The Influence of Successful Treatment of Stress Urinary Incontinence and Pelvic Organ Prolapse on Depression, Anxiety, and Insomnia—A Prospective Intervention Impact Assessment Study
<b>Introduction</b>: The association between pelvic floor disorders (PFDs) and psychiatric conditions is an area of emerging interest. The causal direction of this relationship, however, remains ambiguous; it is unclear whether PFDs directly contribute to the deterioration of mental heal...
| Main Authors: | , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
MDPI AG
2024-03-01
|
| Series: | Journal of Clinical Medicine |
| Subjects: | |
| Online Access: | https://www.mdpi.com/2077-0383/13/6/1528 |
| _version_ | 1797240555974950912 |
|---|---|
| author | Urszula Kalata Michał Jarkiewicz Andrzej Pomian Aneta Janina Zwierzchowska Edyta Horosz Wojciech Majkusiak Beata Rutkowska Ewa Monika Barcz |
| author_facet | Urszula Kalata Michał Jarkiewicz Andrzej Pomian Aneta Janina Zwierzchowska Edyta Horosz Wojciech Majkusiak Beata Rutkowska Ewa Monika Barcz |
| author_sort | Urszula Kalata |
| collection | DOAJ |
| description | <b>Introduction</b>: The association between pelvic floor disorders (PFDs) and psychiatric conditions is an area of emerging interest. The causal direction of this relationship, however, remains ambiguous; it is unclear whether PFDs directly contribute to the deterioration of mental health or if pre-existing psychiatric conditions such as depression exacerbate the symptoms of PFDs. This study aimed to evaluate the effects of successful surgical treatment for stress urinary incontinence (SUI) and pelvic organ prolapse (POP) on symptoms of depression, anxiety, and insomnia. <b>Materials and Methods</b>: This investigation focused on patients who underwent successful surgical interventions for SUI and POP. Both subjective and objective symptoms of PFDs, along with psychiatric status, were assessed before and after the surgical procedures. <b>Results</b>: This study found that successful surgical treatment of SUI and POP led to a significant reduction in anxiety scores. Additionally, in patients with SUI, successful treatment was objectively associated with a decrease in the severity of insomnia. Alleviation of symptoms associated with the lower urinary tract, prolapse, and colorectal–anal region following POP surgery was correlated with improvements in depression and anxiety but not insomnia. Subjectively assessed improvements in SUI subjective symptoms were linked to reductions in the severity of depression, anxiety, and insomnia in patients who underwent anti-incontinence surgery. <b>Conclusions</b>: These findings suggest a potential cause-and-effect relationship between PFDs and certain psychiatric disorders, highlighting the importance of successful treatment of PFDs in mitigating symptoms of depression, anxiety, and insomnia. |
| first_indexed | 2024-04-24T18:09:18Z |
| format | Article |
| id | doaj.art-7f6974dc438b41e59f9f05f1c35acc88 |
| institution | Directory Open Access Journal |
| issn | 2077-0383 |
| language | English |
| last_indexed | 2024-04-24T18:09:18Z |
| publishDate | 2024-03-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Journal of Clinical Medicine |
