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Vol. 77, No. 4, 2014
Issue release date: June 2014
Section title: Original Article
Gynecol Obstet Invest 2014;77:231-239
(DOI:10.1159/000360135)

Diagnostic Effectiveness of Dynamic Colpocystoproctography in Women Planning for Combined Surgery with Urinary Incontinence and Pelvic Organ Prolapse

Kim J.H. · Park S.J. · Yi B.H. · Lee K.W. · Kim M.E. · Kim Y.H.
aDepartment of Urology, Soonchunhyang University Hospital, College of Medicine, Soonchunhyang University, bDepartment of Diagnostic Radiology, Kyung Hee University Hospital, College of Medicine, Kyung Hee University, Seoul, and Departments of cRadiology and dUrology, Soonchunhyang University Hospital, College of Medicine, Soonchunhyang University, Bucheon, Korea

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Article / Publication Details

First-Page Preview
Abstract of Original Article

Received: 6/25/2013 9:43:29 AM
Accepted: 1/29/2014
Published online: 4/8/2014

Number of Print Pages: 9
Number of Figures: 2
Number of Tables: 3

ISSN: 0378-7346 (Print)
eISSN: 1423-002X (Online)

For additional information: http://www.karger.com/GOI

Abstract

Objective: To evaluate the advantage of performing the dynamic cystoproctography (DCP) in patients planning for combined surgery due to urinary incontinence and pelvic organ prolapse (POP). Materials and Methods: We performed DCP on a total of 113 consecutive women with POP and compared the findings of the physical examination with POP quantification against those of DCP including squeezing, straining and evacuation phases, and analyzed the changes to the rates of surgical planning. For statistical analysis, sensitivity, specificity, and positive predictive value of each test were performed. Results: DCP identified an additional 10 cases of cystocele, 32 cases of rectocele, 2 cases of enterocele, 4 cases of sigmoidocele, and 8 cases of rectal intussusception compared to those cases who were only included for a physical examination. The initial surgical plan was changed in a total of 24 cases (22.1%). The prevalence of bowel symptoms in the group in which the surgical plan changed was higher than in the group with no changes to the surgical plan (p = 0.023). Conclusions: DCP may be a more sensitive test for diagnosing POP compared to physical examination alone, and it is useful to patients with bowel symptoms by making surgical planning for combined surgery with stress urinary incontinence and POP.


  

Author Contacts

Young Ho Kim, MD, PhD
Department of Urology, Soonchunhyang University Hospital
Soonchunhang University College of Medicine
1174 Joong-dong, Wonmi-gu, Bucheon 420-767 (Korea)
E-Mail yhkuro@schmc.ac.kr

  

Article Information

Received: June 25, 2013
Accepted after revision: January 29, 2014
Published online: April 8, 2014
Number of Print Pages : 9
Number of Figures : 2, Number of Tables : 3, Number of References : 37

  

Publication Details

Gynecologic and Obstetric Investigation

Vol. 77, No. 4, Year 2014 (Cover Date: June 2014)

Journal Editor: D'Hooghe T.M. (Leuven)
ISSN: 0378-7346 (Print), eISSN: 1423-002X (Online)

For additional information: http://www.karger.com/GOI


Article / Publication Details

First-Page Preview
Abstract of Original Article

Received: 6/25/2013 9:43:29 AM
Accepted: 1/29/2014
Published online: 4/8/2014

Number of Print Pages: 9
Number of Figures: 2
Number of Tables: 3

ISSN: 0378-7346 (Print)
eISSN: 1423-002X (Online)

For additional information: http://www.karger.com/GOI


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