Cystocoele and sensory urgency--our experience

Area of Science:

• Urology
• Gynecology
• Pelvic Floor Disorders

Background:

• Sensory urgency is associated with multiple urological conditions including cystitis, bladder carcinoma, and prostate issues.
• The relationship between sensory urgency and vaginal vault prolapse, specifically cystocele, requires further investigation.

Purpose of the Study:

• To analyze and explain the potential association between vaginal vault prolapse and sensory urgency.
• To determine if sensory urgency can serve as a predictive marker for cystocele development.

Main Methods:

• Retrospective analysis of clinical data from 64 patients treated for cystocele between 1999 and 2006.
• Physical examination using the International Society for Continence staging system to classify cystocele severity.
• Review of patient histories to identify the onset of urgency symptoms relative to prolapse manifestation.

Main Results:

• The study included 64 patients with cystocele, predominantly grade III (45.3%) and IV (48.4%).
• A significant majority of patients (73.4%) experienced sensory urgency for at least six months prior to the onset of vaginal vault prolapse.
• Surgical intervention (anterior vaginal colporaphy) was successful in most cases, with a low recurrence rate (1.6%).

Conclusions:

• Sensory urgency may be a significant predictor of cystocele.
• Early identification of sensory urgency could facilitate timely diagnosis and management of pelvic organ prolapse.
• Further research is warranted to elucidate the underlying mechanisms connecting sensory urgency and cystocele.