Skip to main content
Top
Published in: International Urogynecology Journal 9/2008

01-09-2008 | Original Article

Resolution of elevated postvoid residual volumes after correction of severe pelvic organ prolapse

Authors: Ching-Chung Liang, Ling-Hong Tseng, Shuenn-Dhy Chang, Yao-Lung Chang, Tsia-Shu Lo

Published in: International Urogynecology Journal | Issue 9/2008

Login to get access

Abstract

We hypothesized that elevated postvoid residual volume (PVRV) would resolve postoperatively in women with severe pelvic organ prolapse (POP) and investigated risk factors that might hamper its resolution. Retrospectively, we enrolled 57 patients undergoing surgery for severe POP. All patients had preoperative PVRV ≥ 100 ml documented by ultrasound and catheterization. Presurgical voiding difficulty, urodynamic and cystoscopic data, and surgical outcome were analyzed. The incidence of postsurgical elevated PVRV was 15.8% and 3.5% was symptomatic. Patients with postsurgical elevated PVRV had larger preoperative residual volume than those with normal postsurgical PVRV (P = 0.037). By multivariable analysis, concomitant anti-incontinence surgery was the single independent predictor of postsurgical elevated PVRV (odds ratio = 5.38, P = 0.031). A majority of patients with severe POP had their elevated PVRV resolved postoperatively. Although concomitant anti-incontinence surgery increased the risk of developing elevated PVRV after repair, most remained asymptomatic.
Literature
1.
go back to reference Bump RC, Fantl JA, Hurt WG (1988) The mechanism of urinary incontinence in women with severe uterovaginal prolapse: results of barrier studies. Obstet Gynecol 72:291–295PubMed Bump RC, Fantl JA, Hurt WG (1988) The mechanism of urinary incontinence in women with severe uterovaginal prolapse: results of barrier studies. Obstet Gynecol 72:291–295PubMed
2.
go back to reference Bergman A, Koonings PP, Ballard CA (1988) Predicting postoperative urinary incontinence in women undergoing operation for genitourinary prolapse. Am J Obstet Gynecol 158:1171–1175PubMed Bergman A, Koonings PP, Ballard CA (1988) Predicting postoperative urinary incontinence in women undergoing operation for genitourinary prolapse. Am J Obstet Gynecol 158:1171–1175PubMed
3.
go back to reference Fianu S, Kjaeldgaard A, Larsson B (1985) Preoperative screening for latent stress incontinence in women with cystocele. Neurourol Urodyn 4:3–7CrossRef Fianu S, Kjaeldgaard A, Larsson B (1985) Preoperative screening for latent stress incontinence in women with cystocele. Neurourol Urodyn 4:3–7CrossRef
4.
go back to reference Rosensweig BA, Soffici AR, Thomas S, Bhatia NN (1992) Urodynamic evaluation of voiding in women with cystocele. J Reprod Med 37:162–166 Rosensweig BA, Soffici AR, Thomas S, Bhatia NN (1992) Urodynamic evaluation of voiding in women with cystocele. J Reprod Med 37:162–166
5.
go back to reference Ramanzi LJ, Chaikin DC, Blavias JG (1999) The effect of genital prolapse on voiding. J Urol 161:581–586CrossRef Ramanzi LJ, Chaikin DC, Blavias JG (1999) The effect of genital prolapse on voiding. J Urol 161:581–586CrossRef
6.
go back to reference Liang CC, Chang YL, Chang SD, Lo TS, Soong YK (2004) Pessary test to predict postoperative urinary incontinence in women undergoing hysterectomy for prolapse. Obstet Gynecol 104:795–800PubMed Liang CC, Chang YL, Chang SD, Lo TS, Soong YK (2004) Pessary test to predict postoperative urinary incontinence in women undergoing hysterectomy for prolapse. Obstet Gynecol 104:795–800PubMed
7.
go back to reference Wall LL, Hewitt JK (1994) Urodynamic characteristics of women with complete posthysterectomy vaginal vault prolapse. Urology 44:336–341PubMedCrossRef Wall LL, Hewitt JK (1994) Urodynamic characteristics of women with complete posthysterectomy vaginal vault prolapse. Urology 44:336–341PubMedCrossRef
