COMPARISON OF PREOPERATIVE VERSUS POSTOPERATIVE POST VOID RESIDUAL URINE VOLUME IN PELVIC ORGAN PROLAPSE

Abstract

Introduction: Post void residual urine is a key marker for the evaluation of the efficacy of bladder emptying particularly in women with pelvic organ prolapse. Objectives of the present study were to compare preoperative versus postoperative post void residual urine volume in patients with pelvic organ prolapse and to assess the role of vaginal hysterectomy with anterior colporrhaphy in relieving urinary disturbances. Methods: This study was done on 50 patients with pelvic organ prolapse admitted for vaginal hysterectomy with anterior colporrhaphy. Staging of the prolapse was done by POP-Q. Ultrasound measurements of post void residual urine volume was done preoperatively and at the time of discharge postoperatively. Post void residual urine volume of more than 50 mL was considered significant. Results: Preoperatively post void residual urine volume < 50 mL seen in 14 women and > 50 mL seen in 36 women respectively. After vaginal hysterectomy with anterior colporrhaphy postoperatively 48 women had post void residual urine volume < 50 mL and only 2 women had > 50 mL respectively,where the P value is < 0.001 which is statistically significant. Conclusion: Vaginal hysterectomy with anterior colporrhaphy will significantly reduce the post void residual urine volume there by correcting the bladder dysfunction.