Frequency of Hydroureteronephrosis in Patients with Pelvic Organ Prolapse and the Effect of Hydronephrosis on Urodynamic Parameters

Objective: This study aims to evaluate the frequency of hydronephrosis and the effect of hydronephrosis on urodynamic parameters in patients with advanced-stage pelvic organ prolapse (POP). Materials and Methods: This retrospective cross-sectional study was conducted between July 2019 - February...

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Main Authors: Fidan Aslanova, Ece Bahceci, Keziban Dogan, Levent Yasar, Murat Ekin
Format: Article
Language:English
Published: Ekrem Güner 2022-09-01
Series:Grand Journal of Urology
Subjects:
Online Access:https://grandjournalofurology.com/uploads/pdf/pdf_GJU_68.pdf
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author Fidan Aslanova
Ece Bahceci
Keziban Dogan
Levent Yasar
Murat Ekin
author_facet Fidan Aslanova
Ece Bahceci
Keziban Dogan
Levent Yasar
Murat Ekin
author_sort Fidan Aslanova
collection DOAJ
description Objective: This study aims to evaluate the frequency of hydronephrosis and the effect of hydronephrosis on urodynamic parameters in patients with advanced-stage pelvic organ prolapse (POP). Materials and Methods: This retrospective cross-sectional study was conducted between July 2019 - February 2020 with 66 patients who were admitted to the urogynecology outpatient clinic with symptomatic advanced-stage POP. Urinary system ultrasonography and urodynamic examination were performed on all patients before the operation. The severity of prolapse in the study population was evaluated using the POP-Q system. Urinary system ultrasonography was performed by radiologists. Demographic data, POP time, and urodynamic parameters were compared in hydronephrosis and non-hydronephrosis cases. Results: The general frequency of hydronephrosis among the patients was 19.7% (13/66 patients). It was found that the weight (p= 0.0001) and body mass index (p= 0.004) levels were higher in patients with hydronephrosis. There was no significant difference in the duration of POP, the presence of detrusor overactivity, and other urodynamic parameters in patients with or without hydronephrosis. Conclusion: There was no relationship found between hydronephrosis and urodynamic parameters. In line with these data, urinary system ultrasonography is recommended for all patients with POP due to the high frequency of hydronephrosis and the consequences of hydronephrosis leading to renal failure.
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spelling doaj.art-8eaa7f8ad9994bf5830db9ccb6dadb162023-03-16T09:55:49ZengEkrem GünerGrand Journal of Urology2757-71632022-09-012310811310.5505/GJU.2022.99608Frequency of Hydroureteronephrosis in Patients with Pelvic Organ Prolapse and the Effect of Hydronephrosis on Urodynamic ParametersFidan Aslanova0https://orcid.org/0000-0002-8284-2564Ece Bahceci1https://orcid.org/0000-0003-2306-5846Keziban Dogan2https://orcid.org/0000-0003-2297-8635Levent Yasar3https://orcid.org/0000-0002-8679-2699Murat Ekin4https://orcid.org/0000-0002-4525-5125Department of Gynecology and Obstetrics, Dr. Sadi Konuk Training and Research Hospital, Istanbul, TurkeyDepartment of Gynecology and Obstetrics, Dr. Sadi Konuk Training and Research Hospital, Istanbul, TurkeyDepartment of Gynecology and Obstetrics, Dr. Sadi Konuk Training and Research Hospital, Istanbul, TurkeyDepartment of Gynecology and Obstetrics, Dr. Sadi Konuk Training and Research Hospital, Istanbul, TurkeyDepartment of Gynecology and Obstetrics, Dr. Sadi Konuk Training and Research Hospital, Istanbul, TurkeyObjective: This study aims to evaluate the frequency of hydronephrosis and the effect of hydronephrosis on urodynamic parameters in patients with advanced-stage pelvic organ prolapse (POP). Materials and Methods: This retrospective cross-sectional study was conducted between July 2019 - February 2020 with 66 patients who were admitted to the urogynecology outpatient clinic with symptomatic advanced-stage POP. Urinary system ultrasonography and urodynamic examination were performed on all patients before the operation. The severity of prolapse in the study population was evaluated using the POP-Q system. Urinary system ultrasonography was performed by radiologists. Demographic data, POP time, and urodynamic parameters were compared in hydronephrosis and non-hydronephrosis cases. Results: The general frequency of hydronephrosis among the patients was 19.7% (13/66 patients). It was found that the weight (p= 0.0001) and body mass index (p= 0.004) levels were higher in patients with hydronephrosis. There was no significant difference in the duration of POP, the presence of detrusor overactivity, and other urodynamic parameters in patients with or without hydronephrosis. Conclusion: There was no relationship found between hydronephrosis and urodynamic parameters. In line with these data, urinary system ultrasonography is recommended for all patients with POP due to the high frequency of hydronephrosis and the consequences of hydronephrosis leading to renal failure.https://grandjournalofurology.com/uploads/pdf/pdf_GJU_68.pdfpelvic organ prolapsehydronephrosisurodynamics
spellingShingle Fidan Aslanova
Ece Bahceci
Keziban Dogan
Levent Yasar
Murat Ekin
Frequency of Hydroureteronephrosis in Patients with Pelvic Organ Prolapse and the Effect of Hydronephrosis on Urodynamic Parameters
Grand Journal of Urology
pelvic organ prolapse
hydronephrosis
urodynamics
title Frequency of Hydroureteronephrosis in Patients with Pelvic Organ Prolapse and the Effect of Hydronephrosis on Urodynamic Parameters
title_full Frequency of Hydroureteronephrosis in Patients with Pelvic Organ Prolapse and the Effect of Hydronephrosis on Urodynamic Parameters
title_fullStr Frequency of Hydroureteronephrosis in Patients with Pelvic Organ Prolapse and the Effect of Hydronephrosis on Urodynamic Parameters
title_full_unstemmed Frequency of Hydroureteronephrosis in Patients with Pelvic Organ Prolapse and the Effect of Hydronephrosis on Urodynamic Parameters
title_short Frequency of Hydroureteronephrosis in Patients with Pelvic Organ Prolapse and the Effect of Hydronephrosis on Urodynamic Parameters
title_sort frequency of hydroureteronephrosis in patients with pelvic organ prolapse and the effect of hydronephrosis on urodynamic parameters
topic pelvic organ prolapse
hydronephrosis
urodynamics
url https://grandjournalofurology.com/uploads/pdf/pdf_GJU_68.pdf
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