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Do overactive bladder symptoms improve after repair of anterior vaginal wall prolapse?

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Abstract

This study aims to evaluate the changes of overactive bladder symptoms to anterior vaginal wall prolapse repair. Ninety-three consecutive women with symptomatic anterior vaginal wall prolapse ≥ stage II and coexistent overactive bladder symptoms were prospectively studied using a urinalysis, urodynamics, King’s Health Questionnaire (KHQ), Prolapse Quality of Life (P-QOL) questionnaire and pelvic organ prolapse quantification (POP-Q) system before and 1 year after surgery. All women underwent a standard fascial anterior repair. Postoperatively, urinary frequency, urgency and urge incontinence disappeared in 60, 70 and 82% of women respectively (p value < 0.001). The vaginal examination findings as well as the quality of life of the women assessed using KHQ and P-QOL significantly improved after surgery (p value < 0.001). This study has demonstrated that anterior vaginal repair does produce significant improvement in overactive bladder symptoms. A larger longer-term study is required to assess if these changes persist over time.

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Authors and Affiliations

  1. Urogynaecology Unit, Buzzi Hospital, ICP, Milan, Italy

    G. Alessandro Digesu

  2. Urogynaecology Unit, Del Ponte Hospital, Varese, Italy

    Stefano Salvatore

  3. Urogynaecology Unit, Imperial College, St.Mary’s Hospital, London, UK

    Charlotte Chaliha & Vik Khullar

  4. Urogynaecology Unit, Department Of Obstetrics and Gynaecology I, Alexandra Hospital, Athens, Greece

    Stavros Athanasiou

  5. Urogynaecology Unit, Bassini Hospital, Milan, Italy

    Rodolfo Milani

  6. Via Bottalico 59, Bari, 70124, Italy

    G. Alessandro Digesu

Authors
  1. G. Alessandro Digesu
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  2. Stefano Salvatore
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  3. Charlotte Chaliha
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  4. Stavros Athanasiou
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  5. Rodolfo Milani
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  6. Vik Khullar
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Correspondence to G. Alessandro Digesu.

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Digesu, G.A., Salvatore, S., Chaliha, C. et al. Do overactive bladder symptoms improve after repair of anterior vaginal wall prolapse?. Int Urogynecol J 18, 1439–1443 (2007). https://doi.org/10.1007/s00192-007-0375-z

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  • DOI: https://doi.org/10.1007/s00192-007-0375-z

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