| spelling | doaj.art-7f6974dc438b41e59f9f05f1c35acc882024-03-27T13:47:37ZengMDPI AGJournal of Clinical Medicine2077-03832024-03-01136152810.3390/jcm13061528The Influence of Successful Treatment of Stress Urinary Incontinence and Pelvic Organ Prolapse on Depression, Anxiety, and Insomnia—A Prospective Intervention Impact Assessment StudyUrszula Kalata0Michał Jarkiewicz1Andrzej Pomian2Aneta Janina Zwierzchowska3Edyta Horosz4Wojciech Majkusiak5Beata Rutkowska6Ewa Monika Barcz7Chair of Gynaecology and Obstetrics, Medical Faculty Collegium Medicum, University of Cardinal Stefan Wyszynski, Bursztynowa 2 Str., 01-938 Warsaw, Poland3rd Department of Psychiatry, Institute of Psychiatry and Neurology, 02-957 Warsaw, PolandChair of Gynaecology and Obstetrics, Medical Faculty Collegium Medicum, University of Cardinal Stefan Wyszynski, Bursztynowa 2 Str., 01-938 Warsaw, PolandChair of Gynaecology and Obstetrics, Medical Faculty Collegium Medicum, University of Cardinal Stefan Wyszynski, Bursztynowa 2 Str., 01-938 Warsaw, PolandChair of Gynaecology and Obstetrics, Medical Faculty Collegium Medicum, University of Cardinal Stefan Wyszynski, Bursztynowa 2 Str., 01-938 Warsaw, PolandChair of Gynaecology and Obstetrics, Medical Faculty Collegium Medicum, University of Cardinal Stefan Wyszynski, Bursztynowa 2 Str., 01-938 Warsaw, PolandChair of Gynaecology and Obstetrics, Medical Faculty Collegium Medicum, University of Cardinal Stefan Wyszynski, Bursztynowa 2 Str., 01-938 Warsaw, PolandChair of Gynaecology and Obstetrics, Medical Faculty Collegium Medicum, University of Cardinal Stefan Wyszynski, Bursztynowa 2 Str., 01-938 Warsaw, Poland<b>Introduction</b>: The association between pelvic floor disorders (PFDs) and psychiatric conditions is an area of emerging interest. The causal direction of this relationship, however, remains ambiguous; it is unclear whether PFDs directly contribute to the deterioration of mental health or if pre-existing psychiatric conditions such as depression exacerbate the symptoms of PFDs. This study aimed to evaluate the effects of successful surgical treatment for stress urinary incontinence (SUI) and pelvic organ prolapse (POP) on symptoms of depression, anxiety, and insomnia. <b>Materials and Methods</b>: This investigation focused on patients who underwent successful surgical interventions for SUI and POP. Both subjective and objective symptoms of PFDs, along with psychiatric status, were assessed before and after the surgical procedures. <b>Results</b>: This study found that successful surgical treatment of SUI and POP led to a significant reduction in anxiety scores. Additionally, in patients with SUI, successful treatment was objectively associated with a decrease in the severity of insomnia. Alleviation of symptoms associated with the lower urinary tract, prolapse, and colorectal–anal region following POP surgery was correlated with improvements in depression and anxiety but not insomnia. Subjectively assessed improvements in SUI subjective symptoms were linked to reductions in the severity of depression, anxiety, and insomnia in patients who underwent anti-incontinence surgery. <b>Conclusions</b>: These findings suggest a potential cause-and-effect relationship between PFDs and certain psychiatric disorders, highlighting the importance of successful treatment of PFDs in mitigating symptoms of depression, anxiety, and insomnia.https://www.mdpi.com/2077-0383/13/6/1528stress urinary incontinencepelvic organ prolapsedepressionanxietyinsomniasurgery |
| spellingShingle | Urszula Kalata Michał Jarkiewicz Andrzej Pomian Aneta Janina Zwierzchowska Edyta Horosz Wojciech Majkusiak Beata Rutkowska Ewa Monika Barcz The Influence of Successful Treatment of Stress Urinary Incontinence and Pelvic Organ Prolapse on Depression, Anxiety, and Insomnia—A Prospective Intervention Impact Assessment Study Journal of Clinical Medicine stress urinary incontinence pelvic organ prolapse depression anxiety insomnia surgery |
| title | The Influence of Successful Treatment of Stress Urinary Incontinence and Pelvic Organ Prolapse on Depression, Anxiety, and Insomnia—A Prospective Intervention Impact Assessment Study |
| title_full | The Influence of Successful Treatment of Stress Urinary Incontinence and Pelvic Organ Prolapse on Depression, Anxiety, and Insomnia—A Prospective Intervention Impact Assessment Study |
