rate was also improved significantly and the proportion of normal contractility was increased significantly after the operation, as was the proportion of non-obstructive patients.
  
  
  CONCLUSIONS
  The TVM procedure for pelvic organ prolapse improved both detrusor contractility and urethral obstruction.
authors.affiliation: Department of Integrative Cancer Therapy and Urology, Graduate School of Medical Science, Kanazawa University, 920-8640 Takaramachi 13-1, Kanazawa, Ishikawa, Japan.
authors.forename: Masato
authors.initials: M
authors.lastname: Kuribayashi
authors.forename: Yasuhide
authors.initials: Y
authors.lastname: Kitagawa
authors.forename: Kazutaka
authors.initials: K
authors.lastname: Narimoto
authors.forename: Shohei
authors.initials: S
authors.lastname: Kawaguchi
authors.forename: Hiroyuki
authors.initials: H
authors.lastname: Konaka
authors.forename: Mikio
authors.initials: M
authors.lastname: Namiki
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D005500:Follow-Up Studies; D013509:Gynecologic Surgical Procedures / Q000379:methods*; D006801:Humans; D008875:Middle Aged; D056887:Pelvic Organ Prolapse / Q000601:surgery*; D011184:Postoperative Period; D057234:Preoperative Period; D012189:Retrospective Studies; D053825:Suburethral Slings; D016896:Treatment Outcome; D014524:Urethral Obstruction / Q000503:physiopathology; D053201:Urinary Bladder, Overactive / Q000503:physiopathology; D014554:Urination / Q000502:physiology; D014563:Urodynamics / Q000502:physiology*