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• W2077211082 abstract "You have accessJournal of UrologyUrodynamics/Incontinence/Female Urology: Female Urology (I)1 Apr 20131574 CHARACTERIZATION OF PERI-OPERATIVE OVERACTIVE BLADDER SYMPTOMS AT THE TIME OF UROGYNECOLOGIC SURGERY Cynthia Fok, Elizabeth Mueller, Linda Brubaker, and Kimberly Kenton Cynthia FokCynthia Fok Maywood, IL More articles by this author , Elizabeth MuellerElizabeth Mueller Maywood, IL More articles by this author , Linda BrubakerLinda Brubaker Maywood, IL More articles by this author , and Kimberly KentonKimberly Kenton Maywood, IL More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2013.02.3124AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES Patients with pelvic organ prolapse (POP) and/or stress urinary incontinence (SUI) commonly report overactive bladder symptoms (OAB) and OAB symptoms after POP/UI surgery are associated with patient dissatisfaction. Surgeons are limited in their ability to predict the development of postoperative OAB. This study prospectively describes pelvic floor symptoms pre and post-operatively in women undergoing POP/UI surgery. METHODS After institutional review board approval, we recruited women undergoing POP/UI surgery at Loyola University Medical Center. All participants completed the overactive bladder questionnaire (OABq) prior to and 3-months after surgery. As part of routine post-operative care, patients were also queried about OAB symptoms during their 2 and 6 week postoperative clinic visits. A 10 point increase in the OABq score at 3-months was defined as a clinically significant difference.1 We tabulated demographic and clinical data using SPSS version 19 software. RESULTS The surgical distribution for participants who completed 3 month follow up included 46 (39%) only POP surgery, 29 (25%) only UI surgery, and 43 (36%) combined POP/UI surgery. UI surgery only patients were younger than POP only surgical patients (54 years vs 64 years, p=0.001). There were no other significant demographic or clinical group differences. During the first 6 post-operative weeks, the proportion of patients who experienced OAB symptoms were similar for UI only and POP surgery (only or as combination) patients (31% vs. 27%, p=0.58). Three months after surgery, 100 % of patients show significant improvement in at least one OABq score subscale. Nearly all (98%) participants reported improvement in the social interaction subscale, 66% of participants had improvement in OABq symptoms severity and 62% reported improvement in health-related quality of life (HRQL). There were no clinical or demographic factors that were associated with improvement of OABq scores. CONCLUSIONS OAB symptoms improve in the majority of patients 3-months after POP/UI surgery. While no specific clinical or demographic factors predicted improvement OAB symptoms, these data can help surgeons counsel patients regarding OAB symptoms who are planning POP/UI surgery. 1Coyne K, Matza L, Thompson C, et al, Determining the Importance of Change in the Overactive Bladder Questionnaire, J Urol 2006, 176(2): 627-632. © 2013 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 189Issue 4SApril 2013Page: e646 Advertisement Copyright & Permissions© 2013 by American Urological Association Education and Research, Inc.MetricsAuthor Information Cynthia Fok Maywood, IL More articles by this author Elizabeth Mueller Maywood, IL More articles by this author Linda Brubaker Maywood, IL More articles by this author Kimberly Kenton Maywood, IL More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ..." @default.
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• W2077211082 title "1574 CHARACTERIZATION OF PERI-OPERATIVE OVERACTIVE BLADDER SYMPTOMS AT THE TIME OF UROGYNECOLOGIC SURGERY" @default.
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