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Predictors of improved overactive bladder symptoms after transvaginal mesh repair for the treatment of pelvic organ prolapse

Predictors of Improved OAB after POP Repair

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Abstract

Introduction and hypothesis

The aim of this study was to identify the predictors of improved overactive bladder (OAB) symptoms after transvaginal mesh repair.

Methods

Eighty women with pelvic organ prolapse (POP) stage II to IV reporting OAB symptoms were scheduled for transvaginal mesh procedures. Preoperative and postoperative assessments included a bladder diary, urodynamics, and a personal interview about urinary symptoms.

Results

Sixty-three (78.8%) women experienced improvement of OAB symptoms (Improvement group), and 17 (21.2%) women remained unchanged or worsened (Persistence group) postoperatively. A univariate analysis of patients' characteristics showed no difference between two groups regarding parity, diabetes, hypertension, prolapse status, preoperative urodynamic parameters, and urinary symptoms (P > 0.05). However, the age (P = 0.042) and preoperative detrusor overactivity (DO) (P = 0.03) were two significant predictors of postoperative OAB improvement.

Conclusions

Women with POP may experience improvement of their OAB symptoms after transvaginal mesh repair. Both age and DO were two predictors in our univariate analysis, and the latter was the only significant predictor of symptom relief after adjusting age factor.

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Abbreviations

POP:

Pelvic organ prolapse

OAB:

Overactive bladder

DO:

Detrusor overactivity

TVT:

Tension-free vaginal tape

TVT-O:

TVT-obturator

USI:

Urodynamic stress incontinence

TOT:

Transobturator tape

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Acknowledgements

The authors appreciate that this study was supported by the grants from Kaohsiung Municipal Hsiao-Kang Hospital (kmhk-98-0330) and the statistical work by the department of Research Education and Training.

Conflicts of interest

None.

Author information

Authors and Affiliations

  1. Graduate Institute of Medicine, Center of Excellence for Environmental Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan

    Cheng-Yu Long, Cheng-Min Liu & Eing-Mei Tsai

  2. Department of Obstetrics and Gynecology, Kaohsiung Municipal Hsiao-Kang Hospital, Kaohsiung Medical University, 482 Shan-Ming Road, Hsiao-Kang Dist. 812, Kaohsiung, Taiwan

    Cheng-Yu Long & Eing-Mei Tsai

  3. Department of Obstetrics and Gynecology, Buddhist Dalin Tzu Chi General Hospital, Chiayi, Taiwan

    Chun-Shuo Hsu

  4. Department of Obstetrics and Gynecology, Chi Mei Foundation Hospital, Tainan, Taiwan

    Ming-Ping Wu

  5. Department of Urology, College of Medicine, Chang Gung Memorial Hospital, Kaohsiung Medical Center, Chang Gung University, Kaohsiung, Taiwan

    Po-Hui Chiang

  6. Department of Urology, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung, Taiwan

    Yung-Shun Juan

  7. Department of Obstetrics and Gynecology, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung, Taiwan

    Eing-Mei Tsai

Authors
  1. Cheng-Yu Long
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  2. Chun-Shuo Hsu
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  3. Ming-Ping Wu
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  4. Cheng-Min Liu
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  5. Po-Hui Chiang
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  6. Yung-Shun Juan
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  7. Eing-Mei Tsai
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Corresponding author

Correspondence to Eing-Mei Tsai.

Additional information

Cheng-Yu Long and Chun-Shuo Hsu has contributed equally to this work.

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Long, CY., Hsu, CS., Wu, MP. et al. Predictors of improved overactive bladder symptoms after transvaginal mesh repair for the treatment of pelvic organ prolapse. Int Urogynecol J 22, 535–542 (2011). https://doi.org/10.1007/s00192-010-1312-0

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  • DOI: https://doi.org/10.1007/s00192-010-1312-0

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