Urgent incontinence after pelvic organ prolapse repair

1 Moscow State University of Medicine and Dentistry, Dept. of Urology, Moscow, Russia

Introduction & Objectives

Aim of this study was to estimate prevalence of urgent incontinence in patients after surgical correction of pelvic organ prolapse (POP) by the vaginal approach.

Material & Methods

This study included 70 women suffering from POP (cystocele grade 2-4 by POP-Q) who underwent transvaginal surgical repair with native tissues (group 1, n=23) or using mesh (group 2, n=47). The choice of surgical method was randomly regarding to the patient’s continence status. The study was approved by the local ethics committee, and all patients provided signed informed consent. For evaluation of continence, the UDI-6 questionnaire was used at the baseline and within 3 months after surgical treatment of POP during office visits.

Results

According to UDI-6 data up to 43% of all patients complained of urine leakage related to the feeling of urgency at the baseline. In group 1 and 2 that symptom occurred in 39% and 45% patients, respectively. During follow-up period there were no cases of prolapse recurrence. At 3 months after operation statistically significant decrease of urgency incontinence was observed in overall patients (24% (17/70) vs 43% (30/70), p=0.0209). In the group with mesh repair an improvement was more significant than in those patients were native tissue repair was done: 21% (10/47) vs 45% (21/47),( p=0.0169) versus 30% (7/23) vs 39% (9/23),( p= 0,7266) respectively.

Conclusions

Surgical correction of pelvic organ prolapse (POP) by the vaginal approach can lead to improvement of storage bladder symptoms. Mesh implants for pelvic organ repair did not deteriorate lower urinary tract symptoms.