8.
go back to reference Coates KW, Harris RL, Cundiff GW, Bump RC (1997) Uroflowmetry in women with urinary incontinence and pelvic organ prolapse. Br J Urol 80:217–221PubMed Coates KW, Harris RL, Cundiff GW, Bump RC (1997) Uroflowmetry in women with urinary incontinence and pelvic organ prolapse. Br J Urol 80:217–221PubMed
9.
go back to reference Stanton SL, Ozsoy C, Hilton P (1983) Voiding difficulties in the female: prevalence, clinical and urodynamic review. Obstet Gynecol 61:144–147PubMed Stanton SL, Ozsoy C, Hilton P (1983) Voiding difficulties in the female: prevalence, clinical and urodynamic review. Obstet Gynecol 61:144–147PubMed
10.
go back to reference FitzGerald MP, Kulkarni N, Fenner D (2000) Postoperative resolution of urinary retention in patients with advanced pelvic organ prolapse. Am J Obstet Gynecol 183:1361–1364PubMedCrossRef FitzGerald MP, Kulkarni N, Fenner D (2000) Postoperative resolution of urinary retention in patients with advanced pelvic organ prolapse. Am J Obstet Gynecol 183:1361–1364PubMedCrossRef
11.
go back to reference Bump RC, Mattiasson A, Bo K, Brubaker LP, DeLancey JO, Klarskov P et al (1996) The standardization of terminology of female pelvic organ prolapse and pelvic floor dysfunction. Am J Obstet Gynecol 175:10–17PubMedCrossRef Bump RC, Mattiasson A, Bo K, Brubaker LP, DeLancey JO, Klarskov P et al (1996) The standardization of terminology of female pelvic organ prolapse and pelvic floor dysfunction. Am J Obstet Gynecol 175:10–17PubMedCrossRef
12.
go back to reference Liang CC, Tseng LH, Horng SG, Lin IW, Chang SD (2007) Correlation of pelvic organ prolapse quantification system scores with obstetric parameters and lower urinary tract symptoms in primiparae postpartum. Int Urogynecol J 18:537–41CrossRef Liang CC, Tseng LH, Horng SG, Lin IW, Chang SD (2007) Correlation of pelvic organ prolapse quantification system scores with obstetric parameters and lower urinary tract symptoms in primiparae postpartum. Int Urogynecol J 18:537–41CrossRef
13.
go back to reference Griffiths CJ, Murray A, Ramsden PD (1986) Accuracy and repeatability of bladder volume measurement using ultrasonic imaging. J Urol 136:808–812PubMed Griffiths CJ, Murray A, Ramsden PD (1986) Accuracy and repeatability of bladder volume measurement using ultrasonic imaging. J Urol 136:808–812PubMed
14.
go back to reference Axelrod SL, Blaivas JG (1987) Bladder neck obstruction in women. J Urol 137:497–499PubMed Axelrod SL, Blaivas JG (1987) Bladder neck obstruction in women. J Urol 137:497–499PubMed
15.
go back to reference Abrams P, Cardozo L, Fall M, Griffiths D, Rosier P, Ulmsten U et al (2002) The standardization of terminology of lower urinary tract function: report from the Standardization Sub-committee of the International Continence Society. Neurourol Urodynam 21:167–178CrossRef Abrams P, Cardozo L, Fall M, Griffiths D, Rosier P, Ulmsten U et al (2002) The standardization of terminology of lower urinary tract function: report from the Standardization Sub-committee of the International Continence Society. Neurourol Urodynam 21:167–178CrossRef
16.
go back to reference Ulmsten U, Henriksson L, Johnson P, Varhos G (1996) An ambulatory surgical procedure under local anesthesia for treatment of female urinary incontinence. Int Urogynecol J 7:81–86CrossRef Ulmsten U, Henriksson L, Johnson P, Varhos G (1996) An ambulatory surgical procedure under local anesthesia for treatment of female urinary incontinence. Int Urogynecol J 7:81–86CrossRef
17.
go back to reference Deval B, Levardon M, Samain E, Rafii A, Cortesse A, Amarenco G et al (2003) A French multicenter clinical trial of SPARC for stress urinary incontinence. Eur Urol 44:254–259PubMedCrossRef Deval B, Levardon M, Samain E, Rafii A, Cortesse A, Amarenco G et al (2003) A French multicenter clinical trial of SPARC for stress urinary incontinence. Eur Urol 44:254–259PubMedCrossRef
