Özet:

INTRODUCTION: Detection of occult incontinence proportion inpatients who have pelvic organ prolapse quantitation system [POP-Q] stage II to IV with reducing of prolapse compartment. A total of 65 cases who had stage II to IV pelvic organ prolapse, patients with stage I prolapse were excluded. Occult incontinence rates were detected and urodynamic parameters were compared. Before the urodynamic study patients were answered the questionnaire about quality of life such as UDI-6, IIQ-7, PISQ-12 and PQoL. Results: 55.4 % (n: 36) of the patients had stage II, 29.2 % (n: 19) of them had stage III and 15.4 % (n: 10) of them had stage IV pelvic organ prolapsus. Four of women who had prolapse (%6.2) were also having evidant urinary incontinence.% 18. 5 of patients had occult incontinence after reduction with speculum, and 24.6 percent of patients had also occult urinary incontinence after passary reduction among the patients who had not had incontinence. But between this two groups, there was no anystatistically significant difference in terms of urodynamic parameters such as groups Pdet Qmax, Qmax, