Investigation of lower urinary system symptoms in patients with isolated posterior compartment prolapsus: a cross-sectional study
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Abstract
Objectives: The effects of posterior vaginal wall prolapse on pelvic floor function have not been adequately investigated, particularly for lower urinary tract symptoms (LUTS). We aimed to investigate the effects of isolated posterior compartment prolapse on LUTS.
Material and methods: The study was conducted as a prospective cross-sectional study with female patients with isolated posterior prolapse who presented with any LUTS. All patients were evaluated according to the POP-Q system. A total of 41 patients with stage 2–3 isolated pelvic organ prolapse were included in the study group. The control group consisted of a total of 41 patients without significant pelvic organ prolapse. Study and control groups were compared in terms of demographic data and UDI-6, IIQ-7, ICIQ-FLUTS, LUTS QoL, FLUT Sex scales.
Results: The incidence of SUI, UI, frequency, nocturia, abnormal evacuation, difficulty in passage and vaginal farting in the study group was found to be statistically significantly higher than the control group. In the study group, the total scores on the UDI-6, IIQ-7, and LUTS QoL measures were significantly higher. While the total scores of the ICIQ-FLUTS Scale “Filling” and “Incontinence” subgroups were significantly higher in the study group, no significant difference was found in the “voiding” subgroup. There was no statistically significant difference between the two groups in terms of their total FLUT Sex scores.
Conclusions: It has been shown that isolated posterior prolapse may be associated with an increase in lower urinary tract system symptoms and a decrease in quality of life.
Keywords: isolated posterior vaginal prolapselower urinary tract symptourogynecology
References
- Nieuwoudt EM Pelvic organ prolapse and pelvic floor muscle strength. University of the Free State; 2006. https://scholar.ufs.ac.za/server/api/core/bitstreams/7f61d516-fea6-4cf9-a072-b354caf0981d/content.
- Chung SH, Kim WB. Various Approaches and Treatments for Pelvic Organ Prolapse in Women. J Menopausal Med. 2018; 24(3): 155–162.
- Ellerkmann RM, Cundiff GW, Melick CF, et al. Correlation of symptoms with location and severity of pelvic organ prolapse. Am J Obstet Gynecol. 2001; 185(6): 1332–7; discussion 1337.
- Burrows LJ, Meyn LA, Walters MD, et al. Pelvic symptoms in women with pelvic organ prolapse. Obstet Gynecol. 2004; 104(5 Pt 1): 982–988.
- Vitale SG, Laganà AS, Noventa M, et al. Transvaginal Bilateral Sacrospinous Fixation after Second Recurrence of Vaginal Vault Prolapse: Efficacy and Impact on Quality of Life and Sexuality. Biomed Res Int. 2018; 2018: 5727165.
- Guiahi M, Kenton K, Brubaker L. Sacrocolpopexy without concomitant posterior repair improves posterior compartment defects. Int Urogynecol J Pelvic Floor Dysfunct. 2008; 19(9): 1267–1270.
- Davis K, Kumar D. Posterior pelvic floor compartment disorders. Best Pract Res Clin Obstet Gynaecol. 2005; 19(6): 941–958.
- Cole EE, Kaufman MR, Scarpero HM, et al. The effects of isolated posterior compartment defects on lower urinary tract symptoms and urodynamic findings. BJU Int. 2006; 97(5): 1024–1026.
- Shumaker SA, Wyman JF, Uebersax JS, et al. Health-related quality of life measures for women with urinary incontinence: the Incontinence Impact Questionnaire and the Urogenital Distress Inventory. Continence Program in Women (CPW) Research Group. Qual Life Res. 1994; 3(5): 291–306.
- Rathod SR, Vyas N, Sorani DM Validation of Gujarati Version of International Physical Activity Questionnaire. Int J of Health Sci Res 2018, 8(1):122-128. https://www.ijhsr.org/IJHSR_Vol.8_Issue.1_Jan2018/18.pdf (2018).
- Abrams P, Cardozo L, Wagg A, et al. Incontinence: 6th International Consultation on Incontinence, Tokyo, September 2016. In: 2017: International Continence Society. ; 2017.
- Cam C, Sakalli M, Ay P, et al. Validation of the short forms of the incontinence impact questionnaire (IIQ-7) and the urogenital distress inventory (UDI-6) in a Turkish population. Neurourol Urodyn. 2007; 26(1): 129–133.
- Gungor Uğurlucan F, Yasa C, Yuksel Ozgor B, et al. Validation of the Turkish version of the ICIQ-FLUTS, ICIQ-FLUTS long-form, ICIQ-LUTS quality-of-life, and ICIQ-FLUTS sexual functions. Neurourol Urodyn. 2020; 39(3): 962–968.
- Petros PE, Ulmsten UI. An integral theory of female urinary incontinence. Experimental and clinical considerations. Acta Obstet Gynecol Scand Suppl. 1990; 153: 7–31.
- Petros PEP, Woodman PJ. The Integral Theory of continence. Int Urogynecol J Pelvic Floor Dysfunct. 2008; 19(1): 35–40.
- Liedl B, Inoue H, Sekiguchi Y, et al. Update of the Integral Theory and System for Management of Pelvic Floor Dysfunction in Females. European Urology Supplements. 2018; 17(3): 100–108.
- Petros PE, Ulmsten U. Tests for 'detrusor instability' in women. These mainly measure the urethral resistance created by pelvic floor contraction acting against a premature activation of the micturition reflex. Acta Obstet Gynecol Scand. 1993; 72(8): 661–667.
- Kilic D, Guler T, Gokbel I, et al. EFFECTS OF ISOLATED POSTERIOR VAGINAL WALL PROLAPSE ON LOWER URINARY TRACT SYMPTOMS. J Gynecol Obstet Hum Reprod. 2021; 50(4): 102095.
- Myers DL, Lasala CA, Hogan JW, et al. The effect of posterior wall support defects on urodynamic indices in stress urinary incontinence. Obstet Gynecol. 1998; 91(5 Pt 1): 710–714.
