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Current Urology Reports
Published in: Current Urology Reports 11/2017

01-11-2017 | Lower Urinary Tract Symptoms & Voiding Dysfunction (J Sandhu, Section Editor)

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

Authors: Henry Tran, Doreen E. Chung

Published in: Current Urology Reports | Issue 11/2017

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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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Metadata
Title
Incidence and Management of De Novo Lower Urinary Tract Symptoms After Pelvic Organ Prolapse Repair
Authors
Henry Tran
Doreen E. Chung
Publication date
01-11-2017
Publisher
Springer US
Published in
Current Urology Reports / Issue 11/2017
Print ISSN: 1527-2737
Electronic ISSN: 1534-6285
DOI
https://doi.org/10.1007/s11934-017-0732-5

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