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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Functional symptoms prevalence and anatomo-functional associations on women with genital prolapse
Progres en Urologie, Volume 24, No. 8, Year 2014
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Description
Objective: To assess functional symptoms related to genital prolapse and to test anatomo-functional associations. Patients and methods: Observational study, performed between January 2005 and June 2012, on all patients operated for prolapse in a French tertiary referral centre. Data were collected from standardized patients' notes, including baseline characteristics, complete interview on urinary and colo-rectal functional symptoms, MHU score, and POP-Q (Pelvic Organ Prolapse Quantification) clinical evaluation. Results: Three hundred and seventy-four patients, with a mean age of 65.1 years old, mean parity of 2.5, and mean BMI of 25.4, were included. These patients were post-menopausal in 92.5% of cases. Urinary symptoms were: SUI in 30.5%, urgencies in 44.4%, and voiding difficulties in 38.8%. Colo-rectal symptoms, such as defecatory dysfunction and anal incontinence, occurred in 25.1% and 18.5%, respectively. On clinical examination, anterior vaginal wall prolapses were the most common (74.1%). Patients with stage 3-4 cystocele suffered significantly more frequently of nocturia (P= 0.04), voiding difficulties (P= 0.04), and occult stress urinary incontinence (P<. 0.001). Patients with stage 3-4 rectocele suffered significantly more frequently of defecatory dysfunction (P= 0.005) and performed more often maneuver for defecation (P<. 0.001). Conclusion: Urinary and colo-rectal symptoms are commonly associated with genital prolapse. Anatomo-functional associations were shown regarding different prolapse types and stages. Level of proof: 4. © 2013 Elsevier Masson SAS.
Authors & Co-Authors
Adjoussou, S.
France, Nimes
Hôpital Universitaire Carémeau
Cote D'ivoire, Abidjan
Centre Hospitalier Universitaire de Yopougon
Bohoussou, E.
France, Nimes
Hôpital Universitaire Carémeau
Cote D'ivoire, Abidjan
Centre Hospitalier Universitaire de Treichville
Bastide, S.
France, Nimes
Hôpital Universitaire Carémeau
Letouzey, V.
France, Nimes
Hôpital Universitaire Carémeau
Fatton, Brigitte
France, Nimes
Hôpital Universitaire Carémeau
de Tayrac, Renaud
France, Nimes
Hôpital Universitaire Carémeau
Statistics
Citations: 16
Authors: 6
Affiliations: 3
Identifiers
Doi:
10.1016/j.purol.2013.11.015
ISSN:
11667087
Research Areas
Sexual And Reproductive Health
Study Design
Cross Sectional Study
Participants Gender
Female