The assessment of the lower urinary tract function in women after pelvis organ prolapse operations: objective and subjective criteria

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Analysis of the results of surgical correction of pelvic organs prolapsed of 107 women with symptoms of lower urinary tract and connection between the measure of prolapse of pelvic organs and the nature of these symptoms was conducted. The role of urodynamics research in predicting the dynamics of the clinical manifestations of the women’s lower urinary tracts after surgical correction of pelvic organ prolapse was shown. It is noted that the results of urodynamic researches often do not coincide with subjective complaints of patients. Consequently women’s urodynamic examination of pelvic organ prolapse in conjunction with dysfunction of the lower urinary tract is advantageously carried out in conjunction with the analysis of subjective information receiveddue to filling in thequality life questionnaires by the patients. Such integrated approach allows us better understand the nature of the dysfunctions of the lower urinary tracts and to create appropriate expectations of the patient from the treatment.

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作者简介

Mikhail Korshunov

First St.-Petersburg State I. P. Pavlov Medical University

Email: mkorshunov@mail.ru
candidate of medical science, associate professor of Obstetric and Gynaecology Department

参考

  1. Коршунов М. Ю., Сазыкина Е. И. Опросник ПД-КЖ — валидированный способ оценки симптомов дисфункций тазового дна и качества жизни у пациенток с пролапсом тазовых органов // Журнал акушерства и женских болезней. 2008. Т. LVII, вып. 3. С. 86–93.
  2. Incontinence. 2nd International Consultation on Incontinence. 2nd Edition / Ed. P. Abrams, L. Cardozo, S. Khoury, A. Wein. Health Publication Ltd, 2002. P. 1154.
  3. Mouritsen L., Larsen J. P. Symptoms, bother and POPQ in women referred with pelvic organ prolapse // Int. Urogynecol. J. Pelvic Floor Dysfunct. 2003. Vol. 14 (2). P. 122–127.
  4. Nguyen J. K., Bhatia N. N. Resolution of motor urge incontinence after surgical repair of pelvic organ prolapse // J. Urol. 2001. Vol. 166 (6). P. 2263–2266.
  5. Martan A., Masata J., Petri E. et al. Weak VLPP and MUCP correlation and their relationship with objective and subjective measures of severity of urinary incontinence // Int. Urogynecol. J Pelvic. Floor Dysfunct. 2007. Vol. 18 (3). P. 267–271.
  6. Yalcin I., Bump R. C. Validation of two global impression questionnaires for incontinence // Am. J. Ob. Gynecol. 2003. Vol. 189 (1). P. 98–101.

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版权所有 © Korshunov M.Y., 2013

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