Pelvic organ prolapse and lower urinary tract symptoms: Experience from a high-volume uro-gynecologic center - Abstract

Background:Female pelvic organ prolapse (POP) is a common condition that often leads to lower urinary tract symptoms (LUTS) and may require surgical intervention to alleviate those symptoms.

However, the relationship between LUTS and pelvic organ descent however, remains unclear. The aim of this paper is to determine the correlation between LUTS and POP and changes after POP repair.

Methods: We retrospectively review female patients who attended our tertiary high- volume centre center for LUTS and POP, and underwent integral pelvic floor reconstruction.

Results: An overall of 256 patients presented with POP and LUTS and underwent POP repair. Most of 50% of patients reported two or more symptoms and only 4.2% were asymptomatic for LUTS. 189/256 (73.8%) patients had voiding symptoms and 39 a urodynamic detrusor overactivity. Thirteen suffered from hydronephrosis. 148/256 (57.8%) showed a stress urinary incontinence. All the patients underwent POP repair with or without contemporary anti- incontinence procedure.

Conclusions: Urologists and gynaecologists should recognisebe aware of the high frequency of the POP and LUTS association of POP and LUTS. POP repair my restore a normal situation but symptoms may last after the surgery or develop "de novo."

Written by:
Costantini E, Lazzeri M, Porena M. Are you the author?
Department of Medical-Surgical Specialties and Public Health, Urology and Andrology Section, Ospedale S. Maria della Misericordia. Loc. S. Andrea delle Fratte, Perugia - Italy.

Reference: Urologia. 2012 Jan 26:0. Epub ahead of print.
doi: 10.5301/RU.2012.8979

PubMed Abstract
PMID: 22287268

Article in Italian.