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Pelvic organ prolapse quantification in women referred with overactive bladder

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Abstract

Introduction and hypothesis

A study was carried out to investigate the relationship of anterior vaginal wall descent or prolapse to overactive bladder and its potential mechanisms, advancing the management of overactive bladder (OAB).

Methods

Two hundred twenty-six consecutive women with OAB symptoms were prospectively studied using OAB questionnaire (OAB-q) and pelvic organ prolapse quantification (POP-Q). According to POP-Q staging, they were divided into three groups: stages 0, I, and II. For statistical analysis, a one-way ANOVA was used to test for significant differences with Student–Newman–Keuls post hoc analysis for continuous variables (OAB-q symptom severity, health-related quality of life total scores, and age) and chi-squared test for discrete variable (number of menopausal women).

Results

Twenty-two women (9.73%) did not show any prolapse on examination; 204 (90.26%) had anterior vaginal wall descent or prolapse. The outcome statistics denoted that the difference in OAB-q scores among three groups has statistical significance (P < 0.05). Anterior vaginal wall descent or prolapse may have associations with OAB.

Conclusions

Anterior vaginal wall descent or prolapse may have associations with OAB and is directly correlated to OAB severity.

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Abbreviations

OAB:

Overactive bladder

OAB-q:

Overactive bladder questionnaire

POP:

Pelvic organ prolapse

POP-Q:

Pelvic organ prolapse quantification

BOO:

Bladder outlet obstruction

TVT:

Tension-free vaginal tape

HRQL:

Health-related quality of life

ANOVA:

Analysis of variance

SNK:

Student–Newman–Keuls test

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Acknowledgements

I would like to express my gratitude to all those who gave me the possibility to complete this paper. Especially, I thank my wife, Jing Lei, whose help, stimulating suggestions and encouragement, helped me in all the time of research for and writing of this paper.

Conflicts of interest

None.

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Authors and Affiliations

  1. Department of Urology, West China Hospital, Sichuan University, No. 37 Guoxuexiang Street, Chengdu, 610041, China

    ZhengYong Yuan & Hong Shen

  2. Department of Urology, Dujiangyan People’s Hospital, No. 285 Xingfu Rd, Dujiangyan, 611830, China

    ZhengYong Yuan

Authors
  1. ZhengYong Yuan
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  2. Hong Shen
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Correspondence to Hong Shen.

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Yuan, Z., Shen, H. Pelvic organ prolapse quantification in women referred with overactive bladder. Int Urogynecol J 21, 1365–1369 (2010). https://doi.org/10.1007/s00192-010-1209-y

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  • DOI: https://doi.org/10.1007/s00192-010-1209-y

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