title: Changes in urinary and sexual function 6 months after cystocele repair with a polypropylene mesh.
abstract: BACKGROUND
  We used quantitative parameters obtained during the voiding phase, urinary symptoms and sexual functioning to investigate the symptomatic and functional changes after cystocele repair with a polypropylene mesh.
  
  
  METHODS
  The maximum urinary flow rate (Q(max)), residual urine (RU) volume and two symptom questionnaires, the Urinary Distress Inventory (UDI-6) and the Female Sexual Function Index (FSFI), were used to retrospectively evaluate 39 consecutive cystocele patients before and 6 months after surgery.
  
  
  RESULTS
  Q(max), RU and FSFI were not significantly different (p = 0.366, 0.286 and 0.100, respectively) pre- and postoperatively, but the UDI-6 score had significantly improved (p < 0.001) 6 months after the cystocele repair. A concomitant sling procedure was significantly correlated with changes in the UDI-6 score (p < 0.001); the patients without stress urinary incontinence (SUI) who underwent cystocele repair only showed no symptomatic improvements in the UDI-6 score (p = 0.560).
  
  
  CONCLUSIONS
  Correction of SUI resulted in urinary symptom improvement in cystocele patients. Cystocele repair with or without sling placement did not change Q(max), RU or sexual functioning at the 6-month follow-up.
authors.affiliation: Department of Urology, St. Vincent's Hospital, The Catholic University of Korea, College of Medicine, Suwon, South Korea.
authors.forename: Dong Sup
authors.initials: DS
authors.lastname: Lee
authors.forename: Dong Choon
authors.initials: DC
authors.lastname: Park
authors.forename: Hyun-Sop
authors.initials: HS
authors.lastname: Choe
authors.forename: Jin Bong
authors.initials: JB
authors.lastname: Choi
authors.forename: Seung-Ju
authors.initials: SJ
authors.lastname: Lee
mesh_terms: D000368:Aged; D052858:Cystocele / Q000150:complications / Q000503:physiopathology / Q000601:surgery*; D005260:Female; D006801:Humans; D008875:Middle Aged; D011126:Polypropylenes; D011474:Prosthesis Design; D056910:Republic of Korea; D012189:Retrospective Studies; D012725:Sexual Behavior; D053825:Suburethral Slings; D013526:Surgical Mesh; D011795:Surveys and Questionnaires; D013997:Time Factors; D016896:Treatment Outcome; D001743:Urinary Bladder / Q000503:physiopathology / Q000601:surgery*; D014550:Urinary Incontinence, Stress / Q000209:etiology / Q000503:physiopathology / Q000601:surgery*; D014563:Urodynamics; D013520:Urologic Surgical Procedures / Q000009:adverse effects / Q000295:instrumentation*
chemical_list: D011126:Polypropylenes