INTRODUCTION:We used quantitative parameters obtained during the voiding phase, urinary symptoms and sexual functioning to investigate the symptomatic and functional changes after cystocele repair with a polypropylene mesh.
PATIENTS AND METHODS: The maximum urinary flow rate (Qmax), residual urine (RU) volume and two symptom questionnaires, the Urinary Distress Inventory (UDI-6) and the Female Sexual Function Index (FSFI), were used to retrospectively evaluate 39 consecutive cystocele patients before and 6 months after surgery.
RESULTS:Q(max), RU and FSFI were not significantly different (p = 0.366, 0.286 and 0.100, respectively) pre- and postoperatively, but the UDI-6 score had significantly improved (p < 0.001) 6 months after the cystocele repair. A concomitant sling procedure was significantly correlated with changes in the UDI-6 score (p < 0.001); the patients without stress urinary incontinence (SUI) who underwent cystocele repair only showed no symptomatic improvements in the UDI-6 score (p = 0.560).
CONCLUSIONS: Correction of SUI resulted in urinary symptom improvement in cystocele patients. Cystocele repair with or without sling placement did not change Qmax, RU or sexual functioning at the 6-month follow-up.
Written by:
Lee DS, Park DC, Choe HS, Choi JB, Lee SJ. Are you the author?
Department of Urology, St. Vincent's Hospital, The Catholic University of Korea, College of Medicine, Suwon, South Korea.
Reference: Urol Int. 2012;88(4):415-22.
doi: 10.1159/000336868
PubMed Abstract
PMID: 22627107
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