Effects of Pelvic Organ Prolapse on the Bladder

Effects of Pelvic Organ Prolapse on the Bladder Purpose of Review To assess how pelvic organ prolapse (POP) and treatment affect bladder function. Recent Findings There is significant overlap between POP and bladder symptoms, including urinary incontinence and overactive bladder. POP may result in bladder outlet obstruction (BOO) secondary to urethral kinking, which may result in overactive bladder (OAB), dysfunctional voiding, and occult or de novo stress urinary incontinence (SUI). Improvements in obstructive symptoms and dysfunctional voiding after POP surgery suggest that pelvic floor reconstruction restores pelvic floor anatomic structure and function. Furthermore, correction of anatomic structure also seems to improve OAB symptoms, although a direct causative link has yet to be established. Summary Pelvic floor syndromes should be interpreted as a whole. POP, OAB, urinary incontinence, BOO, and dysfunctional voiding are all part of pelvic floor syndromes, coexisting and interacting to manifest different symptoms before and after POP treatment. . . . . Keywords Pelvic organ prolapse Overactive bladder Bladder outlet obstruction Pelvic floor surgery Pelvic floor dysfunction Introduction of the continence mechanism [6]. DeLancey describes two major causes of POP: levator ani muscle injury during childbirth Previously, the lifetime risk of undergoing a single operation and failure of the vaginal lateral connective tissue [6, 7]. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Current Bladder Dysfunction Reports Springer Journals
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Publisher
Springer US
Copyright
Copyright © 2018 by Springer Science+Business Media, LLC, part of Springer Nature
Subject
Medicine & Public Health; Urology; Geriatrics/Gerontology; Gynecology
ISSN
1931-7212
eISSN
1931-7220
D.O.I.
10.1007/s11884-018-0473-4
Publisher site
See Article on Publisher Site

Abstract

Purpose of Review To assess how pelvic organ prolapse (POP) and treatment affect bladder function. Recent Findings There is significant overlap between POP and bladder symptoms, including urinary incontinence and overactive bladder. POP may result in bladder outlet obstruction (BOO) secondary to urethral kinking, which may result in overactive bladder (OAB), dysfunctional voiding, and occult or de novo stress urinary incontinence (SUI). Improvements in obstructive symptoms and dysfunctional voiding after POP surgery suggest that pelvic floor reconstruction restores pelvic floor anatomic structure and function. Furthermore, correction of anatomic structure also seems to improve OAB symptoms, although a direct causative link has yet to be established. Summary Pelvic floor syndromes should be interpreted as a whole. POP, OAB, urinary incontinence, BOO, and dysfunctional voiding are all part of pelvic floor syndromes, coexisting and interacting to manifest different symptoms before and after POP treatment. . . . . Keywords Pelvic organ prolapse Overactive bladder Bladder outlet obstruction Pelvic floor surgery Pelvic floor dysfunction Introduction of the continence mechanism [6]. DeLancey describes two major causes of POP: levator ani muscle injury during childbirth Previously, the lifetime risk of undergoing a single operation and failure of the vaginal lateral connective tissue [6, 7].

Journal

Current Bladder Dysfunction ReportsSpringer Journals

Published: May 30, 2018

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