Comparision of Urodynamic Results of Patients Who Had Reduced Pelvic Organ Prolapse According to Position

INTRODUCTION: Detection of occult incontinence proportion inpatients who have pelvic organ prolapse quantitation system [POP-Q] stage II to IV with reducting of prolapse compartment.
METHODS: 2015.A total of 65 cases who had stage II to IV pelvic organ prolapse, patients with stage I prolapse were excluded. Occult incontinence rates was detected and urodynamic parameters were compared. Before the urodynamic study patients were answered the questionnaire about quality of life such as UDI-6, IIQ-7, PISQ-12 ve PQoL.
RESULTS: %55.4 ( n: 36) of the patients had stage II, %29.2 ( n: 19) of them hade stage III and %15.4 ( n: 10) of them had stage IV pelvic organ prolapsus. Four of women who had prolapse (%6.2) were also having evidant urinary incontinece.% 18.5 of patients had occult incontinence after reduction with speculum,and % 24.6 of patients had also occult urinary incontinence after passary reduction among the patients who hadn’t incontinece. But between this two group, there was not anystatistically significant difference in term of urodynamic parameters such as grup Pdet Qmax, Qmax, Qave, Qmax (liverpol), Qave ( liverpol),PVR ( p>0.05).And also between two groups there was not any statistically significant difference in terms of prolapse localization. Results of this questionnaire were similar with previous study,but there were not any statistically significant difference between reduction with speculum and pessary.
DISCUSSION AND CONCLUSION: Pelvic organ prolapse (POP) and urinary incontinence (UI) are common conditions.But patients who had serious prolapse have occult incontinence also. So Urodynamic testing is helpful when the diagnosis of urinary occult incontinence is unclea. Before prolapse surgery treatment patients should be evaluated in detail.