Perubahan Nilai BA pada Pelvic Organ Prolaps Quantification (POPQ) terhadap Kualitas Berkemih Pre dan Pasca Opreasi Kolporafi Anterior paa Pasien Sistokel

https://doi.org/10.22146/jkr.35427

Izwin Ramadona(1*), Rukmono Siswishanto(2), Nuring Pangastuti(3)

(1) Departement of Obstetrics and Gynecology, Faculty of Medicine, University of Gadjah Mada
(2) Departement of Obstetrics and Gynecology, Faculty of Medicine, University of Gadjah Mada
(3) Departement of Obstetrics and Gynecology, Faculty of Medicine, University of Gadjah Mada
(*) Corresponding Author

Abstract


Background: Anterior colporrhaphy is used to correct anatomical abnormalities of POP, especially cystocele. In the cystocele, POPQ is focused on Ba point. However, no reference value has been established during evaluation on the changes of Ba’s pre and post operation. A measurement is required to describe the value of Ba in POPQ to the quality of patients’s micturition who have undergone anterior colporrhaphy on cystocele indication.

Objective: To determine whether a change of Ba value more than 4 cm post anterior colporrhapy can improve voiding quality.

Method: This study used a pretest-posttest design by measuring the value of Ba and voiding quality (UDI6 score) in cystocele patients before and after anterior colporrhapy. Ba value changes compared with changes in postoperative voiding quality.

Result and Discussion: There were 20 subjects recruited from January until July 2016 who met the inclusion criteria. There were significant differences between the voiding quality and changes of Ba value before and after surgery for 2nd and 6th week (p<0.001). From the bivariate analysis there were no differences in changes of voiding quality for Ba> 4 cm compared ≤4 cm (p = 0.34; RR 1.43; 95% CI 0.61-3.37). Age, BMI and parity had no significant affects the voiding quality before and after surgery (p= 0.12, p= 0.62, p=0.27). From a logistic regression analysis of variables change in value of Ba and external variables of age, BMI and parity were not statistically significant influence the voiding quality.

Conclusion: Changes in the value of Ba more than 4 cm from baseline in patients who undergo anterior colporrhapy does not improve the voiding quality.

Keywords: Ba value, voiding quality, anterior colporrhapy.


Keywords


Ba value; voiding quality; anterior colporrhapy



References

Bradley CS, Nygaard IE. 2005. Vaginal wall descensus and pelvic floor symptoms in older women. Journal Obstet Gynecol. 106:759.

Nygaard I, Barber MD, Burgio KL, Kenton K, Schaffer J, Spino C, Whitehead WE, Wu J, Brody DJ. 2008. Prevalence of symptomatic pelvic floor disorders in U.S. women. JAMA. 300(11):1311-6.

Rortveit G, Brown JS, Thom DH, Van Den Eeden SK, Creasman JM, Subak LL. 2007. Symptomatic pelvic organ prolapse: prevalence and risk factors in a population-based, racially diverse cohort. Obstet Gynecol. 109(6):1396-403.

Fitz Gerald MP, Russel B, Hale D, Benson JT, Brubaker L. 2000. Ultrastruture of detrusor and urethral smooth muscle in women with urinary incontinence. Am J Obstet and Gynecol. 182(4): 879-84.

Mayo Clinic staff. Anterior Prolapse (Cystocele). 2014. http://www.mayoclinic.org/diseasesconditions/ cystocele/basics/symptoms/con-20026175.

Prasetyo AT, Sulistyo A, Suryantara B, Patmini E, Yuane E, Widyasari ED, Putra K, Nora H, Nilawati, Widodo S, Astuti WD. 2011. Kapita Selekta Uroginekologi, Edisi Pertama. Bagian Obstetri dan Ginekologi Fakultas Kedokteran UGM/ RS Dr.Sardjito. Yogyakarta.

Hefni M, Barry JA, Koukoura O, Meredith J, Mossa M, Edmons S. 2013. Long-term quality of life and patient satisfaction following anterior vaginal mesh repair for cystocele. Arch Gynecol Obstet. 287: 441446.

Gupta B, Vaid NB, Suneja A, Guleria K, Jain S. 2014. Anterior vaginal prolapse repair: A randomised trial of traditional anterior colporrhaphy and selftailored mesh repair. S Afr J OG. 20(2):47-50.

Orsted HL, Keast D, Lalande LF, Megie MF. 2011. Basic principles of wound healing. Wound Care Canada. Canada. Volume 9: Number 2.

Teleman P, Laurikainen E, Kinne I, Pogosean R, Jakobsson U, Rudnicki M. 2014. Relationship between the Pelvic Organ Prolapse Quantification system (POP-Q), the Pelvic Floor Impact Questionnaire (PFIQ-7), and the Pelvic Floor Distress Inventory (PFDI-20) before and after anterior vaginal wall prolapse surgery. Int Urogynecol J.

Schimpf MO, O’Sullivan DM, LaSala CA, Tulikangas PK. 2007. Anterior vaginal wall prolapse and voiding dysfunction in urogynecology patients. Int Urogynecol J 18: 721-725.

Susan L, Hendrix DO, Clark A, Nygaard I, Aragaki A, Barnabei V, McTiernan A. 2002. Pelvic organ prolapse in the women’s health initiative: gravity and gravidity. Am J Obstet Gynecol. Volume 186 Number 6.

Al-Shaiji TF, Radomski SB. 2012. Relationship between Body Mass Index and overactive bladder in women and correlations with urodynamic evaluation. Int Neurourol J. 16:126-131.

Karram MM. Partol L, Bilotta V, Angelo. 1997. Factors affecting detrusor contraction strength during voiding in Women. Obstet Gynecol. 723-6.

Tseng LH, Liang CC, Tsay PK, Wang AC, Lo TS. Lin YH. 2008. Factors affecting voiding function in urogynecology patients.Taiwan J Obstet Gynecol. 474:417-421.

Schick E, Tessier J, Bertrand PE, Dupont C, Jolivet TM. 2003. Observations on the function of the female urethra: I. relation betwen maximum uretral closure pressure at rest and hypermobility. Neuroural Urodyn. 22: 643-7.

Robinson D, Cardozo LD. 2003. The role of estrogen in female lower urinary tract dysfunction. Urology. 62:45-51.

Grady D, Brown JS, Vittinghoff E, Applegate W, Varner E, Synder T. 2001. HERS Research Group. Postmenopausal hormones and incontinence: the heart and estrogen/progestin replacement study. Obstet Gynecol. 97:116-120.



DOI: https://doi.org/10.22146/jkr.35427

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