Associated pelvic organ prolapse in women with stress urinary incontinence: when to operate?

被引:10
作者
Latini, JM
Kreder, KJ
机构
[1] Univ Michigan, Dept Urol, Taubman Hlth Care Ctr 3887, Ann Arbor, MI 48106 USA
[2] Univ Iowa, Dept Urol, Iowa City, IA 52242 USA
关键词
pelvic organ prolapse; stress urinary incontinence; woman;
D O I
10.1097/01.mou.0000179760.45715.9b
中图分类号
R5 [内科学]; R69 [泌尿科学(泌尿生殖系疾病)];
学科分类号
1002 ; 100201 ;
摘要
Purpose of review This review discusses recently published data concerning the indications for pelvic organ prolapse (POP) surgery in women who present with stress urinary incontinence (SUI). Recent findings POP can functionally mask SUI. Surgery for POP may unmask occult SUI in many women. Clinically continent women undergoing POP surgery are at risk for developing symptomatic SUI postoperatively. Preoperative identification of occult (and overt) SUI will facilitate the use of an appropriate prophylactic anti-incontinence procedure at the time of prolapse repair. Numerous studies on the preoperative prediction of SUI following repair of POP have been conducted in an effort to determine whether concomitant prophylactic measures should be taken at the time of POP repair to prevent the postoperative unmasking of SUI in women who do not have SUI preoperatively (with or without prolapse reduction). Although the literary evidence available is not sufficient for POP with occult SUI, there is some information available to guide clinicians in deciding when to perform concurrent POP surgery in women who are undergoing primary surgery for SUI. Summary The intended goal of surgical correction of SUI and POP is durable restoration of normal anatomy and function, with symptomatic relief and avoidance of morbidity. Recommendations regarding when to surgically intervene for POP in women who present with SUI are based on the available literature although contemporary studies are few and include small numbers of patients with no controls. Long-term, randomized, controlled prospective studies of large numbers of patients are indicated.
引用
收藏
页码:380 / 385
页数:6
相关论文
共 53 条
[21]   Laparoscopic sacrocolpopexy with two separate meshes along the anterior and posterior vaginal walls for multicompartment pelvic organ prolapse [J].
Gadonneix, P ;
Ercoli, A ;
Salet-Lizée, D ;
Cotelle, O ;
Bolner, B ;
Van Den Akker, M ;
Villet, R .
JOURNAL OF THE AMERICAN ASSOCIATION OF GYNECOLOGIC LAPAROSCOPISTS, 2004, 11 (01) :29-35
[22]   Porcine dermis interposition graft for repair of high grade anterior compartment defects with or without concomitant pelvic organ prolapse procedures [J].
Gomelsky, A ;
Rudy, DC ;
Dmochowski, RR .
JOURNAL OF UROLOGY, 2004, 171 (04) :1581-1584
[23]   Tension-free vaginal tape (TVT) for the treatment of occult stress urinary incontinence in women undergoing prolapse repair: A prospective study of 100 consecutive cases [J].
Groutz, A ;
Gold, R ;
Pauzner, D ;
Lessing, JB ;
Gordon, D .
NEUROUROLOGY AND URODYNAMICS, 2004, 23 (07) :632-635
[24]   Conservative management of pelvic organ prolapse in women [J].
Hagen, S. ;
Stark, D. ;
Maher, C. ;
Adams, E. .
COCHRANE DATABASE OF SYSTEMATIC REVIEWS, 2006, (04)
[25]  
HARRIS TA, 1990, J REPROD MED, V35, P792
[26]   Estrogen receptor in pelvic floor tissues in patients with stress urinary incontinence [J].
Lan, Z ;
Lang, JH ;
Ruie, F ;
Chen, M ;
Wong, F .
INTERNATIONAL UROGYNECOLOGY JOURNAL, 2004, 15 (05) :340-343
[27]   Female stress urinary incontinence clinical guidelines panel summary report on surgical management of female stress urinary incontinence [J].
Leach, GE ;
Dmochowski, RR ;
Appell, RA ;
Blaivas, JG ;
Hadley, HR ;
Luber, KM ;
Mostwin, JL ;
ODonnell, PD ;
Roehrborn, CG .
JOURNAL OF UROLOGY, 1997, 158 (03) :875-880
[28]   Surgical complications and medium-term outcome results of tension-free vaginal tape: A prospective study of 313 consecutive patients [J].
Levin, I ;
Groutz, A ;
Gold, R ;
Pauzner, D ;
Lessing, JB ;
Gordon, D .
NEUROUROLOGY AND URODYNAMICS, 2004, 23 (01) :7-9
[29]   Pessary test to predict postoperative urinary incontinence in women undergoing hysterectomy for prolapse [J].
Liang, CC ;
Chang, YL ;
Chang, SD ;
Lo, TS ;
Soong, YK .
OBSTETRICS AND GYNECOLOGY, 2004, 104 (04) :795-800
[30]   Tension-free vaginal tape proceduves in women with stress urinary incontinence with and without co-existing genital prolapse [J].
Lo, TS .
CURRENT OPINION IN OBSTETRICS & GYNECOLOGY, 2004, 16 (05) :399-404