Publication:

Comparative evaluation of urodynamic profile in cases of cystocele alone or associated with uterovaginal prolapse before and after surgery

Background Pelvic organ prolapse is a bulge or protrusion of pelvic organs and their associated vaginal segments into or through the vagina. There may be structural and functional changes in the bladder and urethra post-operatively.

Methods It was a prospective type of cohort study. The study was conducted on 30 patients with cystocele with or without uterovaginal prolapse undergoing surgery for same under Department of Obstetrics and Gynecology of Dr. Ram Manohar Lohia Hospital. Comparison of various pre-operative and post-operative urodynamic parameters were done using appropriate statistical tests.

Results Post-operatively, statistically significant increase was observed in the bladder volumes at which patients had first and strong desire to void as well as in the maximum cystometric capacity, increase in mean compliance, increase in mean average flow rate, decrease in post-void residual volume. Though, no significant improvement was seen on peak flow rates on uroflowmetry, maximum filling detrussor pressure, mean peak flow rates, maximum voiding detrussor pressure, mean detrussor pressure at peak flow rate.

Conclusions A pre-operative urodynamic study may be helpful in planning the site-specific repair surgery. It will also help in predicting the post-operative outcome. Urge related symptoms may not be corrected by cystocele repair alone and may require additional treatment.