Predictors of voiding dysfunction following Uphold™ mesh repair for the treatment of pelvic organ prolapse. (December 2020)

• Record Type: Journal Article
• Authors: Loo, Zi-Xi; Chen, Hung-Sheng; Tang, Feng-Hsiang; Lin, Kun- Ling; Liu, Yi-Yin; Wu, Ming- Ping; Long, Cheng-Yu
• Is Part Of: European journal of obstetrics, gynecology, and reproductive biology. Volume 255(2020)
• Page Start: 34
• Page End: 39
• Publication Date: 2020-12
• Subjects: POP Pelvic Organ Prolapse -- TVM Transvaginal Mesh -- FDA American Food and Drug Administration -- ICS International Continence Society -- UVJ Ureterovesical junction -- OABSS Overactive Bladder Symptom Score -- UDI-6 Urinary Distress Inventory -- IIQ-7 Incontinence Impact Questionnaire-7 -- ICIQ International Consultation on Incontinence Questionnaire -- POPDI-6 Pelvic Organ Prolapse Distress Inventory-6 -- CIC Clean Intermittent Catheterization; Pelvic organ prolapse -- Uphold™ mesh -- Urine retention -- Voiding dysfunction -- Transvaginal mesh; Obstetrics -- Periodicals; Gynecology -- Periodicals; Reproductive health -- Periodicals; Gynecology -- Periodicals; Obstetrics -- Periodicals; Reproduction -- Periodicals; Obstétrique -- Périodiques; Gynécologie -- Périodiques; Reproduction -- Périodiques; Verloskunde; Gynaecologie; Voortplanting (biologie); Gynecology; Obstetrics; Reproduction; Electronic journals; Periodicals; Electronic journals; 618.05
• DOI: 10.1016/j.ejogrb.2020.09.041
• Languages: English
• ISSNs: 0301-2115

Abstract

Abstract: Objective: To identify factors associated with voiding dysfunction after Uphold™ transvaginal mesh (TVM) repair in women with pelvic organ prolapse (POP). Study Design: We performed a retrospective analysis of 110 women with symptomatic pelvic organ prolapse (POP), anterior vaginal wall prolapse and/or apical prolapse (stage II to IV) who were scheduled for Uphold™ mesh surgery from September 2015 through December 2016. All subjects underwent urinalyses, UDI-6, IIQ-7, ICI-Q, POPDI-6, and pelvic examinations using the POP quantification (POP-Q) staging system before and after surgeries, with follow-up durations ranging from 24−36 months. Results: A total of 12 (10.9 %) of 110 women reported voiding dysfunction after Uphold™ mesh surgery. Using univariate analysis, there were no differences in body mass index and urodynamic parameters between normal voiding group and dysfunctional voiding group (P > 0.05). However, in patients aged above 71, POPDI-6 score≧13, preoperative concomitant urinary hesitancy, and incomplete emptying were found to be significant predictors of voiding dysfunction following Uphold™ mesh surgeries (P < 0.05). Conclusion: In patients aged above 71, POPDI-6 score≧13, preoperative concomitant urinary hesitancy, and incomplete emptying were significant predictors of voiding dysfunction after Uphold™.