Concomitant Functional Disorders in Genito-Urinary Prolapse

  • Enrico Finazzi Agrò
  • Daniele Bianchi
Part of the Urodynamics, Neurourology and Pelvic Floor Dysfunctions book series (UNPFD)


Genito-urinary prolapse can present with functional disorders, with potentially adverse impacts on the patient’s quality of life and social activities. These functional disorders can either be concomitant with the genito-urinary prolapse or may occur secondary to the prolapse. They can include urinary, sexual and faecal symptoms and pelvic pain or discomfort, as well as urinary tract infections. Nevertheless, some conditions could be unmasked by prolapse correction techniques, indicating the need for a careful evaluation prior to any treatment. Overactive bladder syndrome (OAB) has a particularly high prevalence, and its treatment consists of behavioural changes, weight reduction, drug therapy or physical therapies that include percutaneous posterior tibial nerve stimulation (PTNS) and sacral nerve modulation (SNS). Treatment of pelvic organ prolapse in association with urinary incontinence may include pelvic organ suspension and a (simultaneous or subsequent) midurethral sling.


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Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  • Enrico Finazzi Agrò
    • 1
    • 2
  • Daniele Bianchi
    • 1
    • 2
  1. 1.Department of Experimental Medicine and SurgeryUniversity of Rome Tor VergataRomeItaly
  2. 2.UOSD Functional Urology, Policlinico Tor VergataRomeItaly

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