| Irritative symptoms after colposuspension: are they due to distortion or overelevation of the anterior vaginal wall and trigone? | |
| | |
MedLine Citation:
|
PMID: 11569650 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
Symptoms of bladder irritability are common after incontinence surgery but their cause is unknown. This study tests the hypothesis that irritative symptoms after colposuspension are due to distortion of the trigone. As part of longitudinal follow-up studies, 175 women were examined 6 months to 12 years after either an open or a laparoscopic Burch colposuspension. The main outcome measures were symptoms of bladder irritability (frequency, nocturia and urge incontinence) and ultrasound findings (bladder neck position at rest and on Valsalva, the presence of a colposuspension ridge, ridge depth and ridge distance, and trigonal angle). Two positive associations between ultrasound parameters and symptoms of bladder irritability were observed: urge incontinence was more likely in the presence of bladder neck funneling, and women with nocturia had a higher trigonal angle. Increased distortion of the trigone was associated with a reduced incidence of urge incontinence in the subgroup of patients after laparoscopic colposuspension. The data presented in this study do not support the hypothesis that symptoms of bladder irritability are due to trigonal distortion or overelevation. |
| | |
Authors:
|
H P Dietz; P D Wilson; B Clarke; B T Haylen |
Publication Detail:
|
Type: Journal Article |
Journal Detail:
|
Title: International urogynecology journal and pelvic floor dysfunction Volume: 12 ISSN: - ISO Abbreviation: Int Urogynecol J Pelvic Floor Dysfunct Publication Date: 2001 |
Date Detail:
|
Created Date: 2001-09-24 Completed Date: 2002-01-11 Revised Date: 2011-08-18 |
Medline Journal Info:
|
Nlm Unique ID: 9514583 Medline TA: Int Urogynecol J Pelvic Floor Dysfunct Country: England |
Other Details:
|
Languages: eng Pagination: 232-5; discussion 235-6 Citation Subset: IM |
Affiliation:
|
New St Vincent's Hospital, Sydney, Australia. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Colposcopy
/
adverse effects* Female Follow-Up Studies Humans Laparoscopy / adverse effects Longitudinal Studies Time Factors Urinary Bladder / surgery, ultrasonography Urinary Bladder Diseases / etiology*, ultrasonography Urinary Incontinence / surgery, ultrasonography Vagina / surgery, ultrasonography Vaginal Diseases / etiology*, ultrasonography |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: The epidemiology of overactive bladder among females in Asia: a questionnaire survey.
Next Document: Risk factors for an elevated postvoid residual urine volume in women with symptoms of urinary urgenc...