Guzman-Negron Juan, Vasavada Sandip
Glickman Urological Institute, Cleveland Clinic, 9500 Euclid Avenue, Q-10-1, Cleveland, OH, 44195, USA.
Curr Urol Rep. 2017 Feb;18(2):12. doi: 10.1007/s11934-017-0662-2.
Patients with pelvic organ prolapse (POP) may present with a large combination of symptoms including overactive bladder (OAB) symptoms such as urgency, frequency, and urgency incontinence. The explanation as to why these symptoms are more prevalent in POP patients is not clearly understood, but there seems to be an overall agreement that prolapse-induced bladder outlet obstruction (BOO) may trigger bladder changes resulting in OAB symptoms. Presuming this to be true, many of the studies managing OAB in POP patients have focused on the surgical management of prolapse and its aftermath, which in many of the patients leads to improvement of OAB symptoms. This review presents the most recent studies and evidence looking at management of OAB in the face of POP and seeks to evaluate if there is any association between prolapse severity and OAB symptoms.
盆腔器官脱垂（POP）患者可能会出现多种症状，包括膀胱过度活动症（OAB）症状，如尿急、尿频和急迫性尿失禁。目前尚不清楚为何这些症状在POP患者中更为普遍，但总体上似乎一致认为，脱垂引起的膀胱出口梗阻（BOO）可能会引发膀胱变化，导致OAB症状。假设这是真的，许多针对POP患者OAB的研究都集中在脱垂的手术治疗及其后果上，这在许多患者中会导致OAB症状改善。本综述介绍了有关面对POP时OAB管理的最新研究和证据，并试图评估脱垂严重程度与OAB症状之间是否存在关联。
