This document summarizes a medical research study on the relationship between pelvic organ prolapse (POP), overactive bladder (OAB), and bladder outlet obstruction. The study found that women with POP are more likely to experience OAB symptoms than women without POP. Treating the POP through methods like pessaries or surgery can help resolve OAB symptoms by correcting the positioning of the bladder and urethra. The main mechanism linking POP and OAB appears to be bladder outlet obstruction caused by the prolapsed organs compressing the urethra.

1. Dr. Romanzi
Dedicated to Your Quality of Life
Home Vaginal Rejuvenation Sex & Health Cosmetic Reconstructive Surgery Press About Us/About You Patient Forms
PAGES Three (Unhappy) Musketeers –
About Dr. Romanzi Prolapse, Bladder Outlet Obstruction
and Overactive Bladder
Post a question for Dr. R.
by admin DR. ROMANZI HOME
DELIVERY
Pelvic organ prolapse, difficult urination, frequency,
LATEST POSTS
urgency and overactive bladder – for some women, Enter your email address:
Three (Unhappy) Musketeers it’s all related.
– Prolapse, Bladder Outlet (C) Lauri Romanzi 2010
Obstruction and Overactive
Subscribe
Bladder Pelvic organ prolapse and overactive bladder. de Boer TA, et al. Neurourol
Delivered by FeedBurner
Ask Dr R: overactive bladder, Urodyn. 2010;29(1):30-9.
interstitial cystitis, and
ulcerative colitis Department of Obstetrics and Gynaecology, Radboud University
Nijmegen Medical Centre, Nijmegen, the Netherlands.
An obstructed bladder is a SEARCH
cranky bladder – the story of
prolapse and the badly To search, type and hit enter
behaved bladder Medical research comes in several forms. This particular
study gathered all the research already published on the
Dr R Talks About Prolapse, topic, pooling all the data in one big group for re-analysis. BLOGROLL
Part 1 Called meta-analysis, studies that pool data from other
Heal India e-Newsletter
Does Betty need studies advance medical science by reviewing smaller
hysterectomy for prolapse? clinical trials to figure out if the findings have anything in Seek Wellness
We think not. Dr R guest common that might thereby be considered “true”.
Womens Voices for Change
blog on Women’s Voices for
Change
LINKS
CATEGORIES Health Guru
Ask Dr. R. JonasWeb – Webmaster
Blog SearchTROOP
Breaking News and Seek Wellness
Research Reviews
Fistula and Childbirth Injury
GOOGLE CONNECT
Hysterectomy and
Alternatives to Hysterectomy
Pelvic Organ Prolapse
Urinary Incontinence courtesy womensvoicesforchange.org LOGIN
Uterine Prolapse Register
Look at this picture – what a mess. There’s no way
Vaginal Laxity bladders caught in the clutches of severe pelvic organ Log in
prolapse can function properly. The urethra, a 2-3 inch
Vaginal Prolapse Entries RSS
straw-shaped tube that allows urine to pass out of the
Vaginal Rejuvenation bladder, is often kinked or compressed by the prolapse. Comments RSS
The muscles in the bladder wall, normally located above
the urethra, are now below the urethra, forced to fight the WordPress.org
mighty forces of gravity and the kinked or compressed
ARCHIVES
urethra, in order to empty, and as a result, the emptying is
July 2010 often incomplete. So the bladder fills up more quickly,
starting a whole cascade of symptoms, enough to make
June 2010 any bladder crazy.
May 2010 Not emptying fully, the bladder fills more quickly. Result?
April 2010 Frequency. And a propensity to bladder infections from all

2. that stagnant urine. You used to urinate a few times a day
December 2009
without much thought, but now bladder management is a
November 2009 part-time job. Urine flow is very slow, dribbling, and
October 2009 sometimes stop – and – start. This condition is called
August 2009 bladder outlet obstruction.
Contracting extra-hard in this upside down position in
order to bypass gravity and urethral obstruction from all
that kinking or compression, the bladder starts to misfire,
suddenly contracting without any warning of fullness, as if
it can’t make up it’s mind. Result? Urgency, that horrible
sensation of needing to get to the bathroom RIGHT NOW
and wondering if you’re going to make it in time. Or not
making it in time, literally peeing in your pants on your
mad dash to the water closet (urge incontinence). This
condition is called overactive bladder.
courtesy "Plumbing and Renovations"
The common findings in the studies included in this meta-
analysis showed that any method of successfully
managing the prolapse, be it pessary or surgery, allowed
the bladder to return to normal function. Anything that un-
kinks the urethra, re-positions the bladder so that it’s on
top of, instead of underneath, the urethra, and repositions
all the pelvic organs to their normal location will normalize
bladder function in most cases. Why is this an important
finding? Because it helps doctors understand that, in a
woman with prolapse and bladder problems, just fixing the
prolapse ought to fix the bladder problems, without
overactive bladder medications or the need for constant
antibiotics to fight all those urinary tract infections.
Here is a synopsis of the data (aka abstract) of this study:
Abstract
AIMS: In this review we try to shed light on the following questions:
*How frequently are symptoms of overactive bladder (OAB) and is
detrusor overactivity (DO) present in patients with pelvic organ
prolapse (POP) and is there a difference from women without POP?
*Does the presence of OAB symptoms depend on the prolapsed
compartment and/or stage of the prolapse? *What is the possible
pathophysiology of OAB in POP? *Do OAB symptoms and DO
change after conservative or surgical treatment of POP? METHODS:

3. We searched on Medline and Embase for relevant studies. We only
included studies in which actual data about OAB symptoms were
available. All data for prolapse surgery were without the results of
concomitant stress urinary incontinence (SUI) surgery. RESULTS:
Community- and hospital-based studies showed that the prevalence
of OAB symptoms was greater in patients with POP than without
POP. No evidence was found for a relationship between the
compartment or stage of the prolapse and the presence of OAB
symptoms. All treatments for POP (surgery, pessaries) resulted in an
improvement in OAB symptoms. It is unclear what predicts whether
OAB symptoms disappear or not. When there is concomitant DO and
POP, following POP surgery DO disappear in a proportion of the
patients. Bladder outlet obstruction is likely to be the most important
mechanism by which POP induces OAB symptoms and DO signs.
However, several other mechanisms might also play a role.
CONCLUSIONS: There are strong indications that there is a causal
relationship between OAB and POP
Share:
0 comments
There are no comments yet...
Kick things off by filling out the form below.
Leave a Comment
Name
E-mail
Website
5
6
Submit
CAPTCHA Code
© 2007-2009 Urogynics. All rights reserved.