A Predictive Factor in Overactive Bladder Symptoms Improvement after Combined Anterior Vaginal Wall Prolapse Repair: A Pilot Study
이동민, 류영우, Lee Yong-Taec, 안승현, 한준현, 염승희,
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이동민 ( Lee Dong-Min )
Hanil General Hospital KEPCO Medical Foundation Department of Urology
류영우 ( Ryu Young-Woo )
Hanil General Hospital KEPCO Medical Foundation Department of Urology
( Lee Yong-Taec )
Hanil General Hospital KEPCO Medical Foundation Department of Urology
안승현 ( Ahn Seung-Hyun )
Hanil General Hospital KEPCO Medical Foundation Department of Urology
한준현 ( Han June-Hyun )
Hanil General Hospital KEPCO Medical Foundation Department of Urology
염승희 ( Yum Seung-Hee )
Hanil General Hospital KEPCO Medical Foundation Department of Urology
KMID : 0358320120530060405
Abstract
Purpose: We aimed to determine whether a preoperative urodynamic parameter is a valuable predictor for the persistence of OAB symptoms after the AVP repair.
Materials and Methods: 65 OAB patients with concomitant POP-Q stage III, IV anterior vaginal wall prolapse underwent a surgical repair were involved. All the patients were subjected to a preoperative urodynamic study, for whom the OABSS on questionnaire were preoperatively recorded. We firstly analyzed the correlation between the BOOI and the OABSS, then randomly divided patients into two groups: the group A (high PdetQmax, BOOI≥20) and the group B (low PdetQmax, BOOI<20). In each group, the OABSS was repeatedly measured post-operatively and the change were analyzed.
Results: 31 patients were classified as the group A and 34 patients were classified as the group B. The group B showed significant decrease of symptom score in daytime frequency (p<0.01), urgency (p=0.04), urge incontinence (p=0.03), nocturnal frequency (p=0.01) and total score (p=0.01). The group A showed no significant decrease of symptom score in daytime frequency (p=0.42), urgency (p=0.61), urge incontinence (p=0.3), total score (p=0.15) except nocturnal frequency (p=0.01).
Conclusions: A preoperative pressure-flow study can be a valuable tool in predicting the OAB symptoms change after the combined AVP repair. While the AVP repair leads to the improvement of OAB symptoms generally, some patients with a higher preoperative PdetQmax are still in need of the additional medical treatment.
키워드
Pelvic organ prolapse; Urinary bladder; overactive
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