open access

Vol 94, No 3 (2023)
Research paper
Published online: 2022-03-24
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The impact of cystocele repair on urge symptoms in women with pelvic organ prolapse

Pawel Szymanowski1, Paulina Banach1, Andrzej Wisniewski1, Wioletta K. Szepieniec1
·
Pubmed: 35325453
·
Ginekol Pol 2023;94(3):177-182.
Affiliations
  1. Andrzej Frycz Modrzewski Cracow University, Cracow, Poland, Poland

open access

Vol 94, No 3 (2023)
ORIGINAL PAPERS Gynecology
Published online: 2022-03-24

Abstract

Objectives: The purpose of this study was to evaluate the impact of cystocele repair on urinary urge symptoms and to determine the likelihood that urge symptoms are caused by cystocele and therefore cured by cystocele repair. The secondary aim was to assess the impact of baseline cystocele stage POP on the improvement of urge symptoms following surgical treatment of POP.

Material and methods: A total of 321 female patients with cystocele stages II, III or IV (POP), who underwent repair surgery for pelvic organ prolapse, were included. A retrospective analysis was performed to determine the presence of urge symptoms in patients with cystocele and to evaluate how many patients were cured from urge symptoms by the cystocele repair. Postoperative data were obtained by interview during a follow-up examination six weeks after surgery.

Results: Preoperatively, 52.02% of all patients diagnosed with cystocele stages II, III or IV POP experienced urge symptoms. Urge symptoms were cured in 88.62% of patients with cystocele stages  II after POP repair (p < 0.005). 88.60% of patients with cystocele stage II POP and 88.68% of patients with cystocele stages III to IV POP reported improvement in urge symptoms (p < 0.005). Despite cystocele repair, 11.4% of patients with preoperative cystocele stage II POP and 11.32% with preoperative cystocele stages III and IV POP reported persistent urge symptoms. 5.84% of the study group who showed no urge symptoms preoperatively, experienced de novo urge symptoms after following surgery (p < 0.005).

Conclusions: Cystocele repair cured urge symptoms in the majority of patients. Therefore, repair of bladder prolapse may help to differentiate urge symptoms from other urinary tract dysfunctions and assist in determining a proper diagnosis and treatment.

However, the severity of POP had no significant influence on the improvement in urge symptoms following cystocele repair. Risk of de novo urge symptoms after anatomical repair still needs to be explored.

Abstract

Objectives: The purpose of this study was to evaluate the impact of cystocele repair on urinary urge symptoms and to determine the likelihood that urge symptoms are caused by cystocele and therefore cured by cystocele repair. The secondary aim was to assess the impact of baseline cystocele stage POP on the improvement of urge symptoms following surgical treatment of POP.

Material and methods: A total of 321 female patients with cystocele stages II, III or IV (POP), who underwent repair surgery for pelvic organ prolapse, were included. A retrospective analysis was performed to determine the presence of urge symptoms in patients with cystocele and to evaluate how many patients were cured from urge symptoms by the cystocele repair. Postoperative data were obtained by interview during a follow-up examination six weeks after surgery.

Results: Preoperatively, 52.02% of all patients diagnosed with cystocele stages II, III or IV POP experienced urge symptoms. Urge symptoms were cured in 88.62% of patients with cystocele stages  II after POP repair (p < 0.005). 88.60% of patients with cystocele stage II POP and 88.68% of patients with cystocele stages III to IV POP reported improvement in urge symptoms (p < 0.005). Despite cystocele repair, 11.4% of patients with preoperative cystocele stage II POP and 11.32% with preoperative cystocele stages III and IV POP reported persistent urge symptoms. 5.84% of the study group who showed no urge symptoms preoperatively, experienced de novo urge symptoms after following surgery (p < 0.005).

Conclusions: Cystocele repair cured urge symptoms in the majority of patients. Therefore, repair of bladder prolapse may help to differentiate urge symptoms from other urinary tract dysfunctions and assist in determining a proper diagnosis and treatment.

However, the severity of POP had no significant influence on the improvement in urge symptoms following cystocele repair. Risk of de novo urge symptoms after anatomical repair still needs to be explored.

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Keywords

cystocele; urge symptoms; urinary incontinence; urinary urgency; overactive bladder; pelvic organ prolapse

About this article
Title

The impact of cystocele repair on urge symptoms in women with pelvic organ prolapse

Journal

Ginekologia Polska

Issue

Vol 94, No 3 (2023)

Article type

Research paper

Pages

177-182

Published online

2022-03-24

Page views

2819

Article views/downloads

649

DOI

10.5603/GP.a2022.0008

Pubmed

35325453

Bibliographic record

Ginekol Pol 2023;94(3):177-182.

Keywords

cystocele
urge symptoms
urinary incontinence
urinary urgency
overactive bladder
pelvic organ prolapse

Authors

Pawel Szymanowski
Paulina Banach
Andrzej Wisniewski
Wioletta K. Szepieniec

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