Korean J Urol.  2012 Jun;53(6):405-409.

A Predictive Factor in Overactive Bladder Symptoms Improvement after Combined Anterior Vaginal Wall Prolapse Repair: A Pilot Study

• Lee DM
• Ryu YW
• Lee YT
• Ahn SH
• Han JH
• Yum SH

Abstract

PURPOSE
We aimed to determine whether a preoperative urodynamic parameter is a valuable predictor for the persistence of OAB symptoms after the AVP repair.
MATERIALS AND METHODS
65 OAB patients with concomitant POP-Q stage III, IV anterior vaginal wall prolapse underwent a surgical repair were involved. All the patients were subjected to a preoperative urodynamic study, for whom the OABSS on questionnaire were preoperatively recorded. We firstly analyzed the correlation between the BOOI and the OABSS, then randomly divided patients into two groups: the group A (high PdetQmax, BOOI> or =20) and the group B (low PdetQmax, BOOI<20). In each group, the OABSS was repeatedly measured post-operatively and the change were analyzed.
RESULTS
31 patients were classified as the group A and 34 patients were classified as the group B. The group B showed significant decrease of symptom score in daytime frequency (p<0.01), urgency (p=0.04), urge incontinence (p=0.03), nocturnal frequency (p=0.01) and total score (p=0.01). The group A showed no significant decrease of symptom score in daytime frequency (p=0.42), urgency (p=0.61), urge incontinence (p=0.3), total score (p=0.15) except nocturnal frequency (p=0.01).
CONCLUSIONS
A preoperative pressure-flow study can be a valuable tool in predicting the OAB symptoms change after the combined AVP repair. While the AVP repair leads to the improvement of OAB symptoms generally, some patients with a higher preoperative PdetQmax are still in need of the additional medical treatment.

Keyword

Pelvic organ prolapse; Urinary bladder, overactive

MeSH Terms

Humans
Pelvic Organ Prolapse
Pilot Projects
Prolapse
Urinary Bladder, Overactive
Urinary Incontinence, Urge
Urodynamics

Figure

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  FIG. 1 Correlation between the BOOI and the total OABSS score before the AVP repair.

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  FIG. 2 Correlation between the BOOI and the Urgency score before the AVP repair.

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