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.
|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|
|Number of pages||6|
|Journal||Progres en Urologie|
|State||Published - Jun 1 2000|
- Vaginal pack
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