Bladder Outlet Obstruction and Detrusor Underactivity in Women With Severe Cystocele
Conditions
Keywords
Cystocele, Bladder outlet obstruction, Detrusor underactivity, Urodynamic study
Brief summary
Prevalence rates of bladder outlet obstruction (BOO) and detrusor underactivity (DU) and their related clinical and urodynamic findings in women with ≥ pelvic organ prolapse quantification stage II cystocele are important for clinical consultation. Thus, the aim of this study was to elucidate the above findings and between-group associations.
Detailed description
Between November 2011 and January 2017, medical records of all women with ≥stage II cystocele who underwent 20 min pad testing and urodynamic studies in a medical center were reviewed. Only those with complete data of maximum flow rate (Qmax) and detrusor pressure at maximum flow rate (PdetQmax) were enrolled. ANOVA test and post-hoc testing with bonferroni's correction were used for statistical analysis. Woman were defined as having DU when Qmax was \<12 mL/s and PdetQmax was \<10 cmH2O, and were defined as having BOO when Qmax was \<12 mL/s and PdetQmax was ≥25 cmH2O with sustained detrusor contraction during voiding cystometry.
Interventions
20-minutes pad test and urodynamic study including uroflowmetry, filling cystometry and voiding cystometry.
Sponsors
Study design
Eligibility
Inclusion criteria
1. Age \> 20y/o 2. Cystocele \> stage II 3. Complete pad test and urodynamic study
Exclusion criteria
1. Pregnancy 2. Urinary tract infection 3. Had received pelvic reconstruction surgery
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| BOO | November 2011 to January 2017 | Bladder outlet obstruction: Qmax was \<12 mL/s and PdetQmax was ≥25 cmH2O with sustained detrusor contraction during voiding cystometry. |
| DU | November 2011 to January 2017 | Detrusor underactivity: \<12 mL/s and PdetQmax was \<10 cmH2O |