Objectives: The objectives of the present study were to compare pre- and postoperative postvoid residual urine (PVR) volume, to know the correlation of PVR to urinary symptoms and prolapse, and also to assess the role of vaginal hysterectomy and anterior colporrhaphy in relieving urinary disturbances.
Materials and methods: The study was done at the Department of Obstetrics and Gynaecology, Adichunchanagiri Institute of Medical Sciences, B.G. Nagara, Mandya, India, from November 2010 to May 2012. In this study, 100 women with pelvic organ prolapse were included. Detailed history was noted, and thorough examination was done. Ultrasound measurements of PVR urine volume was done to all cases preoperatively and on 5th postoperative day. All cases underwent vaginal hysterectomy and anterior colporrhaphy. The PVR urine volume >50 mL was considered significant.
Results: Patients belonged to the age group of 30 to 75 years. Majority were in the age group of 50 to 59 years. Out of 100 cases, 42 had preoperative PVR volume >50 mL and 58 cases <50 mL. Out of 100 cases, 58 had third-degree descent, 21 had second-degree descent, and 21 had procidentia according to Shaw’s classification. Urinary symptoms like incomplete emptying (57 cases), straining to void (52 cases), poor stream (34 cases), need to reduce prolapse before voiding (32 cases), hesitancy (25 cases), and intermittent stream (11 cases) were associated with prolapse. Stress incontinence and urge incontinence were present in 28 and 46 cases respectively. Urinary disturbances were associated with majority of the cases who had PVR > 50 mL. Postoperatively, 9 cases had PVR volume > 50 mL. Out of those, 8 cases developed stress urinary incontinence (SUI) during follow-up. One case was lost to follow-up.
Conclusion: Urinary disturbances are more commonly seen in genital organ prolapse. Raised PVR was significantly associated with increased degrees of prolapse as well as urinary disturbances. The SUI increases with increasing PVR volume. Vaginal hysterectomy and anterior colporrhaphy were effective procedures in reducing elevated PVR and urinary disturbances in prolapse patients. There is a need for long-term follow-up for these cases.
Keywords: Pelvic organ prolapse, Postvoid residual urine, Urinary disturbances, Vaginal hysterectomy and anterior colporrhaphy.
How to cite this article: Shashikumar NS, Dutta I. Preoperative and Postoperative Postvoid Residual Urine Volume in Urogenital Prolapse: A Comparative Study. J South Asian Feder Obst Gynae 2017;9(2):92-94.
Source of support: Nil
Conflict of interest: None
Date of received: 6 January 2016
Date of acceptance: 3 February 2017
Date of publication: March 2017