Points Aa and Ba are factors associated with preoperative voiding dysfunction in patients with cystocele

Ji Yun Chae, Gil Young Park, Jae Heon Kim, Hyung Jee Kim, Jae Hyun Bae, Jeong Gu Lee, Du Geon Moon, Mi-Mi Oh

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Abstract

Objective It has been hypothesized that women with significant pelvic organ prolapse (POP), particularly of the anterior vaginal wall, may have voiding dysfunction (VD). Rarely, different compartments of the vagina have been examined closely for VD. This study attempts to further elucidate the correlation between POP and VD by using the standardized Pelvic Organ Prolapse Quantification (POP-Q) staging system. Study design The clinical records of 66 women who underwent cystocele (≥POP-Q stage III) repair with concomitant midurethral sling were reviewed. Urodynamic study and POP-Q examination were performed preoperatively. The subjects were divided into two groups according to the presence of VD, which was defined as the presence of at least one of the following criteria: maximal flow rate below 15 mL/s or postvoid residual urine volume (PVR) above 50 mL on preoperative uroflowmetry. Age, parity, uroflowmetry and urodynamic parameters were compared between the two groups. Results Of 66 women, 36 had VD preoperatively. In the VD group, failure in the postoperative voiding trial was more frequent (p = 0.040), with lower maximal flow rate (p = 0.007) and higher PVR (p = 0.034). POP-Q stage was significantly higher (p = 0.018), and points Aa and Ba were significantly longer (p = 0.005 and p = 0.006, respectively) in the VD group. POP-Q stage with points Aa and Ba were significantly correlated with the presence of preoperative VD, and moderately correlated with PVR. Conclusion The prevalence of VD in patients with cystocele is high (55%). Points Aa and Ba of POP-Q stage had positive correlations with VD in patients with cystocele.

Original languageEnglish
Pages (from-to)146-149
Number of pages4
JournalEuropean Journal of Obstetrics Gynecology and Reproductive Biology
Volume174
Issue number1
DOIs
Publication statusPublished - 2014 Jan 8

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Cystocele
Pelvic Organ Prolapse
Urodynamics
Suburethral Slings
Residual Volume
Vagina
Parity
Urine

Keywords

  • Cystocele
  • Pelvic organ prolapse
  • Voiding dysfunction

ASJC Scopus subject areas

  • Reproductive Medicine
  • Obstetrics and Gynaecology

Cite this

Points Aa and Ba are factors associated with preoperative voiding dysfunction in patients with cystocele. / Chae, Ji Yun; Park, Gil Young; Kim, Jae Heon; Kim, Hyung Jee; Bae, Jae Hyun; Lee, Jeong Gu; Moon, Du Geon; Oh, Mi-Mi.

In: European Journal of Obstetrics Gynecology and Reproductive Biology, Vol. 174, No. 1, 08.01.2014, p. 146-149.

Research output: Contribution to journalArticle

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abstract = "Objective It has been hypothesized that women with significant pelvic organ prolapse (POP), particularly of the anterior vaginal wall, may have voiding dysfunction (VD). Rarely, different compartments of the vagina have been examined closely for VD. This study attempts to further elucidate the correlation between POP and VD by using the standardized Pelvic Organ Prolapse Quantification (POP-Q) staging system. Study design The clinical records of 66 women who underwent cystocele (≥POP-Q stage III) repair with concomitant midurethral sling were reviewed. Urodynamic study and POP-Q examination were performed preoperatively. The subjects were divided into two groups according to the presence of VD, which was defined as the presence of at least one of the following criteria: maximal flow rate below 15 mL/s or postvoid residual urine volume (PVR) above 50 mL on preoperative uroflowmetry. Age, parity, uroflowmetry and urodynamic parameters were compared between the two groups. Results Of 66 women, 36 had VD preoperatively. In the VD group, failure in the postoperative voiding trial was more frequent (p = 0.040), with lower maximal flow rate (p = 0.007) and higher PVR (p = 0.034). POP-Q stage was significantly higher (p = 0.018), and points Aa and Ba were significantly longer (p = 0.005 and p = 0.006, respectively) in the VD group. POP-Q stage with points Aa and Ba were significantly correlated with the presence of preoperative VD, and moderately correlated with PVR. Conclusion The prevalence of VD in patients with cystocele is high (55{\%}). Points Aa and Ba of POP-Q stage had positive correlations with VD in patients with cystocele.",
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AU - Kim, Jae Heon

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AU - Bae, Jae Hyun

AU - Lee, Jeong Gu

AU - Moon, Du Geon

AU - Oh, Mi-Mi

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N2 - Objective It has been hypothesized that women with significant pelvic organ prolapse (POP), particularly of the anterior vaginal wall, may have voiding dysfunction (VD). Rarely, different compartments of the vagina have been examined closely for VD. This study attempts to further elucidate the correlation between POP and VD by using the standardized Pelvic Organ Prolapse Quantification (POP-Q) staging system. Study design The clinical records of 66 women who underwent cystocele (≥POP-Q stage III) repair with concomitant midurethral sling were reviewed. Urodynamic study and POP-Q examination were performed preoperatively. The subjects were divided into two groups according to the presence of VD, which was defined as the presence of at least one of the following criteria: maximal flow rate below 15 mL/s or postvoid residual urine volume (PVR) above 50 mL on preoperative uroflowmetry. Age, parity, uroflowmetry and urodynamic parameters were compared between the two groups. Results Of 66 women, 36 had VD preoperatively. In the VD group, failure in the postoperative voiding trial was more frequent (p = 0.040), with lower maximal flow rate (p = 0.007) and higher PVR (p = 0.034). POP-Q stage was significantly higher (p = 0.018), and points Aa and Ba were significantly longer (p = 0.005 and p = 0.006, respectively) in the VD group. POP-Q stage with points Aa and Ba were significantly correlated with the presence of preoperative VD, and moderately correlated with PVR. Conclusion The prevalence of VD in patients with cystocele is high (55%). Points Aa and Ba of POP-Q stage had positive correlations with VD in patients with cystocele.

AB - Objective It has been hypothesized that women with significant pelvic organ prolapse (POP), particularly of the anterior vaginal wall, may have voiding dysfunction (VD). Rarely, different compartments of the vagina have been examined closely for VD. This study attempts to further elucidate the correlation between POP and VD by using the standardized Pelvic Organ Prolapse Quantification (POP-Q) staging system. Study design The clinical records of 66 women who underwent cystocele (≥POP-Q stage III) repair with concomitant midurethral sling were reviewed. Urodynamic study and POP-Q examination were performed preoperatively. The subjects were divided into two groups according to the presence of VD, which was defined as the presence of at least one of the following criteria: maximal flow rate below 15 mL/s or postvoid residual urine volume (PVR) above 50 mL on preoperative uroflowmetry. Age, parity, uroflowmetry and urodynamic parameters were compared between the two groups. Results Of 66 women, 36 had VD preoperatively. In the VD group, failure in the postoperative voiding trial was more frequent (p = 0.040), with lower maximal flow rate (p = 0.007) and higher PVR (p = 0.034). POP-Q stage was significantly higher (p = 0.018), and points Aa and Ba were significantly longer (p = 0.005 and p = 0.006, respectively) in the VD group. POP-Q stage with points Aa and Ba were significantly correlated with the presence of preoperative VD, and moderately correlated with PVR. Conclusion The prevalence of VD in patients with cystocele is high (55%). Points Aa and Ba of POP-Q stage had positive correlations with VD in patients with cystocele.

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