Effect of prolapse repair on voiding and the relationship to overactive bladder and detrusor overactivity.

INTRODUCTION AND HYPOTHESIS: The aim of this study was to assess whether prolapse repair affects voiding and whether this results in the resolution of overactive bladder syndrome (OAB).

METHODS

Forty women with OAB and detrusor overactivity together with anterior wall prolapse who underwent a repair between 2003 and 2007 were studied. Each woman was assessed pre-operatively and post-operatively with a clinical assessment and cystometry. Patients were divided into those who experienced resolution of their OAB symptoms and those with persistent OAB symptoms. Wilcoxon matched pairs signed rank test was used to assess any change in flow rates between these groups.

RESULTS

Resolution of OAB was associated with a significant increase (p = 0.049) in the maximum flow rate.

CONCLUSION

Improvement in voiding function may be important in symptom resolution in women with OAB and prolapse.