To evaluate the effects of surgical anatomical correction on lower urinary tract symptoms (LUTS) in patients with a pelvic anterior compartment defect (PACD).
This prospective study was carried out on 30 women who had stage II-IV PACD. The women were questioned regarding LUTS symptoms such as urgency, urge incontinence, frequency, hesitancy, abnormal emptying, nocturia and dysuria pre and postoperatively. After a 7-month follow up, the comparison of LUTS symptoms with respect to their healing, existence or de novo appearance was performed using the McNemar and Bowner and Wilcoxon signed-rank tests.
For the repair of ACD, 15, 8 and 7 women were operated on using site-specific surgery, transvaginal mesh placement and anterior colporrhaphy, respectively. Surgery has significantly improved the LUTS: urgency (100 vs 26.7%, urge incontinence (70 vs 16.7%), frequency (76.7 vs 13.3%), abnormal emptying (56.7 vs 10%), hesitancy (30 vs 6.7%), nocturia (83.3 vs 60%) and dysuria (30 vs 6.7%). The differences were statistically significant (P < 0.05).
The correctional surgery on anterior compartment defects not only maintains the anatomy but also significantly heals the LUTS.
Lower urinary tract symptoms. 2017 Sep 17 [Epub ahead of print]
Emre Baser, Safak Ozdemirci, Dilek Uysal, Ertugrul Karahanoglu, Akın Sivaslioglu
Department of Obstetrics and Gynecology, Obstetrics Clinic, Etlik Zubeyde Hanim Women's Health Education and Research Hospital, Ankara, Turkey., Perinatology & High-Risk Pregnancy Clinic, Etlik Zubeyde Hanim Women's Health Education and Research Hospital, Ankara, Turkey., Department of Obstetrics and Gynecology, Obstetrics Clinic, Izmir Katip Celebi University Ataturk Education & Research Hospital, Izmir, Turkey., Department of Obstetrics and Gynecology, Medical Faculty Hospital, Mugla Sitki Kocman University, Mugla, Turkey.