Table 1.
Pre-operative and post-operative results (after tissue fixation system reinforcement of uterosacral ligaments) in 24 women with posterior fornix syndrome. PVR – postvoid residual urine
Pre-op | Post-op | P value | |
---|---|---|---|
Postvoid residual urine | 272 ml (100–630) | 34 ml (0–150) | <0.0001 |
Abnormal bladder emptying (24 patients) | 100% | 9 100% cured 9 80% cured 2 50% improved 3 failed |
<0.0001 |
Natural bladder volume | Mean 598 ml | Mean 301 ml | 0.0001 |
Voiding time | Mean 50 sec | Mean 20 sec | 0.006 |
Peak urine flow rate | 42 ml/sec | 37 ml/sec | NS |
Chronic pelvic pain VAS scale assessment |
18/24 | 14 improved 80% | <0.0001 |
Max urethral closure pressure (4 patients) | >93 cm water | 75 cm water | NS |
Urge | 17/24 3–4 wet episodes/day (range 1–8/day) |
13/17 cured 3 episodes/day range (1–8) in 4 patients |
<0.0015 |
Frequency | Mean 12/day (range 5–21) 14 voided >14 times/day |
Mean 8.5/day (range 5–13) 8 voided > 8/day |
0.015 |
Nocturia | 2 or more/night in all 24 patients. Mean 4.6 (range 2–9) | 13 cured 10 failures mean 2.7/night (range 2–6). 1 lost to F/U. | <0.0001 |
Excess detrusor activity | 4 patients | 1 patient | – |