Improvement of overactive bladder after corrective surgery for pelvic organ prolapse
DOI:
https://doi.org/10.48193/revistamexicanadeurologa.v81i3.749Keywords:
Overactive bladder, pelvic organ prolapse, corrective surgery, OAB-V8Abstract
Aim: To evaluate improvement in overactive bladder, after corrective surgery for pelvic organ prolapse.
Methodology: A descriptive cross-sectional study included 215 patients with overactive bladder and pelvic organ prolapse that underwent corrective surgery for the prolapse. The OAB-V8 questionnaire was applied to the patients preoperatively and 3 months after surgery. The results were reported in frequency and percentage tables and the variables were compared using inferential statistics (95% CI, p<0.05).
Results: There was partial symptom improvement in 89.3% (192) of the patients, complete improvement in 2.3% (5), and a worsening of symptoms in 8.4% (18). No association with the postoperative result was found, with respect to the initial grade of prolapse or the type of surgery performed.
Limitations: The study was retrospective, nonrandomized, and carried out at a single center. None of the patients had a urodynamic evaluation.
Originality or value: Overactive bladder affects 33 million women. Pelvic organ prolapse presents in 50% of women after childbirth and 40% of those patients have overactive bladder. Even though overactive bladder is treated medically, its symptoms have improved after the surgical correction of pelvic organ prolapse.
Conclusions: Surgical treatment of pelvic organ prolapse provided satisfactory results in improving overactive bladder symptomatology, with few complications. There were no differences, regarding prolapse grade or the surgical technique employed.
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