Improvements in overactive bladder syndrome after polypropylene mesh surgery for cystocele
Article first published online: 22 APR 2009
© 2009 The Authors. Journal compilation © 2009 The Royal Australian and New Zealand College of Obstetricians and Gynaecologists
Australian and New Zealand Journal of Obstetrics and Gynaecology
Volume 49, Issue 2, pages 226–231, April 2009
How to Cite
OKUI, N., OKUI, M. and HORIE, S. (2009), Improvements in overactive bladder syndrome after polypropylene mesh surgery for cystocele. Australian and New Zealand Journal of Obstetrics and Gynaecology, 49: 226–231. doi: 10.1111/j.1479-828X.2009.00965.x
- Issue published online: 22 APR 2009
- Article first published online: 22 APR 2009
- Received 27 March 2008; accepted 24 November 2008.
- obturator foramen;
- overactive bladder symptom score;
- overactive bladder syndrome;
- polypropylene mesh
Background: The International Continence Society has defined overactive bladder syndrome (OABS) by the following set of symptoms: ‘urgency, with or without urge incontinence, usually with urinary frequency and nocturia’. OABS and cystocele often coexist.
Aim: This study aimed to analyse the changes in the overactive bladder symptom score (OABSS) of women followed up for one year after anterior repair surgery performed using a polypropylene mesh. In this surgery, a tape with four straps designed for optimum tissue holding capacity was fixed to the obturator foramen.
Material and methods: Thirty-four women were operated using the abovementioned mesh. The OABSS, maximal urinary flow rate (Qmax) and postvoid residual (PVR) volume were evaluated pre- and post-surgery.
Results: We observed significant improvements in the OABSS and quality of life scores before and after one year of surgery. The surgery was significantly effective in improving urgency, daytime frequency, incontinence, the Qmax and the PVR volume. No significant change in nocturia was observed post-surgery.
Conclusions: Our study confirmed the efficacy of the propylene mesh introduction surgery for cystocele for the improvement of OABS symptoms.