Voiding urodynamics parameters for women with and without symptomatic pelvic organ prolapse
Abstract Objective: This study aims to characterize voiding urodynamics parameters suggestive of bladder outlet obstruction (BOO) diagnosis in women with and without symptomatic pelvic organ prolapse (POP). Methods: Cross-sectional research. Patients were selected and clinically evaluated with ana...
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Federação Brasileira das Sociedades de Ginecologia e Obstetrícia
2025-08-01
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| Series: | Revista Brasileira de Ginecologia e Obstetrícia |
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| author | José Tadeu Carvalho Martins Gisele Vissoci Marquini Laura Aparecida Xavier de Abreu Zsuzsanna Ilona Katalin de Jármy Di Bella Marair Gracio Ferreira Sartori |
| author_facet | José Tadeu Carvalho Martins Gisele Vissoci Marquini Laura Aparecida Xavier de Abreu Zsuzsanna Ilona Katalin de Jármy Di Bella Marair Gracio Ferreira Sartori |
| author_sort | José Tadeu Carvalho Martins |
| collection | DOAJ |
| description | Abstract Objective: This study aims to characterize voiding urodynamics parameters suggestive of bladder outlet obstruction (BOO) diagnosis in women with and without symptomatic pelvic organ prolapse (POP). Methods: Cross-sectional research. Patients were selected and clinically evaluated with anamnesis, pelvic organ prolapse quantification system and standard Urodynamic Testing, performed according to International Continence Society and International Urogynecological Association guidelines (noninvasive uroflowmetry, followed by invasive cystometry and a Pressure/Flow Study). Included criteria: women aged 18 to 94 years with and without symptomatic POP and lower urinary tract symptoms . Exclusion criteria: patients who were not clinically feasible, undesirable, or impossible urodynamic test, or patients with urinary tract infection or neurological lower urinary tract dysfunction. Results: Voiding urodynamics parameters suggestive of BOO diagnosis found in women with POP were: maximum flow rate (Qmax) in the uroflowmetry ≤12mL/s; detrusor pressure at maximum flow (PdetQmax) >20cmH2O. When evaluating the differences between patients with and without POP, it was observed that those who presented some type of pPOP were mean age (y) older (67.6 × 58.9); had higher post-void residue volume (mL) (85.9 × 33.9); higher PdetQmax (cmH2O) values (41.3 × 28.5); lower Qmax (mL/s) values on uroflowmetry (8.5 × 20.4), lower maximum cystometric capacity (mL) (325.7 × 381.2), lower bladder compliance (mL/cmH2O) (39.8 × 46.1) and lower Qmax (mL/cmH2O) in the flow/pressure study (8.4 × 18.0) (p<0.001). Conclusion: The voiding urodynamics parameters listed in this study allows the evaluation of variables suggestive of BOO diagnosis in women with and without POP. |
| format | Article |
| id | doaj-art-89d132def61541719e24d85fa103fd4e |
| institution | Kabale University |
| issn | 0100-7203 |
| language | English |
| publishDate | 2025-08-01 |
| publisher | Federação Brasileira das Sociedades de Ginecologia e Obstetrícia |
| record_format | Article |
| series | Revista Brasileira de Ginecologia e Obstetrícia |
| spelling | doaj-art-89d132def61541719e24d85fa103fd4e2025-08-20T03:39:10ZengFederação Brasileira das Sociedades de Ginecologia e ObstetríciaRevista Brasileira de Ginecologia e Obstetrícia0100-72032025-08-014710.61622/rbgo/2025rbgo52Voiding urodynamics parameters for women with and without symptomatic pelvic organ prolapseJosé Tadeu Carvalho Martinshttps://orcid.org/0000-0002-6261-8987Gisele Vissoci Marquinihttps://orcid.org/0000-0003-4573-5361Laura Aparecida Xavier de Abreuhttps://orcid.org/0000-0001-5919-6675Zsuzsanna Ilona Katalin de Jármy Di Bellahttps://orcid.org/0000-0001-9179-3023Marair Gracio Ferreira Sartorihttps://orcid.org/0000-0002-3001-6076Abstract Objective: This study aims to characterize voiding urodynamics parameters suggestive of bladder outlet obstruction (BOO) diagnosis in women with and without symptomatic pelvic organ prolapse (POP). Methods: Cross-sectional research. Patients were selected and clinically evaluated with anamnesis, pelvic organ prolapse quantification system and standard Urodynamic Testing, performed according to International Continence Society and International Urogynecological Association guidelines (noninvasive uroflowmetry, followed by invasive cystometry and a Pressure/Flow Study). Included criteria: women aged 18 to 94 years with and without symptomatic POP and lower urinary tract symptoms . Exclusion criteria: patients who were not clinically feasible, undesirable, or impossible urodynamic test, or patients with urinary tract infection or neurological lower urinary tract dysfunction. Results: Voiding urodynamics parameters suggestive of BOO diagnosis found in women with POP were: maximum flow rate (Qmax) in the uroflowmetry ≤12mL/s; detrusor pressure at maximum flow (PdetQmax) >20cmH2O. When evaluating the differences between patients with and without POP, it was observed that those who presented some type of pPOP were mean age (y) older (67.6 × 58.9); had higher post-void residue volume (mL) (85.9 × 33.9); higher PdetQmax (cmH2O) values (41.3 × 28.5); lower Qmax (mL/s) values on uroflowmetry (8.5 × 20.4), lower maximum cystometric capacity (mL) (325.7 × 381.2), lower bladder compliance (mL/cmH2O) (39.8 × 46.1) and lower Qmax (mL/cmH2O) in the flow/pressure study (8.4 × 18.0) (p<0.001). Conclusion: The voiding urodynamics parameters listed in this study allows the evaluation of variables suggestive of BOO diagnosis in women with and without POP.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0100-72032025000100235&lng=en&tlng=enUrinary bladder neck obstructionUrodynamicsUrinary bladderUrinary tract infectionslower urinary tract symptomsPelvic organ prolapsePelvic Organ Prolapse Quantification (POP-Q)Female |
| spellingShingle | José Tadeu Carvalho Martins Gisele Vissoci Marquini Laura Aparecida Xavier de Abreu Zsuzsanna Ilona Katalin de Jármy Di Bella Marair Gracio Ferreira Sartori Voiding urodynamics parameters for women with and without symptomatic pelvic organ prolapse Revista Brasileira de Ginecologia e Obstetrícia Urinary bladder neck obstruction Urodynamics Urinary bladder Urinary tract infections lower urinary tract symptoms Pelvic organ prolapse Pelvic Organ Prolapse Quantification (POP-Q) Female |
| title | Voiding urodynamics parameters for women with and without symptomatic pelvic organ prolapse |
| title_full | Voiding urodynamics parameters for women with and without symptomatic pelvic organ prolapse |
| title_fullStr | Voiding urodynamics parameters for women with and without symptomatic pelvic organ prolapse |
| title_full_unstemmed | Voiding urodynamics parameters for women with and without symptomatic pelvic organ prolapse |
| title_short | Voiding urodynamics parameters for women with and without symptomatic pelvic organ prolapse |
| title_sort | voiding urodynamics parameters for women with and without symptomatic pelvic organ prolapse |
| topic | Urinary bladder neck obstruction Urodynamics Urinary bladder Urinary tract infections lower urinary tract symptoms Pelvic organ prolapse Pelvic Organ Prolapse Quantification (POP-Q) Female |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0100-72032025000100235&lng=en&tlng=en |
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