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Current Bladder Dysfunction Reports
Published in: Current Bladder Dysfunction Reports 3/2018

01-09-2018 | Stress Incontinence and Prolapse (S Reynolds, Section Editor)

Effects of Pelvic Organ Prolapse on the Bladder

Authors: Jorge H Jaunarena, Casey G Kowalik, Sophia D Delpe, Melissa R Kaufman, Roger R Dmochowski, W. Stuart Reynolds

Published in: Current Bladder Dysfunction Reports | Issue 3/2018

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Abstract

Purpose of Review

To assess how pelvic organ prolapse (POP) and treatment affect bladder function.

Recent Findings

There is significant overlap between POP and bladder symptoms, including urinary incontinence and overactive bladder. POP may result in bladder outlet obstruction (BOO) secondary to urethral kinking, which may result in overactive bladder (OAB), dysfunctional voiding, and occult or de novo stress urinary incontinence (SUI). Improvements in obstructive symptoms and dysfunctional voiding after POP surgery suggest that pelvic floor reconstruction restores pelvic floor anatomic structure and function. Furthermore, correction of anatomic structure also seems to improve OAB symptoms, although a direct causative link has yet to be established.

Summary

Pelvic floor syndromes should be interpreted as a whole. POP, OAB, urinary incontinence, BOO, and dysfunctional voiding are all part of pelvic floor syndromes, coexisting and interacting to manifest different symptoms before and after POP treatment.
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Metadata
Title
Effects of Pelvic Organ Prolapse on the Bladder
Authors
Jorge H Jaunarena
Casey G Kowalik
Sophia D Delpe
Melissa R Kaufman
Roger R Dmochowski
W. Stuart Reynolds
Publication date
01-09-2018
Publisher
Springer US
Published in
Current Bladder Dysfunction Reports / Issue 3/2018
Print ISSN: 1931-7212
Electronic ISSN: 1931-7220
DOI
https://doi.org/10.1007/s11884-018-0473-4

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