title: [Functional symptoms and associations of women with genital prolapse].
abstract: OBJECTIVE
  To assess functional symptoms related to genital prolapse and to test anatomo-functional associations.
  
  
  METHODS
  Observational study, performed between January 2005 and June 2012, on all patients operated for prolapse in a French tertiary referral centre. Data were collected from standardized patients' notes, including baseline characteristics, complete interview on urinary and colo-rectal functional symptoms, MHU score, and POP-Q (Pelvic Organ Prolapse Quantification) clinical evaluation.
  
  
  RESULTS
  Three hundred and seventy-four patients, with a mean age of 65.1 years old, mean parity of 2.5, and mean BMI of 25.4, were included. These patients were post-menopausal in 92.5% of cases. Urinary symptoms were: SUI in 30.5%, urgencies in 44.4%, and voiding difficulties in 38.8%. Colo-rectal symptoms, such as defecatory dysfunction and anal incontinence, occurred in 25.1% and 18.5%, respectively. On clinical examination, anterior vaginal wall prolapses were the most common (74.1%). Patients with stage 3-4 cystocele suffered significantly more frequently of nocturia (P=0.04), voiding difficulties (P=0.04), and occult stress urinary incontinence (P<0.001). Patients with stage 3-4 rectocele suffered significantly more frequently of defecatory dysfunction (P=0.005) and performed more often maneuver for defecation (P<0.001).
  
  
  CONCLUSIONS
  Urinary and colo-rectal symptoms are commonly associated with genital prolapse. Anatomo-functional associations were shown regarding different prolapse types and stages.
  
  
  METHODS
  4.
authors.affiliation: Service de gynécologie-obstétrique, CHU Carémeau, place du Pr-Robert-Debré, 30029 Nîmes cedex 9, France; Service de gynécologie-obstétrique, CHU de Yopougon, Abidjan, Côte d'Ivoire.
authors.forename: S A
authors.initials: SA
authors.lastname: Adjoussou
authors.affiliation: Service de gynécologie-obstétrique, CHU Carémeau, place du Pr-Robert-Debré, 30029 Nîmes cedex 9, France; Service de gynécologie-obstétrique, CHU de Treichville, Abidjan, Côte d'Ivoire.
authors.forename: E
authors.initials: E
authors.lastname: Bohoussou
authors.affiliation: Département d'épidémiologie et de biostatistiques, CHU Carémeau, 30029 Nîmes cedex 9, France.
authors.forename: S
authors.initials: S
authors.lastname: Bastide
authors.affiliation: Service de gynécologie-obstétrique, CHU Carémeau, place du Pr-Robert-Debré, 30029 Nîmes cedex 9, France.
authors.forename: V
authors.initials: V
authors.lastname: Letouzey
authors.affiliation: Service de gynécologie-obstétrique, CHU Carémeau, place du Pr-Robert-Debré, 30029 Nîmes cedex 9, France.
authors.forename: B
authors.initials: B
authors.lastname: Fatton
authors.affiliation: Service de gynécologie-obstétrique, CHU Carémeau, place du Pr-Robert-Debré, 30029 Nîmes cedex 9, France. Electronic address: renaud.detayrac@chu-nimes.fr.
authors.forename: R
authors.initials: R
authors.lastname: de Tayrac
mesh_terms: D000368:Aged; D003430:Cross-Sectional Studies; D003672:Defecation / Q000502:physiology; D005242:Fecal Incontinence / Q000209:etiology; D005260:Female; D006801:Humans; D008875:Middle Aged; D053158:Nocturia / Q000209:etiology; D056887:Pelvic Organ Prolapse / Q000150:complications* / Q000503:physiopathology; D012720:Severity of Illness Index; D014550:Urinary Incontinence, Stress / Q000209:etiology; D014555:Urination Disorders / Q000209:etiology
keywords: Colo-rectal symptoms; Functional symptoms; Genital prolapse; Incontinence urinaire; Prolapsus génito-urinaire; Symptômes ano-rectaux; Symptômes mictionnels; Troubles fonctionnels; Urinary incontinence; Urinary symptoms