Role of urodynamics in evaluation of lower urinary tract dysfunction in women of pelvic organ prolapse

Authors

  • Neha Khatik Department of Obstetrics and Gynecology, Shyam Shah Medical College and Sanjay Gandhi Hospital, Rewa, Madhya Pradesh, India
  • Ratna Biswas Department of Obstetrics and Gynecology, Lady Hardinge Medical College and Smt. Sucheta Kriplani Hospital New Delhi, India

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20203858

Keywords:

Detrusor overactivity, Lower urinary tract dysfunction, Stress urinary incontinence, Urodynamic study, Utero-vaginal prolapse

Abstract

Background: Utero-vaginal prolapse is a common gynecological disorder, result from weakness of musculoskeletal structure that support the pelvic organ. Although it is not an emergency situation but severely affect the quality of life. Women with utero-vaginal prolapse may present with lower urinary tract dysfunction but association of urological changes with UV prolapse and beneficial effect of surgery on these changes is still debatable. Urodynamic study such as cystometry and uroflowmetry help in better understanding of lower urinary tract dysfunction and assist to plan appropriate surgical management thereby reduce chances of postoperative voiding dysfunction.

Methods: A total of 30 women of pelvic organ prolapse with lower urinary tract dysfunction, over a period of one year, were subjected to urodynamic studies after thorough evaluation by history, examination and standardized questionnaire both pre and post operatively and data analysed.

Results: In present study, urodynamic study identified urinary dysfunction in 93.34% of women recruited in study. Obstruction was present in 36.67% of women. Detrusor overactivity along with obstruction was seen in 20.00% of women. Urodynamic stress incontinence and urodynamic stress incontinence along with obstruction was identified in 13.33% of women each and detrusor overactivity was observed in 10.00% of women.

Conclusions: In present study it was found that, if surgical management of pelvic organ prolapse is planned according to urodynamic study, it will improve urologic profile of patients. To conclude that urodynamic study should be an integral part of diagnostic work up of uterovaginal prolapse patients require larger sample size and at least 6 months follow-up duration after surgery.

Author Biographies

Neha Khatik, Department of Obstetrics and Gynecology, Shyam Shah Medical College and Sanjay Gandhi Hospital, Rewa, Madhya Pradesh, India

ASSISTANT PROFESSOR

DEPARTMENT OF OBSTETRICS AND GYNECOLOGY

Ratna Biswas, Department of Obstetrics and Gynecology, Lady Hardinge Medical College and Smt. Sucheta Kriplani Hospital New Delhi, India

PROFESSOR

DEPARTMENT OF OBSTETRICS AND GYNECOLOGY

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Published

2020-08-27

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Original Research Articles