| title_fullStr | The Influence of Successful Treatment of Stress Urinary Incontinence and Pelvic Organ Prolapse on Depression, Anxiety, and Insomnia—A Prospective Intervention Impact Assessment Study |
| title_full_unstemmed | The Influence of Successful Treatment of Stress Urinary Incontinence and Pelvic Organ Prolapse on Depression, Anxiety, and Insomnia—A Prospective Intervention Impact Assessment Study |
| title_short | The Influence of Successful Treatment of Stress Urinary Incontinence and Pelvic Organ Prolapse on Depression, Anxiety, and Insomnia—A Prospective Intervention Impact Assessment Study |
| title_sort | influence of successful treatment of stress urinary incontinence and pelvic organ prolapse on depression anxiety and insomnia a prospective intervention impact assessment study |
| topic | stress urinary incontinence pelvic organ prolapse depression anxiety insomnia surgery |
| url | https://www.mdpi.com/2077-0383/13/6/1528 |
| work_keys_str_mv | AT urszulakalata theinfluenceofsuccessfultreatmentofstressurinaryincontinenceandpelvicorganprolapseondepressionanxietyandinsomniaaprospectiveinterventionimpactassessmentstudy AT michałjarkiewicz theinfluenceofsuccessfultreatmentofstressurinaryincontinenceandpelvicorganprolapseondepressionanxietyandinsomniaaprospectiveinterventionimpactassessmentstudy AT andrzejpomian theinfluenceofsuccessfultreatmentofstressurinaryincontinenceandpelvicorganprolapseondepressionanxietyandinsomniaaprospectiveinterventionimpactassessmentstudy AT anetajaninazwierzchowska theinfluenceofsuccessfultreatmentofstressurinaryincontinenceandpelvicorganprolapseondepressionanxietyandinsomniaaprospectiveinterventionimpactassessmentstudy AT edytahorosz theinfluenceofsuccessfultreatmentofstressurinaryincontinenceandpelvicorganprolapseondepressionanxietyandinsomniaaprospectiveinterventionimpactassessmentstudy AT wojciechmajkusiak theinfluenceofsuccessfultreatmentofstressurinaryincontinenceandpelvicorganprolapseondepressionanxietyandinsomniaaprospectiveinterventionimpactassessmentstudy AT beatarutkowska theinfluenceofsuccessfultreatmentofstressurinaryincontinenceandpelvicorganprolapseondepressionanxietyandinsomniaaprospectiveinterventionimpactassessmentstudy AT ewamonikabarcz theinfluenceofsuccessfultreatmentofstressurinaryincontinenceandpelvicorganprolapseondepressionanxietyandinsomniaaprospectiveinterventionimpactassessmentstudy AT urszulakalata influenceofsuccessfultreatmentofstressurinaryincontinenceandpelvicorganprolapseondepressionanxietyandinsomniaaprospectiveinterventionimpactassessmentstudy AT michałjarkiewicz influenceofsuccessfultreatmentofstressurinaryincontinenceandpelvicorganprolapseondepressionanxietyandinsomniaaprospectiveinterventionimpactassessmentstudy AT andrzejpomian influenceofsuccessfultreatmentofstressurinaryincontinenceandpelvicorganprolapseondepressionanxietyandinsomniaaprospectiveinterventionimpactassessmentstudy AT anetajaninazwierzchowska influenceofsuccessfultreatmentofstressurinaryincontinenceandpelvicorganprolapseondepressionanxietyandinsomniaaprospectiveinterventionimpactassessmentstudy AT edytahorosz influenceofsuccessfultreatmentofstressurinaryincontinenceandpelvicorganprolapseondepressionanxietyandinsomniaaprospectiveinterventionimpactassessmentstudy AT wojciechmajkusiak influenceofsuccessfultreatmentofstressurinaryincontinenceandpelvicorganprolapseondepressionanxietyandinsomniaaprospectiveinterventionimpactassessmentstudy AT beatarutkowska influenceofsuccessfultreatmentofstressurinaryincontinenceandpelvicorganprolapseondepressionanxietyandinsomniaaprospectiveinterventionimpactassessmentstudy AT ewamonikabarcz influenceofsuccessfultreatmentofstressurinaryincontinenceandpelvicorganprolapseondepressionanxietyandinsomniaaprospectiveinterventionimpactassessmentstudy |