OBJECTIVE: To assess functional symptoms related to genital prolapse and to test anatomo-functional associations.
PATIENTS AND METHODS: Observational study, performed between January 2005 and June 2012, on all patients operated for prolapse in a French tertiary referral centre. Data were collected from standardized patients' notes, including baseline characteristics, complete interview on urinary and colo-rectal functional symptoms, MHU score, and POP-Q (Pelvic Organ Prolapse Quantification) clinical evaluation.
RESULTS: Three hundred and seventy-four patients, with a mean age of 65.1 years old, mean parity of 2.5, and mean BMI of 25.4, were included. These patients were post-menopausal in 92.5% of cases. Urinary symptoms were: SUI in 30.5%, urgencies in 44.4%, and voiding difficulties in 38.8%. Colo-rectal symptoms, such as defecatory dysfunction and anal incontinence, occurred in 25.1% and 18.5%, respectively. On clinical examination, anterior vaginal wall prolapses were the most common (74.1%). Patients with stage 3-4 cystocele suffered significantly more frequently of nocturia (P=0.04), voiding difficulties (P=0.04), and occult stress urinary incontinence (P< 0.001). Patients with stage 3-4 rectocele suffered significantly more frequently of defecatory dysfunction (P=0.005) and performed more often maneuver for defecation (P< 0.001).
CONCLUSION: Urinary and colo-rectal symptoms are commonly associated with genital prolapse. Anatomo-functional associations were shown regarding different prolapse types and stages.
Written by:
Adjoussou SA, Bohoussou E, Bastide S, Letouzey V, Fatton B, de Tayrac R. Are you the author?
Service de gynécologie-obstétrique, CHU Carémeau, place du Pr-Robert-Debré, 30029 Nîmes cedex 9, France; Service de gynécologie-obstétrique, CHU de Yopougon, Abidjan, Côte d'Ivoire; Service de gynécologie-obstétrique, CHU de Treichville, Abidjan, Côte d'Ivoire; Département d'épidémiologie et de biostatistiques, CHU Carémeau, 30029 Nîmes cedex 9, France.
Reference: Prog Urol. 2014 Jun;24(8):511-7.
doi: 10.1016/j.purol.2013.11.015
PubMed Abstract
PMID: 24875570
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