18.
go back to reference Shepherd AM, Powell PH, Ball AJ (1982) The place of urodynamic studies in the investigation and treatment of female urinary tract symptoms. J Obstet Gynaecol 3:123–125CrossRef Shepherd AM, Powell PH, Ball AJ (1982) The place of urodynamic studies in the investigation and treatment of female urinary tract symptoms. J Obstet Gynaecol 3:123–125CrossRef
19.
go back to reference Groutz A, Gordon D, Lessing JB, Wolman I, Jaffa A, David MP (1999) Prevalence and characteristics of voiding difficulties in women: are subjective symptoms substantiated by objective urodynamic data? Urology 54:268–272PubMedCrossRef Groutz A, Gordon D, Lessing JB, Wolman I, Jaffa A, David MP (1999) Prevalence and characteristics of voiding difficulties in women: are subjective symptoms substantiated by objective urodynamic data? Urology 54:268–272PubMedCrossRef
20.
go back to reference Stevenson KR (1996) Voiding dysfunction in women. Curr Opin Obstet Gynecol 8:343–346PubMed Stevenson KR (1996) Voiding dysfunction in women. Curr Opin Obstet Gynecol 8:343–346PubMed
21.
go back to reference Dwyer PL, Desmedt E (1994) Impaired bladder emptying in women. Aust NZ J Obstet Gynaecol 34:73–78CrossRef Dwyer PL, Desmedt E (1994) Impaired bladder emptying in women. Aust NZ J Obstet Gynaecol 34:73–78CrossRef
22.
go back to reference Lazarou G, Scotti RJ, Mikhail MS, Zhou HS, Powers K (2004) Pessary reduction and postoperative cure of retention in women with anterior vaginal wall prolapse. Int Urogynecol J 15:175–178CrossRef Lazarou G, Scotti RJ, Mikhail MS, Zhou HS, Powers K (2004) Pessary reduction and postoperative cure of retention in women with anterior vaginal wall prolapse. Int Urogynecol J 15:175–178CrossRef
23.
24.
go back to reference Dietz HP, Haylen BT, Vancaillie TG (2002) Female pelvic organ prolapse and voiding function. Int Urogynecol J 13:284–288CrossRef Dietz HP, Haylen BT, Vancaillie TG (2002) Female pelvic organ prolapse and voiding function. Int Urogynecol J 13:284–288CrossRef
25.
26.
go back to reference Vervest HA, Bisseling TM, Heintz AP, Schraffordt Koops SE (2007) The prevalence of voiding difficulty after TVT, its impact on quality of life, and related risk factors. Int Urogynecol J 18:173–182CrossRef Vervest HA, Bisseling TM, Heintz AP, Schraffordt Koops SE (2007) The prevalence of voiding difficulty after TVT, its impact on quality of life, and related risk factors. Int Urogynecol J 18:173–182CrossRef
27.
go back to reference Sokol AI, Jelovsek JE, Walters MD, Paraiso MF, Barber MD (2005) Incidence and predictors of prolonged urinary retention after TVT with and without concurrent prolapse surgery. Am J Obstet Gynecol 192:1537–1543PubMedCrossRef Sokol AI, Jelovsek JE, Walters MD, Paraiso MF, Barber MD (2005) Incidence and predictors of prolonged urinary retention after TVT with and without concurrent prolapse surgery. Am J Obstet Gynecol 192:1537–1543PubMedCrossRef
28.
go back to reference Partoll LM (2002) Efficacy of tension-free vaginal tape with other pelvic reconstructive surgery. Am J Obstet Gynecol 186:1292–1298PubMedCrossRef Partoll LM (2002) Efficacy of tension-free vaginal tape with other pelvic reconstructive surgery. Am J Obstet Gynecol 186:1292–1298PubMedCrossRef
Metadata
Title
Resolution of elevated postvoid residual volumes after correction of severe pelvic organ prolapse
Authors
Ching-Chung Liang
Ling-Hong Tseng
Shuenn-Dhy Chang
Yao-Lung Chang
Tsia-Shu Lo
Publication date
01-09-2008
Publisher
Springer-Verlag
Published in
International Urogynecology Journal / Issue 9/2008
Print ISSN: 0937-3462
Electronic ISSN: 1433-3023
DOI
https://doi.org/10.1007/s00192-008-0619-6

Other articles of this Issue 9/2008

International Urogynecology Journal 9/2008 Go to the issue