Professional paper
Cystocoele and Sensory Urgency – Our Experience
Maksim Valenčić
Josip Španjol
Anton Maričić
Dean Markić
Dora Fučkar
Mirna Bobinac
Abstract
Sensory urgency appears mostly in patients with a specific or non specific cystitis, interstitial cystitis, intravesical foreign
bodies, bladder carcinoma and carcinoma of the prostate, infravesical obstruction, estrogen deficiency and in some
neurologic and psychiatric diseases. The aim of this study was to analyze and explain the relation between vaginal vault
prolapse and sensory urgency. Clinical courses of 64 patients with cystocoele, which between 1999 and January 2006
have been treated on the Clinic of urology, University Hospital, Rijeka, Croatia, were analyzed retrospectively. On physical
examination, using the International Society for Continence staging system we found that 4 (0.6%) had grade II, 29
(45.3%) had grade III, and 31 (48.4%) had grade IV cystocoele. Forty-seven (73.4%) women had urgency, for minimally 6
months to many years before the vaginal vault prolapse manifestation. In all but 3 (4.6%) an extended anterior vaginal
colporaphy has been done, with only 1 (1.6%) recurrence of cystocele. It seems that sensory urgency may in fact be a predictor
of cystocele.
Keywords
anterior vaginal colporaphy; cystocoele; sensory urgency
Hrčak ID:
35118
URI
Publication date:
1.10.2008.
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