• 作者：P.Á ; . Ló ; pez Gonzá ; lez ; ^{pedroa.lopezgonzalez@gmail.com} ; A.I. Ló ; pez Ló ; pez ; P. Ló ; pez Cubillana ; F. Escudero Bregante ; G. Doñ ; ate Iñ ; iguez ; J.C. Ruiz Morcillo ; M. Pé ; rez Albacete
• 关键词：Prolapso ó ; rganos pé ; lvicos ; Cistocele ; Obstrucció ; n infravesical ; Urodiná ; mica
• 刊名：Actas Urol贸gicas Espa帽olas
• 出版年：2010
• 期刊代码：pca37_02104806
• 类别：med
• 出版时间：February 2010
• 卷：34
• 期：2
• 页码：189-193
• 文件大小：100 K

Introduction

Controversy exists as to whether cystocele has a causative role in bladder outlet obstruction (BOO).

Objective

To assess the relationship between cystocele and bladder outlet obstruction.

Materials and methods

Two hundred women undergoing a urodynamic study from December 2007 to December 2008 were retrospectively assessed.

Patients were divided into two groups:

Group A: Patients with no cystocele (Grade 0) and Grade I cystocele

Group B: Patients with Grade II-IV cystocele.

Exclusion criteria:

1.

Absence of flowmetry or voided volume < 150 ml.

2.

Neurological disorders.

3.

History of urogenital surgery.

Bladder outlet obstruction was defined as follows: Postvoid residue (PVR) > 20%; peak flow (Qmax) < 15 ml/sec; detrusor pressure at maximum flow (PdetQmax) > 25 cm H₂O.

Results

Group A included 64%of patients, and Group B the remaining 36%. A pathological PVR > 20%was found in 26.6%and 40.3%of patients in Group A and Group B respectively (p=0.04). A Qmax < 15 mL/sec was seen in 15.6%and 27.8%of Group A and Group B patients respectively (p=0.03). A PdetQmax > 25 cm H₂O was found in 26.3%and 47.8%of Group A and Group B patients respectively (p=0.01).

Conclusions

A statistically significant association exists between cystocele and bladder outlet obstruction.