Pelvic Organ Prolapse
Conditions
Brief summary
To assess the urinary symptoms and urodynamic findings concomitant with Pelvic organ prolapse before and after surgical treatment and to define the role of urodynamic study in treatment decision making.
Detailed description
Pelvic organ prolapse (POP) is a prevalent problem that affects women's quality of life women with POP may present with a variety of lower urinary tract symptoms (LUTS). For POP patients with concomitant urinary symptoms, urodynamic (UDN) testing is proposed for proper evaluation of cases and identification of the pathophysiologic events in each case individually. In this prospective study, the investigators aim to describe the urinary symptoms and urodynamic findings concomitant with POP before and after surgical treatment of POP. We also aimed at defining the role of UDN in decision-making regarding the treatment of POP when associated with LUTS.
Interventions
comparison between the urodynamic study of the patients before pelvic prolapse surgical repair and 6 months later.
Sponsors
Study design
Intervention model description
All patients were subjected to clinical evaluation and urodynamic testing before surgery. All cases underwent surgical repair of pelvic organ prolapse. Follow-up clinical examination was performed at 1, 3, and 6 months postoperatively, and urodynamic examination was repeated 6 months after repair.
Eligibility
Inclusion criteria
* women with anterior pelvic organ prolapse (POP) associated with Lower urinary tract symptoms
Exclusion criteria
* Patients with POP less than POP-Q grade II, POP not in need for surgical repair, neurological diseases that could possibly affect voiding functions, pelvic infections, congenital bladder disorders, history of urinary fistula, history of malignancy, and patients on current medical treatment for voiding dysfunction.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Urodynamic study evaluation for the participants | 6 month after the procedure | evaluation of the urodynamic study after the surgical repair of the pelvic organ prolapse and comparison to the preoperative results. |