Do overactive bladder symptoms improve after repair of anterior vaginal wall prolapse? |
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Authors: | G. Alessandro Digesu Stefano Salvatore Charlotte Chaliha Stavros Athanasiou Rodolfo Milani Vik Khullar |
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Affiliation: | (1) Urogynaecology Unit, Buzzi Hospital, ICP, Milan, Italy;(2) Urogynaecology Unit, Del Ponte Hospital, Varese, Italy;(3) Urogynaecology Unit, Imperial College, St.Mary’s Hospital, London, UK;(4) Urogynaecology Unit, Department Of Obstetrics and Gynaecology I, Alexandra Hospital, Athens, Greece;(5) Urogynaecology Unit, Bassini Hospital, Milan, Italy;(6) Via Bottalico 59, Bari, 70124, Italy |
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Abstract: | This study aims to evaluate the changes of overactive bladder symptoms to anterior vaginal wall prolapse repair. Ninety-three consecutive women with symptomatic anterior vaginal wall prolapse ≥ stage II and coexistent overactive bladder symptoms were prospectively studied using a urinalysis, urodynamics, King’s Health Questionnaire (KHQ), Prolapse Quality of Life (P-QOL) questionnaire and pelvic organ prolapse quantification (POP-Q) system before and 1 year after surgery. All women underwent a standard fascial anterior repair. Postoperatively, urinary frequency, urgency and urge incontinence disappeared in 60, 70 and 82% of women respectively (p value < 0.001). The vaginal examination findings as well as the quality of life of the women assessed using KHQ and P-QOL significantly improved after surgery (p value < 0.001). This study has demonstrated that anterior vaginal repair does produce significant improvement in overactive bladder symptoms. A larger longer-term study is required to assess if these changes persist over time. |
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Keywords: | Overactive bladder Anterior vaginal repair Vaginal prolapse Lower urinary tract symptoms Urodynamics Women |
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