摘要
Abstract
Objective To explore the relationship between pelvic organ prolapse and lower urinary tract dysfunction.Methods From July,2009 to November,2010,collected the medical history of 54 patients diagnosed with pelvic organ prolapse,and conducted gynecological examination and pelvic organ prolapse quantitative examination ( POP-Q )on them,then explored the relationship between pelvic organ prolapse and lower urinary tract dysfunction.Results Among all the patients with POP,44 cases developed subjective symptoms of lower urinary tract,among which,27 cases had urinary incontinence ( 24 with stress,1 with urgency,2 with mixed incontinence ); 27 cases got bladder irritation; 16 cases underwent with voiding dysfunction.The urodynamic tests revealed that:28 cases had stress urinary incontinence,2 cases had urgent incontinence,2 cases got mixed incontinence,1 case had reduced bladder compliance,and 3 cases had abdominal voiding.There were 10 cases with abdominal leak point pressure ( ALPP ) ＜ 60 cmH2O,7 cases between 60-90 cmH2O,13 cases ＞ 90 cmH2O.70％( 19/27 ) of the patients with symptoms of stress incontinence were confirmed genuine incontinence by urodynamics test; the incidence of occult incontinence was 41％ ( 11/27 ),all of which were diagnosed with severe anterior vaginal wall prolapse.Conclusions Prior to the operation, testing the urodynamics of POP patients under the condition of relieving the severity of pelvic organ prolapse can more objectively assess urinary tract dysfunction.Patients with POP before surgery should be informed the bladder and urethral sphincter function,and should pay attention on occult incontinence.关键词
盆底脏器脱垂/下尿路功能/尿动力学Key words
Pelvic organ prolapse/Lower urinary tract function/Urodynamics
