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The association of pelvic organ prolapse severity and improvement in overactive bladder symptoms after surgery for pelvic organ prolapse
분야 의약학 > 산부인과학
저자 ( Mi Sun Kim ) , ( Gee Hoon Lee ) , ( Eun Duc Na ) , ( Ji Hyon Jang ) , ( Hyeon Chul Kim )
발행기관 대한산부인과학회
간행물정보 Obstetrics & Gynecology Science 2016년, 제59권 제3호, 214~219쪽(총6쪽)
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연관 논문
The significance of bladder outlet obstruction in pelvic floor dysfunction on preoperative urodynamic studies: Retrospective cohort study
Comparative impact of overactive bladder and stress urinary incontinence on sexual function using validated instruments
Review : Comparison of surgical management of apical prolapse (abdominal vs. vaginal vs. Laparoscopic approach) and the roles of prolapse Kits for treatment of pelvic organ prolapse
PO-GG03 : The effects of fesoterodine in patients with Overactive Bladder Syndrome on quality of life and sexual function
GG-05 : Nerve growth factor and heparin-binding epidermal growth factor-like growth factor; Potential biomarkers that reflect the effects of fesoterodine in patients with overactive bladder syndrome
 
 
영문초록
Objective The purpose of this study was to evaluate the impact of pelvic organ prolapse (POP) repair on overactive bladder (OAB) symptoms in women with POP and the effect of baseline POP severity on improvement in OAB after surgical repair of POP. And we also tried to identify any preoperative factors for persistent postoperative OAB symptoms. Methods A total of 87 patients with coexisting POP and OAB who underwent surgical correction of POP were included and retrospectively analyzed and postoperative data was obtained by telephone interview. OAB was defined as an affirmative response to item no. 15 (urinary frequency) and item no. 16 (urge incontinence) of the Pelvic Floor Distress Inventory. POP severity was dichotomized by Pelvic Organ Prolapse Quantification stage 1 to 2 (n=22) versus stage 3 to 4 (n=65). Results OAB symptoms were significantly improved after surgical treatment (P<0.001). But there was no significant differences in postoperative improvement of frequency and urge incontinence between stage 1 to 2 group versus stage 3 to 4 group. Preoperative demographic factors (age, parity, and POP stage) were not significantly related to persistent postoperative OAB symptoms. Conclusion Women with coexisting POP and OAB who undergo surgical repair experience significant improvement in OAB symptoms after surgery, but severity of POP had no significant difference in improvement of OAB symptoms. Postoperative persistent OAB symptoms were not related to age, parity, body mass index, and POP stage.
 
 
Overactive urinary bladder, Pelvic organ prolapse, Urge urinary incontinence, Urinary frequency
 
 
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