Lower Urinary Tract Symptom in Severe Cystocele Women
Conditions
Keywords
Cystocele, Urodynamic stress incontinence, Detrusor overactivity, Pad test, Urodynamic study
Brief summary
Prevalence rates of urodynamic stress incontinence (USI), bladder oversensitivity (BO) /detrusor overactivity (DO) or both 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-minute pad testing and urodynamic studies in a medical center were reviewed. ANOVA test and post-hoc testing with bonferroni's correction were used for statistical analysis. USI included evident USI and occult USI, which were classified according to pad weight before and after prolapse reduction. BO was defined as \<300 mL of the volume at strong desire to void during filling cystometry. Those women without USI, BO or DO were allocated into the no demonstrated USI+BO/DO group.
Interventions
20-minutes pad test and urodynamic study (including uroflowmetry, filling and voiding cystometry, and urethral pressure profile) were conducted to every patient.
Sponsors
Study design
Eligibility
Inclusion criteria
1. Age \>20y/o 2. Severe cystocele, ie, more than stage 2 3. Complete pad test and urodynamic study
Exclusion criteria
1. Pregnancy 2. Urinary tract infection 3. Had received pelvic reconstruction
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| USI | Between November 2011 and January 2017 | Urodynamic stress incontinence was noted during examination |
| BO/DO | Between November 2011 and January 2017 | Bladder oversensitivity/detrusor overactivity was noted during examination |