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Incidence and Management of De Novo Lower Urinary Tract Symptoms After Pelvic Organ Prolapse Repair

  • Lower Urinary Tract Symptoms & Voiding Dysfunction (J Sandhu, Section Editor)
  • Published:
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Abstract

Purpose of review

Pelvic organ prolapse (POP) is a significant problem with many options for surgical correction. Following prolapse surgery, de novo lower urinary tract symptoms (LUTS) are not uncommon. We review the current literature on de novo lower urinary tract symptoms following POP repair and discuss the role of urodynamics in the evaluation of the prolapse patient.

Recent findings

Patients with occult stress urinary incontinence (SUI) appear to be at higher risk of developing de novo SUI after POP repair. Prolapse reduction in patients undergoing urodynamic evaluation is important. Different types of POP repair influence rates of de novo SUI. Also, prophylactic anti-incontinence procedures at time of POP repair appear to lower the incidence of de novo SUI, but at the cost of increased risk of complications and morbidity. Pre-existing overactive bladder (OAB) symptoms may either improve or persist, and de novo OAB can develop. The specific role of urodynamic study testing for POP is still being determined.

Summary

Increasingly, women are seeking surgical treatment for POP. Aside from complications related to surgery in general, proper patient counseling is important regarding the risk of development of de novo voiding problems following surgery. Despite a growing body of literature looking at de novo voiding symptoms after prolapse repair, more studies are still needed.

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Authors and Affiliations

  1. Voiding Dysfunction, Female Pelvic Medicine, and Reconstructive Surgery, Columbia University Medical Center/New York Presbyterian Hospital, 161 Fort Washington Avenue, 11th Floor Herbert Irving Pavilion, New York, NY, 10032, USA

    Henry Tran & Doreen E. Chung

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Correspondence to Doreen E. Chung.

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Henry Tran and Doreen E. Chung each declare no potential conflicts of interest.

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This article is part of the Topical Collection on Lower Urinary Tract Symptoms & Voiding Dysfunction.

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Tran, H., Chung, D.E. Incidence and Management of De Novo Lower Urinary Tract Symptoms After Pelvic Organ Prolapse Repair. Curr Urol Rep 18, 87 (2017). https://doi.org/10.1007/s11934-017-0732-5

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