scholarly journals Multidisciplinary management of women with pelvic organ prolapse, urinary incontinence and lower urinary tract symptoms. A clinical and psychological overview

2019 ◽  
Vol 18 (3) ◽  
pp. 184-190
Author(s):  
Valentina La Rosa ◽  
Michał Ciebiera ◽  
Li-Te Lin ◽  
Zaki Sleiman ◽  
Tais Cerentini ◽  
...  
Keyword(s):  
Urinary Incontinence ◽  
Urinary Tract ◽  
Pelvic Organ Prolapse ◽  
Lower Urinary Tract Symptoms ◽  
Lower Urinary Tract ◽  
Pelvic Organ ◽  
Multidisciplinary Management ◽  
Urinary Tract Symptoms ◽  
Lower Urinary

Pelvic Organ Prolapse and Lower Urinary Tract Symptoms: Experience from a High-Volume Uro-Gynecologic Center

2012 ◽  
Vol 79 (1) ◽  
pp. 19-23 ◽  
Author(s):  
Elisabetta Costantini ◽  
Massimo Lazzeri ◽  
Massimo Porena
Keyword(s):  
Urinary Tract ◽  
Pelvic Organ Prolapse ◽  
Lower Urinary Tract Symptoms ◽  
Lower Urinary Tract ◽  
High Volume ◽  
Pelvic Organ ◽  
Voiding Symptoms ◽  
Urinary Tract Symptoms ◽  
Pop Repair ◽  
Lower Urinary

Background Female pelvic organ prolapse (POP) is a common condition that often leads to lower urinary tract symptoms (LUTS) and may require surgical intervention to alleviate those symptoms. However, tThe relationship between LUTS and pelvic organ descent however, remains unclear. The aim of this paper is to determine the correlation between LUTS and POP and changes after POP repair. Methods We retrospectively review female patients who attended our tertiary high- volume centre center for LUTS and POP, and underwent integral pelvic floor reconstruction. Results An overall of 256 patients presented with POP and LUTS and underwent POP repair. Most of 50% of patients reported two or more symptoms and only 4.2% were asymptomatic for LUTS. 189/256 (73.8%) patients had voiding symptoms and 39 a urodynamic detrusor overactivity. Thirteen suffered from hydronephrosis. 148/256 (57.8%) showed a stress urinary incontinence. All the patients underwent POP repair with or without contemporary anti- incontinence procedure. Conclusions Urologists and gynaecologists should recognisebe aware of the high frequency of the POP and LUTS association of POP and LUTS. POP repair my restore a normal situation but symptoms may last after the surgery or develop “de novo.”

scholarly journals Levator ani defect status and lower urinary tract symptoms in women with pelvic organ prolapse

2009 ◽  
Vol 21 (1) ◽  
pp. 47-52 ◽  
Author(s):  
Daniel M. Morgan ◽  
Pamela Cardoza ◽  
Kenneth Guire ◽  
Dee E. Fenner ◽  
John O. L. DeLancey
Keyword(s):  
Urinary Tract ◽  
Pelvic Organ Prolapse ◽  
Lower Urinary Tract Symptoms ◽  
Lower Urinary Tract ◽  
Levator Ani ◽  
Pelvic Organ ◽  
Urinary Tract Symptoms ◽  
Lower Urinary

Lower urinary tract symptoms in women with pelvic organ prolapse

2010 ◽  
Vol 21 (6) ◽  
pp. 665-672 ◽  
Author(s):  
Jerry L. Lowder ◽  
Elizabeth A. Frankman ◽  
Chiara Ghetti ◽  
Lara J. Burrows ◽  
Marijane A. Krohn ◽  
...  
Keyword(s):  
Urinary Tract ◽  
Pelvic Organ Prolapse ◽  
Lower Urinary Tract Symptoms ◽  
Lower Urinary Tract ◽  
Pelvic Organ ◽  
Urinary Tract Symptoms ◽  
Lower Urinary

scholarly journals The Influence of Vaginal Native Tissues Pelvic Floor Reconstructive Surgery in Patients with Symptomatic Pelvic Organ Prolapse on Preexisting Storage Lower Urinary Tract Symptoms (LUTS)

2020 ◽  
Vol 9 (3) ◽  
pp. 829 ◽  
Author(s):  
Ewa Rechberger ◽  
Katarzyna Skorupska ◽  
Tomasz Rechberger ◽  
Małgorzata Wojtaś ◽  
Paweł Miotła ◽  
...  
Keyword(s):  
Urinary Tract ◽  
Pelvic Organ Prolapse ◽  
Lower Urinary Tract Symptoms ◽  
Lower Urinary Tract ◽  
Short Form ◽  
Pelvic Organ ◽  
Urinary Tract Symptoms ◽  
Study Results ◽  
The Impact ◽  
Lower Urinary

The aim of this study was to assess the effectiveness of vaginal native tissue repair (VNTR) on preexisting Lower Urinary Tract Symptoms (LUTS) in women with symptomatic pelvic organ prolapse (POP). Two hundred patients who underwent VNTR for symptomatic POP from January 2018 to February 2019 were followed up for 6 months. All patients underwent VNTR, but in the posterior compartment, the rectovaginal fascia was reconnected to the uterosacral ligaments and additionally sutured to the iliococcygeus fascia and muscle. To assess the severity and change in storage phase LUTS before and after surgery, all participants were asked to complete 3 questionnaires: the International Consultation on Incontinence Questionnaire- Short Form (ICIQ-SF), Urogenital Distress Inventory-6 (UDI-6), and Incontinence Impact Questionnaire-7 (IIQ-7). The data were assessed with Statistica package version 12.0, using Kalmogorow–Smirnoff, W Shapiro–Wilk tests. Furthermore, one-way analysis of variance was applied with post-hoc Tukey test. The study results indicate that the majority of patients with advanced POP suffered from various LUTS. Among storage symptoms, the occurrence of urinary incontinence (UI) and urgency decreased significantly after surgery. Moreover, ICIQ-SF, UDI-6, and IIQ-7 results showed statistically significant improvement in the impact of UI on the quality of life (QoL) in the vast majority of patients after surgery. VNTR is an effective way to treat not only anatomical, but also functional problems in such patients.

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