title: Diagnostic effectiveness of dynamic colpocystoproctography in women planning for combined surgery with urinary incontinence and pelvic organ prolapse.
abstract: OBJECTIVE
  To evaluate the advantage of performing the dynamic cystoproctography (DCP) in patients planning for combined surgery due to urinary incontinence and pelvic organ prolapse (POP).
  
  
  METHODS
  We performed DCP on a total of 113 consecutive women with POP and compared the findings of the physical examination with POP quantification against those of DCP including squeezing, straining and evacuation phases, and analyzed the changes to the rates of surgical planning. For statistical analysis, sensitivity, specificity, and positive predictive value of each test were performed.
  
  
  RESULTS
  DCP identified an additional 10 cases of cystocele, 32 cases of rectocele, 2 cases of enterocele, 4 cases of sigmoidocele, and 8 cases of rectal intussusception compared to those cases who were only included for a physical examination. The initial surgical plan was changed in a total of 24 cases (22.1%). The prevalence of bowel symptoms in the group in which the surgical plan changed was higher than in the group with no changes to the surgical plan (p = 0.023).
  
  
  CONCLUSIONS
  DCP may be a more sensitive test for diagnosing POP compared to physical examination alone, and it is useful to patients with bowel symptoms by making surgical planning for combined surgery with stress urinary incontinence and POP.
authors.affiliation: Department of Urology, Soonchunhyang University Hospital, College of Medicine, Soonchunhyang University, Seoul, Korea.
authors.forename: Jae Heon
authors.initials: JH
authors.lastname: Kim
authors.forename: Seong Jin
authors.initials: SJ
authors.lastname: Park
authors.forename: Boem Ha
authors.initials: BH
authors.lastname: Yi
authors.forename: Kwang Woo
authors.initials: KW
authors.lastname: Lee
authors.forename: Min Eui
authors.initials: ME
authors.lastname: Kim
authors.forename: Young Ho
authors.initials: YH
authors.lastname: Kim
mesh_terms: D000328:Adult; D000368:Aged; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008875:Middle Aged; D056887:Pelvic Organ Prolapse / Q000150:complications / Q000000981:diagnostic imaging* / Q000601:surgery; D010808:Physical Examination; D010865:Pilot Projects; D011300:Preoperative Care / Q000379:methods*; D011859:Radiography; D012007:Rectum / Q000000981:diagnostic imaging*; D012680:Sensitivity and Specificity; D001743:Urinary Bladder / Q000000981:diagnostic imaging*; D014550:Urinary Incontinence, Stress / Q000150:complications / Q000000981:diagnostic imaging* / Q000601:surgery; D014621:Vagina / Q000000981:diagnostic imaging*