Urodynamic profile of pelvic prolapse before surgical treatment

Abstract

This is a descriptive prospective study spread over 2 years, involving 30 patients with symptomatic urogenital prolapse, collected at the urodynamic consultation in the urology department at the CHU Mohammed VI in Oujda. The average age is 57 years, the majority of patients had several risk factors for pelvic floor disorders, all patients had a urinary complaint associated with urge prolapse (66.7%), urinary Incotinence iue (63.3%), mixed urinary incontinence (40%), dysuria (40%), and pollakiuria (70%). Twenty six percent point seven had cystocele stage II and 73.3% had cystocele stage III, 26.7% had a prolapse of more than one floor according to the classification of Baden and Walker. Their mean body mass index (BMI) was 27.5 kg/m2. For the urodynamic assessment (BUD): at the flowmeters: dysuria was found in 11 patients (36.7%), with a significant post-voiding residue in 5 patients (16.7%), the normal flow was found in 63.3% of cases. At cystomanometry: bladder hypersensitivity was found in 8 patients (26.7%), reduced bladder capacity in 4 patients (13.3%) and detrusor overactivity in 9 patients (30%). Profilometry had demonstrated sphincter insufficiency in 17 patients (56.7%), whereas it was normal in 13 patients (43.3%). Urodynamic explorations are part of the diagnostic and prognostic elements in the evaluation of bladder and sphincter disorders associated with urogenital prolapse. They make it possible to objectify the impact of prolapse on the bladder sphincter equilibrium.

Keywords

• prolapse
• urinary trouble
• urodynamics