2013, Number 12
<< Back Next >>
Ginecol Obstet Mex 2013; 81 (12)
Relationship between urinary incotinence and pelvic organ prolapse
Macotela-Nakagaki KA, Suárez PH, Valente-Acosta B, Chabat-Manzanera P
Language: Spanish
References: 8
Page: 711-715
PDF size: 473.15 Kb.
ABSTRACT
Background: Urinary incontinence affects up to 70% of
women and pelvic organ prolapse has a prevalence of 41%
in postmenopausal women over 60 years, but most are not
clinically affected.
Objective: Sought to assess the relationship of pelvic organ
prolapse in patients with urinary incontinence diagnosed by
urodynamic and which of the sub-types is related to a greater
extent.
Material and methods: We performed an observational,
retrospective, descriptive, in which we reviewed records of
patients with symptoms of urinary incontinence undergoing
urodynamic study, evaluating a total of 85 patients.
Results: Prolapse was noted in mixed incontinence by 80%,
compared to 46.9% with urge incontinence or stress incontinence
34.9%, p 0.034. 89.5% of women with prolapse had
some form of incontinence, associated with an OR = 2.38 (CI
1844-3078, p = 0.023).
REFERENCES
Olsen AL, Smith VJ, Bergstrom JO, Colling JC, Clark AL. Epidemiology of surgically managed pelvic organ prolapse and urinary incontinence. Obstet Gynecol 1997;89:501-506.
Abrams P, Cardozo L, Khoury S, Wein A, editors. Incontinence. 2nd ed. Plymouth, UK: Health Publication Ltd; 2002. (Level III)
Hannestad YS, Rortveit G, Sandvik H, Hunskaar S. A community based epidemiological survey of female urinary incontinence: the Norwegian EPINCONT study. Epidemiology of Incontinence in the County of Nord- Trondelag. J Clin Epidemiol 2000;53:1150-1157. (Level II-3)
Jack GS, Nikolova G, Vilain E, Raz S, Rodriguez LV. Familial transmission of genitovaginal prolapse. Int Urogynecol J Pelvic Floor Dysfunct 2006;17:498-501.
Dimpfl T, Jaeger C, Mueller-Felber W, et al. Myogenic changes of the levator ani muscle in premenopausal women: the impact of vaginal delivery and age. Neurourol Urodyn 1998;17:197.
Abrams P, Cardozo L, Fall M, et al. The standardization of terminology of lower urinary tract function: report from the Standardization Sub-committee of the International Continence Society. Am J Obstet Gynecol 2002;187:116- 126.
Harvey MA, Versi E. Predictive value of clinical evaluation of stress urinary incontinence: a summary of the published literature. Int Urogynecol J Pelvic Floor Dys Funct 2001;12:31-7.
Griffiths D, Kondo A, Bauer S, et al. Dynamic testing. In: Abrams P, Cardozo L, Khoury S, editors. Incontinence (3rd International Consultation on Incontinence). Paris: Health Publications, 2005;585-674.