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Urodynamic effects of reducing devices in women with genital prolapse

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Abstract

Urodynamics have been recommended in women with urogenital prolapse because of the high prevalence of occult urinary incontinence. Various studies using a variety of devices recommend that the prolapsed organs be reduced prior to urodynamics, yet it is unknown whether urodynamic data can be varied by reducing devices. This study was undertaken to ascertain this in women with genital prolapse. The prospective study included 32 patients with vaginal or uterine prolapse to the introitus or beyond. Age, parity, menopausal status, hormone replacement and prior surgeries were all noted. Patients were evaluated using a ring pessary, a Smith Hodge pessary with and without a suburethral bolster, and a Graves's speculum secured by tape and subsequently toed by hand. The variance of the five reducing devices was not significant with respect to functional urethral length (P>0.8) or maximum urethral closure pressure (P>0.8). The results support the assumption that various devices used for prolapse reduction yield similar clinical effects.

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Authors and Affiliations

  1. UCLA School of Medicine, Cedars-Sinai Medical Center, 8700 Beverly Boulevard, Room 1738, 90048, Los Angeles, CA, USA

    T. F. Mattox

  2. University of California, Harbor UCLA Medical Center, Torrance, California, USA

    N. N. Bhatia

Authors
  1. T. F. Mattox
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  2. N. N. Bhatia
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Mattox, T.F., Bhatia, N.N. Urodynamic effects of reducing devices in women with genital prolapse. Int Urogynecol J 5, 283–286 (1994). https://doi.org/10.1007/BF00376242

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