[Show abstract][Hide abstract]ABSTRACT: To determine whether obstructive voiding symptoms in women with advanced pelvic organ prolapse (POP) were associated with objective bladder outflow tract obstruction.
We reviewed preoperative data from patients with advanced POP who underwent surgical correction at the Department of Obstetrics and Gynecology, Carmel Medical Center, Haifa, Israel, between December 1, 2005, and November 30, 2007. Obstructive voiding symptoms were recorded from Pelvic Floor Distress Inventory-20 questionnaires.
Of the 81 women aged 44-80 years who were included in the study, 40 (49.4%) reported incomplete bladder emptying preoperatively. There was no significant difference between these women and asymptomatic women in terms of demographic and clinical parameters such as age, parity, and stage of prolapse. Furthermore, there was no significant difference with regard to postvoid residual bladder volume (52.8 ± 65.8 vs 41.6 ± 41.2 mL), maximal (23.8 ± 11 vs 21.9 ± 9.6 mL/second) and average (10.3 ± 6.2 vs 9.3 ± 4 mL/second) urinary flow velocities, prevalence of increased postvoid residual volume (10.0% vs 4.8%), or obstructive urinary flow (17.5% vs 7.3%).
Almost half of all women with advanced POP experienced incomplete bladder emptying; however, this symptom did not correlate with objective urodynamic bladder outflow tract obstruction.
Article · Nov 2010 · International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics
[Show abstract][Hide abstract]ABSTRACT: Multichannel urodynamic testing is considered to be the gold standard for evaluation of lower urinary tracts symptoms in women. The objective of this study was to assess the level of pain associated with this test.
We reviewed charts of women who underwent multichannel urodynamic testing for lower urinary tract symptoms and recorded pain levels using a validated visual analog pain scale of 0-10 before, during, and 1.5 h after the test.
We identified 50 patients who underwent the test. Pain level increased mildly but significantly during the urodynamic test (1.24 +/- 0.9 vs 0.02 +/- 0.14 p < 0.001) and decreased thereafter (0.1 +/- 0.35, p < 0.001).
Multichannel urodynamic testing is associated with a low but significant level of pain, which generally abates shortly after the procedure. No correlation seems to exist between the degree of pain and various clinical and pelvic floor parameters.
Article · May 2009 · International Urogynecology Journal