MP11-04 PELVIC ORGAN PROLAPSE IS NOT UNCOMMON AMONG WOMEN WITH SPINA BIFIDA

Abstract

You have accessJournal of UrologyCME1 May 2022MP11-04 PELVIC ORGAN PROLAPSE IS NOT UNCOMMON AMONG WOMEN WITH SPINA BIFIDA Joshua Roth, Rosalia Misseri, Devon Hensel, Susan Ernst, Melissa Kaufman, Raimund Stein, John Weiner, and Konrad Szymanski Joshua RothJoshua Roth More articles by this author , Rosalia MisseriRosalia Misseri More articles by this author , Devon HenselDevon Hensel More articles by this author , Susan ErnstSusan Ernst More articles by this author , Melissa KaufmanMelissa Kaufman More articles by this author , Raimund SteinRaimund Stein More articles by this author , John WeinerJohn Weiner More articles by this author , and Konrad SzymanskiKonrad Szymanski More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000002533.04AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Pelvic organ prolapse (POP) is a common problem for women as they age. Our aim was to determine the prevalence and nature of POP among women with SB. METHODS: An international online survey of adults with SB was administered over 12-months. Collected data included demographic and clinical variables. Data on presence of a vaginal bulge, symptoms associated with the bulge (trouble catheterizing, urinary incontinence, urinary tract infections (UTIs), trouble with bowels, abdominal/pelvic pain, trouble with periods, trouble with sexual intercourse, vaginal bleeding/discharge, vaginal pressure/pain), and treatment (pessary, medical, surgical) were collected. RESULTS: Median age of 239 women participating was 34 years old (49.0% community ambulators, 48.5% shunted). Twenty-eight (11.7%) reported that they noticed or have been told they have a bulge in their vagina with 25 (89.3%) reporting at least one symptom associated with the bulge. Those with a bulge were older than those without (42 vs. 34, p = 0.004). Symptoms included trouble catheterizing (14/17, 82.4%), urinary incontinence (17/28, 60.7%), vaginal pressure/pain (17/28, 60.7%), trouble with bowels (14/28 50%), abdominal/pelvic pain (11/28 39.3%), UTIs (10/28, 35.7%), trouble with periods (10/28, 35.7%), trouble with sexual intercourse (10/28 35.7%), and vaginal bleeding/discharge (9/28, 32.1%). Nine (32.1%) sought treatment, with 6 (66.7%) having surgery, 3 (33.3%) having a pessary, and 1 (11.1%) being managed with medicine. One patient reported having a pessary after surgery. CONCLUSIONS: Women with SB are more likely to have POP as they age. This is symptomatic in the vast majority of women with SB. Source of Funding: None © 2022 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 207Issue Supplement 5May 2022Page: e157 Advertisement Copyright & Permissions© 2022 by American Urological Association Education and Research, Inc.MetricsAuthor Information Joshua Roth More articles by this author Rosalia Misseri More articles by this author Devon Hensel More articles by this author Susan Ernst More articles by this author Melissa Kaufman More articles by this author Raimund Stein More articles by this author John Weiner More articles by this author Konrad Szymanski More articles by this author Expand All Advertisement PDF DownloadLoading ...