Current Bladder Dysfunction Reports

, Volume 7, Issue 3, pp 179–186

Functional Outcomes for Incontinence and Prolapse Surgery

Stress Incontinence and Pelvic Prolapse (RR Dmochowski, Section Editor)

DOI: 10.1007/s11884-012-0136-9

Cite this article as:
Segal, S., Arya, L.A. & Smith, A.L. Curr Bladder Dysfunct Rep (2012) 7: 179. doi:10.1007/s11884-012-0136-9
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Abstract

The majority of women with pelvic organ prolapse and stress urinary incontinence report more than one symptom that affects urinary, bowel, or sexual function. Most research studies on outcomes following surgery for pelvic organ prolapse and stress incontinence focus on anatomic outcomes and relief of symptoms specific to prolapse and/or stress incontinence. Pelvic symptoms related to voiding function such as de novo urgency or incontinence, bowel function, and sexual function are clinically important outcomes but are infrequently reported. Deterioration of pelvic symptoms postoperatively is associated with decreased patient satisfaction, which underscores the importance of effectively assessing functional and anatomic treatment outcomes. Future studies of reconstructive pelvic surgery should routinely include multiple domain functional outcomes specifically addressing voiding, defecatory, and sexual function.

Keywords

Functional outcomes Pelvic reconstructive surgery Pelvic organ prolapse Sexual dysfunction De novo urinary symptoms Bowel symptoms Defecatory dysfunction Urinary incontinence Dyspareunia Voiding dysfunction 

Copyright information

© Springer Science+Business Media, LLC 2012

Authors and Affiliations

  1. 1.Division of Urogynecology and Pelvic Reconstructive Surgery, Department of Obstetrics and GynecologyHospital of the University of PennsylvaniaPhiladelphiaUSA
  2. 2.Division of Urology, Department of SurgeryUniversity of Pennsylvania Health SystemPhiladelphiaUSA

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