Anterior Vaginal Wall Prolapse and Voiding Dysfunction in Urogynecology Patients

Overview

Journal Int Urogynecol J Pelvic Floor Dysfunct

Specialties Gynecology & Obstetrics
Urology

Date 2006 Oct 13

PMID 17031486

Citations 8

Authors

Megan O Schimpf

David M OSullivan

Christine A Lasala

Paul K Tulikangas

Affiliations

Soon will be listed here.

Abstract

We investigated whether women with and without anterior vaginal wall prolapse have voiding differences. Women (n=109) who presented to a urogynecology practice were categorized into two groups based on anterior vaginal wall prolapse: stages 0 and 1 and stages 2, 3, and 4. Women with prolapse were older than the women without prolapse but the groups were otherwise similar demographically. There was a higher rate of activity-related urine loss and use of wetness protection amongst women without prolapse. There was no significant difference for urgency symptoms or urge incontinence. Urodynamic testing found no significant differences for maximal flow rate or maximal urethral closing pressures. Postvoid residual volume and detrusor overactivity were not different but approached significance. Anterior vaginal wall prolapse of stage 2 or greater was not associated with urge incontinence or voiding function in this population. Women without prolapse were more likely to report stress incontinence.

Citing Articles

Correlation Between Apical, Anterior, and Posterior Vaginal Wall Prolapse With Voiding Dysfunction: A Single Center Retrospective Cohort Study.

Ghanbari Z, Asadi F, Amirlatifi S, Shariat M, Eftekhar T, Deldar M J Family Reprod Health. 2024; 18(2):115-121.

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Natural history of lower urinary tract symptoms in treatment-seeking women with pelvic organ prolapse; the Symptoms of Lower Urinary Tract Dysfunction Research Network (LURN).

Kowalski J, Wiseman J, Smith A, Helmuth M, Cameron A, DeLancey J Am J Obstet Gynecol. 2022; 227(6):875.e1-875.e12.

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International Urogynecology Consultation Chapter 1 Committee 5: relationship of pelvic organ prolapse to associated pelvic floor dysfunction symptoms: lower urinary tract, bowel, sexual dysfunction and abdominopelvic pain.

Harvey M, Chih H, Geoffrion R, Amir B, Bhide A, Miotla P Int Urogynecol J. 2021; 32(10):2575-2594.

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Correlation of POP-Q posterior compartment measures with defecatory dysfunction.

Collins S, OSullivan D, Lasala C Int Urogynecol J. 2012; 23(6):743-7.

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Contribution of primary pelvic organ prolapse to micturition and defecation symptoms.

Groenendijk A, Birnie E, Roovers J, Bonsel G Obstet Gynecol Int. 2011; 2012:798035.

PMID: 21969831 PMC: 3182371. DOI: 10.1155/2012/798035.

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