Does cystocele have a role in bladder outlet obstruction?

被引：2

作者：

Lopez Gonzalez, P. A. ^{[1
]}

Lopez Lopez, A. I. ^{[1
]}

Lopez Cubillana, P. ^{[1
]}

Escudero Bregante, F. ^{[1
]}

Donate Iniguez, G. ^{[1
]}

Ruiz Morcillo, J. C. ^{[1
]}

Perez Albacete, M. ^{[1
]}

机构：

[1] Hosp Virgen Arrixaca, Serv Urol, Murcia, Spain

来源：

ACTAS UROLOGICAS ESPANOLAS | 2010年 / 34卷 / 02期

关键词：

Pelvic organ prolapse; Cystocele; Bladder outlet obstruction; Urodynamics; WOMEN; NOMOGRAM;

D O I：

暂无

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：

Introduction: Controversy exists as to whether cystocele has a causative role in bladder outlet obstruction (BOO). Objective: To assess the relationship between cystocele and bladder outlet obstruction. Materials and methods: Two hundred women undergoing a urodynamic study from December 2007 to December 2008 were retrospectively assessed. Patients were divided into two groups: Group A: Patients with no cystocele (Grade 0) and Grade I cystocele Group B: Patients with Grade II-IV cystocele. Exclusion criteria: 1. Absence of flowmetry or voided volume < 150 ml. 2. Neurological disorders. 3. History of urogenital surgery. Bladder outlet obstruction was defined as follows: Postvoid residue (PVR) > 20%; peak flow (Qmax) < 15 ml/sec; detrusor pressure at maximum flow (PdetQmax) > 25 cm H2O. Results: Group A included 64% of patients, and Group B the remaining 36%. A pathological PVR > 20% was found in 26.6% and 40.3% of patients in Group A and Group B respectively (p=0.04). A Qmax < 15 mL/sec was seen in 15.6% and 27.8% of Group A and Group B patients respectively (p=0.03). A PdetQmax > 25 cm H2O was found in 26.3% and 47.8% of Group A and Group B patients respectively (p=0.01). Conclusions: A statistically significant association exists between cystocele and bladder outlet obstruction. (C) 2009 AEU. Published by Elsevier Espana, S.L. All rights reserved.

引用

页码：189 / 193

页数：5

共 15 条

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