Following pelvic organ prolapse (POP) surgery, ~61% of patients had resolution of overactive bladder (OAB) symptoms, whether or not an incontinence procedure was performed. This according to a retrospective, single-institution study involving women undergoing prolapse surgery with and without concomitant midurethral sling from 2011 to 2016. The primary outcome was rate of resolution in OAB symptoms after POP surgery with and without midurethral sling. Researchers found:
- 203 patients were included in the analysis.
- Among those with baseline OAB symptoms, 103 (61%) had symptom resolution, whereas 66 (39.1%) reported persistent symptoms.
- Older age was significantly related to persistent OAB symptoms in both univariate and multivariate models.
- The rate of de novo OAB symptoms was 6%.
Johnson JR, High RA, Dziadek O, et al. Overactive bladder symptoms after pelvic organ prolapse repair. [Published online ahead of print January 23, 2019]. Female Pelvic Med Reconstr Surg. doi:10.1097/SPV.0000000000000700.
This Week's Must Reads
Must Reads in Pelvic Floor Dysfunction
Apical Suspension at the Time of Vaginal Hysterectomy, Female Pelvic Med Reconstr Surg; ePub 2019 Feb 21; Sheyn, et al
Activity After Gynecologic & Pelvic Reconstructive Surgery, Female Pelvic Med Reconstr Surg; ePub 2019 Jan 30; Winkelman, et al
Overactive Bladder Symptoms After POP Surgery, Female Pelvic Med Reconstr Surg; ePub 2019 Jan 23; Johnson, et al