title: 5-year experience in the diagnosis and treatment of occult urinary incontinence in women with pelvic organ prolapse.
abstract: OBJECTIVE
  Our aim was to analyze our five-year experience in the diagnosis and treatment of occult urinary incontinence in women with pelvic organ prolapse.
  
  
  METHODS
  The medical records of all patients who were admitted to the Division of Urogynecology of Istanbul Faculty of Medicine between January 2008 and December 2013; in total, 1600 patients were retrospectively evaluated. The study population included 287 patients who had prolapse beyond the hymen and underwent two consecutive urodynamic studies with and without prolapse reduction. Demographic data, medical records, physical examination, full urogynecologic examination, urodynamic investigations, treatment modality, the results of the treatment and King's Health Questionnaire scores before treatment and at one-year follow-up were recorded.
  
  
  RESULTS
  Eighty-five of 287 patients (29.6%) were continent, 20 (23.5%) of whom had occult stress urinary incontinence during cystometry. Among these 20 patients, 17 underwent anti-incontinence surgery; 12 were satisfied with their surgery and had no postoperative urinary leakage. Twenty (23.5%) patients had overactive bladder symptoms during urodynamic studies after prolapse reduction. King's Health Questionnaire scores before and after the operation, showed that health status of 12 patients was better, 1 patient was unsatisfied after the treatment, 2 patients' scores did not change and 2 patients were lost to follow up.
  
  
  CONCLUSIONS
  In conclusion, the prevalence of occult urinary incontinence was 23.5% when using urodynamics with prolapse reduction. 12 of the 17 patients diagnosed with occult urinary incontinence were satisfied with surgery and had no postoperative urinary leakage.
authors.affiliation: Istanbul University, Istanbul Faculty of Medicine, Department of Obstetrics and Gynecology, Division of Urogynecology, Istanbul, Turkey. Electronic address: burcinkaramustafaoglu@yahoo.com.
authors.forename: Burcin
authors.initials: B
authors.lastname: Karamustafaoglu Balci
authors.affiliation: Istanbul University, Istanbul Faculty of Medicine, Department of Obstetrics and Gynecology, Division of Urogynecology, Istanbul, Turkey.
authors.forename: Funda
authors.initials: F
authors.lastname: Gungor Ugurlucan
authors.affiliation: Istanbul University, Istanbul Faculty of Medicine, Department of Obstetrics and Gynecology, Division of Urogynecology, Istanbul, Turkey.
authors.forename: Cenk
authors.initials: C
authors.lastname: Yasa
authors.affiliation: Istanbul University, Istanbul Faculty of Medicine, Department of Obstetrics and Gynecology, Division of Urogynecology, Istanbul, Turkey.
authors.forename: Onay
authors.initials: O
authors.lastname: Yalcin
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D013509:Gynecologic Surgical Procedures / Q000009:adverse effects*; D006801:Humans; D008875:Middle Aged; D056887:Pelvic Organ Prolapse / Q000150:complications* / Q000601:surgery; D011183:Postoperative Complications / Q000209:etiology* / Q000601:surgery; D012189:Retrospective Studies; D014549:Urinary Incontinence / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery
keywords: King’s Health Questionnaire; Occult urinary incontinence; Pelvic organ prolapse; Urinary incontinence; Urodynamics; Uroflowmetry