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Assess Voiding Function Before Prolapse Reduction.

OB GYN News

| June 01, 2001 | BOSCHERT, SHERRY | COPYRIGHT 2001 International Medical News Group. This material is published under license from the publisher through the Gale Group, Farmington Hills, Michigan.  All inquiries regarding rights should be directed to the Gale Group. (Hide copyright information)Copyright

SCOTTSDALE, ARIZ. -- A patient with vaginal prolapse may seem continent but could have underlying voiding dysfunction, Dr. Anne M. Weber said at a urogynecology conference sponsored by the Mayo Clinic Scottsdale.

Physicians therefore should test for the potential obstructive effects of vaginal prolapse by performing office bladder filling before and after prolapse reduction, said Dr. Weber of the University of Pittsburgh.

Advanced anterior vaginal prolapse can cause urethral obstruction, possibly leading to bladder retention. If the prolapse extends far enough, the urethra may become inverted or kinked, leaving the woman dry even if she has urethral dysfunction.

If the patient describes having to push the prolapse back inside to void, "that's most convincing to me that her voiding dysfunction is related to the prolapse and isn't a separate but coexistent process," she said. If an elderly patient with anterior vaginal prolapse is continent on the bladder filling tests, Dr. Weber repairs the pro lapse with an ...

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Source: HighBeam Research, Assess Voiding Function Before Prolapse Reduction.

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