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Stress incontinence and cystoceles.
M Gardy1, M Kozminski, J DeLancey
1Section of Urology, University of Michigan Medical Center, Ann Arbor.
The Journal of Urology
|June 1, 1991
Summary
Cystoceles, or pelvic organ prolapse, can cause urinary dysfunction. Surgical repair effectively treats stress incontinence, urge incontinence, and residual urine in most women, improving quality of life.
Area of Science:
- Urology
- Gynecology
- Pelvic Floor Disorders
Background:
- Cystoceles, a form of pelvic organ prolapse, are common in women.
- They can be associated with various lower urinary tract symptoms.
- The impact of cystocele repair on these symptoms requires further investigation.
Purpose of the Study:
- To evaluate the effect of surgical cystocele repair on urodynamic findings and lower urinary tract symptoms.
- To assess the prevalence of stress urinary incontinence, urge incontinence, and residual urine in women with cystoceles.
- To determine the success rate of operative repair in resolving these symptoms.
Main Methods:
- Prospective study of 62 women with cystoceles undergoing video-urodynamics.
- Urodynamic assessment performed before and after surgical cystocele repair.
- Evaluation of symptoms including stress urinary incontinence, urge incontinence, and residual urine.
Main Results:
- Stress urinary incontinence was present in 23/29 women with low-grade cystoceles and 32/33 women with large cystoceles (symptomatic or urodynamically evident).
- Urge incontinence and significant residual urine were also common findings.
- Operative repair resolved stress incontinence in 51/54 women, urge incontinence in 33/38, and residual urine in 24/26.
Conclusions:
- Cystoceles can cause significant voiding dysfunction, including stress and urge incontinence, and residual urine.
- Symptom assessment alone is unreliable for diagnosing stress incontinence in women with cystoceles.
- Surgical repair of cystoceles is highly effective in resolving associated urinary symptoms.