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Updated: May 30, 2026

Anogenital Distance and Perineal Measurements of the Pelvic Organ Prolapse (POP) Quantification System
Published on: September 20, 2018
Predictors for overactive bladder symptoms after pelvic organ prolapse surgery
Tiny A de Boer1, Mark E Vierhout
1Department of Obstetrics and Gynaecology, Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands. T.deBoer@obgyn.umcn.nl
Predicting overactive bladder (OAB) symptoms after pelvic organ prolapse (POP) surgery remains challenging. Current research offers conflicting results, making it difficult to reliably forecast OAB outcomes post-POP surgery.
Area of Science:
- Urology
- Gynecology
- Pelvic Health
Background:
- Overactive bladder (OAB) symptoms are common in women with pelvic organ prolapse (POP).
- Pelvic organ prolapse surgery is often performed to address POP, with potential impacts on OAB symptoms.
Purpose of the Study:
- To review the predictors of overactive bladder (OAB) symptoms following pelvic organ prolapse (POP) surgery.
Main Methods:
- Literature review of studies investigating predictors for OAB symptoms after POP surgery.
- Analysis of multivariate studies considering various influencing factors.
Main Results:
- Improvement in OAB symptoms is generally expected after POP surgery, but predictors are unclear and sometimes contradictory.
- Factors like preoperative detrusor overactivity, detrusor opening pressure, and maximum flow rate may play a role.
- Absence of bothersome OAB preoperatively predicts its absence post-surgery, though individual OAB symptoms have different predictors.
Conclusions:
- Current evidence is inconclusive regarding reliable predictors for OAB after POP surgery.
- Further research is essential to identify definitive predictors for OAB outcomes post-POP surgery.
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