Urodynamics mixed type urinary incontinence with advanced pelvic organ prolapse, management and outcomes

Patients with pelvic organ prolapse (POP) often have accompanying lower urinary tract symptoms. Symptoms such as stress urinary incontinence(SUI- UD ) and detrusor overactivty(DO) would co-exist in a number of patients. Management entails relieving the obstructive element. To determine the clinical...

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Bibliographic Details
Published in:Scientific reports 2020-02, Vol.10 (1), p.1944-1944, Article 1944
Main Authors: Lo, Tsia-Shu, Uy-Patrimonio, Ma. Clarissa, Kao, Chuan Chi, Chua, Sandy, Huang, Ting-Xuan, Wu, Ming-Ping
Format: Article
Language:English
Subjects:
692/1807/2021
692/4025/2768/587
Aged
Contraction
Female
Humanities and Social Sciences
Humans
Lower Urinary Tract Symptoms - physiopathology
Lower Urinary Tract Symptoms - surgery
Male
Middle Aged
multidisciplinary
Patients
Pelvic organ prolapse
Pelvic Organ Prolapse - physiopathology
Pelvic Organ Prolapse - surgery
Postoperative Period
Quality of Life
Reconstructive surgery
Retrospective Studies
Science
Science (multidisciplinary)
Suburethral Slings
Surgery
Treatment Outcome
Urinary incontinence
Urinary Incontinence, Stress - physiopathology
Urinary Incontinence, Stress - surgery
Urinary tract
Urine
Urodynamics - physiology
Urologic Surgical Procedures - methods
Vagina
Vagina - physiopathology
Vagina - surgery
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Summary:Patients with pelvic organ prolapse (POP) often have accompanying lower urinary tract symptoms. Symptoms such as stress urinary incontinence(SUI- UD ) and detrusor overactivty(DO) would co-exist in a number of patients. Management entails relieving the obstructive element. To determine the clinical outcome of patients with urodynamics mixed type urinary incontinence(MUI-U) after vaginal pelvic reconstructive surgery(PRS), a retrospective study was conducted. MUI-U was defined as having urodynamic findings of both of DO/DOI (derusor overactivity incontinence) and SUI- UD . Main outcome measures: Objective cure- absence of involuntary detrusor contraction on filling cystometry and no demonstrable leakage of urine during increased abdominal pressure; Subjective cure- assessment index score of 50% of patients and concomitant MUS can be offered to SUI predominant MUI.
ISSN:2045-2322
2045-2322
DOI:10.1038/s41598-020-58594-3