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International Urogynecology Journal

, Volume 20, Issue 5, pp 499–504 | Cite as

Effect of prolapse repair on voiding and the relationship to overactive bladder and detrusor overactivity

Original Article

Abstract

Introduction and hypothesis

The aim of this study was to assess whether prolapse repair affects voiding and whether this results in the resolution of overactive bladder syndrome (OAB).

Methods

Forty women with OAB and detrusor overactivity together with anterior wall prolapse who underwent a repair between 2003 and 2007 were studied. Each woman was assessed pre-operatively and post-operatively with a clinical assessment and cystometry. Patients were divided into those who experienced resolution of their OAB symptoms and those with persistent OAB symptoms. Wilcoxon matched pairs signed rank test was used to assess any change in flow rates between these groups.

Results

Resolution of OAB was associated with a significant increase (p = 0.049) in the maximum flow rate.

Conclusion

Improvement in voiding function may be important in symptom resolution in women with OAB and prolapse.

Keywords

Anterior repair Overactive bladder Voiding 

Notes

Acknowledgements

We would like to thank Maria Eaton, Nurse Practitioner in urogynaecology.

Ethical approval

Obtained from the West Kent Research Ethics Committee in a letter dated 22 February 2007. REC reference 06/Q1801/100.

Funding

Study funded by a grant from the UK Continence Society.

Conflicts of interests

No disclosures.

Supplementary material

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Supplemental Figure 1

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High resolution image file (TIF 168 KB)
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Supplemental Figure 2

Low resolution image file (GIF 40.7 KB)

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High resolution image file (TIF 162 KB)

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Copyright information

© The International Urogynecological Association 2009

Authors and Affiliations

  1. 1.Department of Obstetrics and GynaecologyMedway Maritime HospitalGillinghamUK

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