Login Register Cart 0
Generic placeholder image

Current Women`s Health Reviews

Editor-in-Chief

ISSN (Print): 1573-4048
ISSN (Online): 1875-6581

Back
Journal Home About Journal Editorial Board Journal Insight Current Issue Volumes/Issues
Subscribe
Research Article

Is Stress Urinary Incontinence Symptom Determined by the Severity of Anterior Compartment Prolapse?

Author(s): Fernandi Moegni*, Adri Dwi Anggayana, Seno Adjie, Surahman Hakim and Tyas Priyatini

Volume 20, Issue 3, 2024

Published on: 05 June, 2023

Article ID: e070423215545 Pages: 4

DOI: 10.2174/1573404820666230407114456

Price: $65

Abstract

Background: Stress urinary incontinence (SUI) and pelvic organ prolapse (POP) would develop simultaneously because of the same etiopathogenesis of pelvic floor weakness. Some studies have said the association between SUI symptoms may be determined by the degree of anterior compartment prolapse. Then some incidences of occult SUI could also mask the symptom of SUI in the severe stage of POP.

Methods: A total of 32 women diagnosed with POP and SUI from the urogynecology clinic were included in a cross-sectional study between 2019 and 2020. The degree of anterior compartment prolapse was measured using the POP-Q system (Ba point), while SUI's severity was measured using a 1- hour pad test in grams. The correlation between the severity of SUI (with the occurrence of occult SUI) and the anterior compartment prolapse was analyzed.

Results: No correlation was observed between the degree of anterior compartment prolapse and SUI degree (r = 0.240, p = 0.182). Occult SUI was found in only 5/24 (20.8%) grade III and IV anterior compartment prolapse cases.

Conclusion: SUI symptom was not determined by the severity of anterior compartment prolapse. The prevalence of occult SUI in severe POP was also low.

Keywords: Pelvic organ prolapse, urinary incontinence, stress urinary incontinence, POP-Q, urogynecology, hypermobility of urethra.

Graphical Abstract

[1]
Hendrix, S.L.; Clark, A.; Nygaard, I.; Aragaki, A.; Barnabei, V.; McTiernan, A. Pelvic organ prolapse in the women’s health initiative: Gravity and gravidity. Am. J. Obstet. Gynecol., 2002, 186(6), 1160-1166.
[http://dx.doi.org/10.1067/mob.2002.123819] [PMID: 12066091]
[2]
Cheon, C.; Maher, C. Economics of pelvic organ prolapse surgery. Int. Urogynecol. J. Pelvic Floor Dysfunct., 2013, 24(11), 1873-1876.
[http://dx.doi.org/10.1007/s00192-013-2178-8] [PMID: 24142062]
[3]
Von Bargen, E.; Patterson, D. Cost utility of the treatment of stress urinary incontinence. Female Pelvic Med. Reconstr. Surg., 2015, 21(3), 150-153.
[http://dx.doi.org/10.1097/SPV.0000000000000159] [PMID: 25679355]
[4]
Nygaard, I.; Barber, M.D.; Burgio, K.L.; Kenton, K.; Meikle, S.; Schaffer, J.; Spino, C.; Whitehead, W.E.; Wu, J.; Brody, D.J. Prevalence of symptomatic pelvic floor disorders in US women. JAMA, 2008, 300(11), 1311-1316.
[http://dx.doi.org/10.1001/jama.300.11.1311] [PMID: 18799443]
[5]
Wai, C.Y.; Rahn, D.D. Urinary incontinence. In: Williams Gynecology, 3rd ed; Hoffman, B.L.; Schorge, J.O.; Bradshaw, K.D.; Halvorson, L.M.; Schaffer, J.I.; Corton, M.M., Eds.; McGraw-Hill Medical: New York, 2016; pp. 513-535.
[6]
DeLancey, J.O.L. The pathophysiology of stress urinary incontinence in women and its implications for surgical treatment. World J. Urol., 1997, 15(5), 268-274.
[http://dx.doi.org/10.1007/BF02202011] [PMID: 9372577]
[7]
Cundiff, GW The pathophysiology of stress urinary incontinence: A historical perspective. Rev Urol., 2004, 6(3), S10-S18.
[8]
Hextall, A.; Boos, K.; Cardozo, L.; Toozs-Hobson, P.; Anders, K.; Khullar, V. Videocystourethrography with a ring pessary in situ. A clinically useful preoperative investigation for continent women with urogenital prolapse? Int. Urogynecol. J. Pelvic Floor Dysfunct., 1998, 9(4), 205-209.
[http://dx.doi.org/10.1007/BF01901605] [PMID: 9795825]
[9]
Reena, C.; Kekre, A.N.; Kekre, N. Occult stress incontinence in women with pelvic organ prolapse. Int. J. Gynaecol. Obstet., 2007, 97(1), 31-34.
[http://dx.doi.org/10.1016/j.ijgo.2006.12.011] [PMID: 17291508]
[10]
Al-Mandeel, H.; Al-Badr, A. Management of occult stress urinary incontinence with prolapse surgery. Minerva Ginecol., 2013, 65(4), 417-424.
[PMID: 24051941]
[11]
Buchsbaum, G.M. Urinary incontinence and pelvic organ prolapse. Minerva Urol. Nefrol., 2006, 58(4), 311-319.
[PMID: 17268396]
[12]
Davenport, MT; Sokol, ER; Comiter, CV; Elliot, CS Does the degree of cystocele predict de novo stress urinary incontinence after prolapse repair? further analysis of the colpopexy and urinary reduction efforts trial. Female Pelvic Reconstr. Surgery., 2017, 24(4), 292-294.
[http://dx.doi.org/10.1097/SPV.0000000000000487] [PMID: 28953571]
[13]
Bai, S.W.; Jeon, M.J.; Kim, J.Y.; Chung, K.A.; Kim, S.K.; Park, K.H. Relationship between stress urinary incontinence and pelvic organ prolapse. Int. Urogynecol. J. Pelvic Floor Dysfunct., 2002, 13(4), 256-260.
[http://dx.doi.org/10.1007/s001920200053] [PMID: 12189431]
[14]
Richardson, D.A.; Bent, A.E.; Ostergard, D.R. The effect of uterovaginal prolapse on urethrovesical pressure dynamics. Am. J. Obstet. Gynecol., 1983, 146(8), 901-905.
[http://dx.doi.org/10.1016/0002-9378(83)90961-4] [PMID: 6683932]
[15]
Ghose, S.; Nemakallu, S.R. Study of occult stress urinary incontinence in pelvic organ prolapse. Int. J. Reprod. Contracept. Obstet. Gynecol., 2017, 6(4), 1392-1397.
[http://dx.doi.org/10.18203/2320-1770.ijrcog20171397]
[16]
Bø, K.; Talseth, T.; Holme, I. Single blind, randomised controlled trial of pelvic floor exercises, electrical stimulation, vaginal cones, and no treatment in management of genuine stress incontinence in women. BMJ, 1999, 318(7182), 487-493.
[http://dx.doi.org/10.1136/bmj.318.7182.487] [PMID: 10024253]

Rights & Permissions Print Cite
Article Metrics
10
2
© 2024 Bentham Science Publishers | Privacy Policy