Improvement in Associated Symptoms and Urodynamic Status After Corrective Surgery in Pelvic Organ Prolapse Patients at a Tertiary Care Hospital, Kolkata: An Analytical Study

Abstract

Introduction Patients of uterovaginal prolapse present with lower urinary tract symptoms, which can be corrected through surgical repair of the pelvic floor. Objectives To compare the associated symptoms and urodynamic status of patients with pelvic organ prolapse attending the emergency and outpatient departments of Obstetrics and Gynecology at a tertiary care hospital in Kolkata before and after corrective surgery. Materials and Methods An analytical study with longitudinal design was conducted on 39 patients with POP attending emergency and outpatient departments of Obstetrics and Gynecology at a tertiary care hospital in Kolkata. Data were collected by face-to-face interview, vaginal examination, and urodynamic studies. The preoperative and postoperative findings were compared using descriptive and inferential statistics. A P value < 0.05 was considered statistically significant. Results Dysuria was the only symptom, which worsened postcorrective surgery. There was a statistically significant improvement (P < 0.05) in frequency, nocturia, urgency, straining, hesitancy, pelvic pain, and incomplete defecation. A significant recovery (P < 0.05) in the urodynamic status was noted in the postoperative period. Conclusion After corrective surgery, there was an improvement in associated symptoms and urodynamic status of patients with pelvic organ prolapsed.

Keywords

• emergency medical services
• lower urinary tract symptoms
• outpatients
• pelvic organ prolapse
• urodynamics