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Published on: August 28, 2020
Effect of prolapse repair on voiding and bladder overactivity
Avanti Patil1, Jonathan R A Duckett
1Medway NHS Foundation Trust, Gillingham, Kent, UK.
Current Opinion in Obstetrics & Gynecology
|August 14, 2010
Summary
Repairing pelvic organ prolapse (POP) can resolve overactive bladder (OAB) symptoms and improve voiding function. This suggests a causal link between POP and OAB, warranting further research into effective treatments.
Area of Science:
- Urology
- Gynecology
- Pelvic Health
Background:
- Pelvic organ prolapse (POP) is a condition affecting many women.
- Overactive bladder (OAB) symptoms, including detrusor overactivity and voiding dysfunction, are frequently reported by women with POP.
- The relationship between POP and OAB requires further elucidation to optimize patient care.
Purpose of the Study:
- To investigate the impact of pelvic organ prolapse repair on overactive bladder symptoms and voiding function.
- To explore the potential causal link between pelvic organ prolapse and detrusor overactivity.
- To enhance understanding of OAB pathophysiology in women with prolapse.
Main Methods:
- Literature search of PubMed and MEDLINE databases.
- Inclusion of relevant studies and review articles.
- Analysis of evidence linking OAB and POP.
Main Results:
- Epidemiological studies indicate a significant association between OAB and POP.
- Repair of POP, through surgery or pessary placement, is linked to improvement or resolution of OAB symptoms and detrusor overactivity.
- Improved voiding function post-POP repair supports the theory of bladder outlet obstruction as a contributing factor to OAB.
Conclusions:
- Pelvic organ prolapse repair positively influences the resolution of OAB, detrusor overactivity, and voiding dysfunction.
- Evidence suggests a causal relationship between POP and OAB.
- Further large-scale prospective observational studies are recommended to solidify these findings.
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