Effects of Pelvic Organ Prolapse on the Bladder

被引：0
作者：
Jaunarena J.H. [1 ]
Kowalik C.G. [2 ]
Delpe S.D. [2 ]
Kaufman M.R. [2 ]
Dmochowski R.R. [2 ]
Stuart Reynolds W. [2 ]
机构：
[1] Hospital Italiano de Buenos Aires, Buenos Aires
[2] A1302 Medical Center North, Department of Urologic Surgery, Vanderbilt University Medical Center, Nashville, 37232, TN
来源：
Current Bladder Dysfunction Reports | 2018年 / 13卷 / 3期
关键词：
Bladder outlet obstruction; Overactive bladder; Pelvic floor dysfunction; Pelvic floor surgery; Pelvic organ prolapse;
D O I：
10.1007/s11884-018-0473-4
中图分类号：
学科分类号：
摘要：
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. © 2018, Springer Science+Business Media, LLC, part of Springer Nature.
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页码：118 / 124
页数：6
相关论文
共 57 条
  • [1] Olsen A.L., Smith V.J., Bergstrom J.O., Colling J.C., Clark A.L., Epidemiology of surgically managed pelvic organ prolapse and urinary incontinence, Obstet Gynecol, 89, pp. 501-506, (1997)
  • [2] Wu J.M., Matthews C.A., Conover M.M., Pate V., Funk M.J., Lifetime risk of stress urinary incontinence or pelvic organ prolapse surgery, Obstet Gynecol, 123, pp. 1201-1206, (2014)
  • [3] Wu J.M., Kawasaki A., Hundley A.F., Dieter A.A., Myers E.R., Sung V.W., Predicting the number of women who will undergo incontinence and prolapse surgery, 2010 to 2050, Am J Obstet Gynecol, 205, pp. 230.e1-230.e5, (2011)
  • [4] Lamblin G., Delorme E., Cosson M., Rubod C., Cystocele and functional anatomy of the pelvic floor: review and update of the various theories, Int Urogynecol J, 27, pp. 1297-1305, (2015)
  • [5] DeLancey J.O., Anatomic aspects of vaginal eversion after hysterectomy, Am J Obstet Gynecol, 166, pp. 1717-1724, (1992)
  • [6] Delancey J.O., Structural support of the urethra as it relates to stress urinary incontinence: the hammock hypothesis, Am J Obstet Gynecol, 170, pp. 1713-1720, (1994)
  • [7] DeLancey J.O.L., Whatʼs new in the functional anatomy of pelvic organ prolapse?, Curr Opin Obstet Gynecol, 28, pp. 420-429, (2016)
  • [8] Petros P.E.P., Woodman P.J., The integral theory of continence, Int Urogynecol J Pelvic Floor Dysfunct, 19, pp. 35-40, (2008)
  • [9] Petros P., Review articles The integral system, Central Eur J Urol, 64, pp. 110-119, (2011)
  • [10] Heilbrun M.E., Nygaard I.E., Lockhart M.E., Richter H.E., Brown M.B., Kenton K.S., Et al., Correlation between levator ani muscle injuries on magnetic resonance imaging and fecal incontinence, pelvic organ prolapse, and urinary incontinence in primiparous women, Am J Obstet Gynecol, 202, pp. 488.e1-488.e6, (2010)
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