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Incontinence and voiding difficulties associated with prolapse.

Serge P Marinkovic1, Stuart L Stanton

  • 1Urogynecology Unity, St George's Hospital, London, United Kingdom.

The Journal of Urology
|February 10, 2004
PubMed
Summary
This summary is machine-generated.

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Pelvic organ prolapse often co-occurs with urinary incontinence. Effective assessment and treatment should address both conditions to restore normal function.

Area of Science:

  • Urogynecology
  • Pelvic Floor Disorders
  • Female Pelvic Medicine

Background:

  • Pelvic organ prolapse (POP) involves the protrusion of pelvic organs beyond their anatomical limits, signifying a failure of supporting structures.
  • POP frequently co-exists with urinary incontinence, impacting women's quality of life.

Purpose of the Study:

  • To define, classify, and describe the incidence, symptoms, and evaluation of pelvic organ prolapse.
  • To highlight the relationship between POP and urinary incontinence.

Main Methods:

  • A comprehensive MEDLINE search was conducted using keywords related to various types of prolapse and urinary incontinence.
  • Reviewed 97 articles to synthesize information on POP definition, classification, incidence, symptoms, and evaluation.
  • Discussed diagnostic tools including history, physical examination, voiding diaries, uroflowmetry, multichannel urodynamics, and dynamic MRI.

Related Experiment Videos

Main Results:

  • POP and urinary incontinence often occur together, with specific types of prolapse (cystocele, rectocele, enterocele, uterine descent, vaginal vault prolapse) presenting diverse symptoms.
  • Pathophysiology involves injury, metabolic issues, and increased intra-abdominal pressure; symptoms range from stress incontinence to back pain and defecatory dysfunction.
  • Physical examination and history are crucial for assessment, supplemented by urodynamics and advanced imaging like MRI for detailed evaluation.

Conclusions:

  • Treatment of pelvic organ prolapse should aim to restore normal vaginal function.
  • Simultaneously addressing any co-existing urinary incontinence is essential for comprehensive patient care.