Analyse modélisée de l'effet de la réduction d'une cystocèle par un pack vaginal sur la miction des femmes ayant une cystocèle de grade IV

Translated title of the contribution: Modelized analysis of the effect of reduction of a cystocele by vaginal pack on voiding of women with grade IV cystocele

Françoise Valentini, Philippe E. Zimmern, Gilbert Besson, Pierre Nelson

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Objectives: To evaluate the effect of reduction of a cystocele by vaginal pack on the voiding of women with grade IV cystocele. Methods: Two successive pressure-flow analyses were performed in a series of 21 patients: the first after insertion of a vaginal pack to reduce the cystocele, and the second after removal of the pack. The VBN method was applied to analyse uroflowmetries, allowing evaluation of two parameters for each uroflowmetry: one reflecting the urethra and the other reflecting the detrusor. Results: Only 14 patients were able to perform the 2 uroflowmetries in a single stream with a volume greater than 100 ml. The vaginal pack improved the urethral parameter in 10 patients, but had no effect in the other 4 patients; it did not alter detrusor function. The urethral parameter was improved in patients whose obstruction was relieved according to the urodynamic criterion. Conclusions: Modelized analysis of pressure-flow analyses with and without a vaginal pack supports the conclusions of urodynamic tests concerning the preoperative status of patients with high grade cystocele by identifying those patients in whom the cystocele affects bladder emptying.

Original languageFrench
Pages (from-to)432-437
Number of pages6
JournalProgres en Urologie
Volume10
Issue number3
StatePublished - Jun 2000

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Cystocele
Urodynamics
Pressure
Urethra
Urinary Bladder

Keywords

  • Cystocele
  • Micturition
  • Modelling
  • Urodynamic
  • Vaginal pack

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Analyse modélisée de l'effet de la réduction d'une cystocèle par un pack vaginal sur la miction des femmes ayant une cystocèle de grade IV. / Valentini, Françoise; Zimmern, Philippe E.; Besson, Gilbert; Nelson, Pierre.

In: Progres en Urologie, Vol. 10, No. 3, 06.2000, p. 432-437.

Research output: Contribution to journalArticle

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abstract = "Objectives: To evaluate the effect of reduction of a cystocele by vaginal pack on the voiding of women with grade IV cystocele. Methods: Two successive pressure-flow analyses were performed in a series of 21 patients: the first after insertion of a vaginal pack to reduce the cystocele, and the second after removal of the pack. The VBN method was applied to analyse uroflowmetries, allowing evaluation of two parameters for each uroflowmetry: one reflecting the urethra and the other reflecting the detrusor. Results: Only 14 patients were able to perform the 2 uroflowmetries in a single stream with a volume greater than 100 ml. The vaginal pack improved the urethral parameter in 10 patients, but had no effect in the other 4 patients; it did not alter detrusor function. The urethral parameter was improved in patients whose obstruction was relieved according to the urodynamic criterion. Conclusions: Modelized analysis of pressure-flow analyses with and without a vaginal pack supports the conclusions of urodynamic tests concerning the preoperative status of patients with high grade cystocele by identifying those patients in whom the cystocele affects bladder emptying.",
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AU - Besson, Gilbert

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N2 - Objectives: To evaluate the effect of reduction of a cystocele by vaginal pack on the voiding of women with grade IV cystocele. Methods: Two successive pressure-flow analyses were performed in a series of 21 patients: the first after insertion of a vaginal pack to reduce the cystocele, and the second after removal of the pack. The VBN method was applied to analyse uroflowmetries, allowing evaluation of two parameters for each uroflowmetry: one reflecting the urethra and the other reflecting the detrusor. Results: Only 14 patients were able to perform the 2 uroflowmetries in a single stream with a volume greater than 100 ml. The vaginal pack improved the urethral parameter in 10 patients, but had no effect in the other 4 patients; it did not alter detrusor function. The urethral parameter was improved in patients whose obstruction was relieved according to the urodynamic criterion. Conclusions: Modelized analysis of pressure-flow analyses with and without a vaginal pack supports the conclusions of urodynamic tests concerning the preoperative status of patients with high grade cystocele by identifying those patients in whom the cystocele affects bladder emptying.

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