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Updated: May 16, 2026

Vessel-sparing Excision and Primary Anastomosis
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Published on: January 7, 2019

Urgency resolution following prolapse surgery: is voiding important?

Maya Basu1, Brian Wise, Jonathan Duckett

  • 1Department of Urogynaecology, Lanesborough Wing, St. George's Hospital, Blackshaw Road, London, SW17 0QT, UK. mayabasu@aol.com

International Urogynecology Journal
|December 13, 2012
PubMed
Summary

Surgical repair of pelvic organ prolapse (POP) improved urinary urgency symptoms in over 60% of women. Resolution of urgency correlated with a significant increase in maximum urinary flow rate post-surgery.

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Published on: October 25, 2024

Area of Science:

  • Urology
  • Gynecology

Background:

  • Pelvic organ prolapse (POP) often co-occurs with lower urinary tract symptoms, including urgency.
  • Urinary urgency and incontinence significantly impact women's quality of life.

Purpose of the Study:

  • To investigate the association between resolution of urgency symptoms and changes in voiding parameters after POP surgical repair.
  • To determine if surgical POP repair impacts uroflowmetry in women with concurrent urgency.

Main Methods:

  • Prospective observational study including 128 women with symptomatic POP and urgency.
  • Uroflowmetry and Urgency Perception Scale (UPS) assessed pre- and postoperatively (10 weeks).
  • Participants categorized by urgency symptom resolution; voiding parameters compared between groups.

Main Results:

  • Urgency resolved in 61.7% of participants.
  • Urgency resolution was linked to a significant increase in maximum flow rate (p=0.03), even after adjusting for voiding volume.
  • No significant baseline differences in uroflowmetry parameters between groups.

Conclusions:

  • Urgency resolution following POP surgery is associated with improved urinary flow rates.
  • Findings suggest a potential etiological role of voiding dysfunction in women with POP and urgency.
  • Surgical POP repair may positively influence bladder voiding dynamics.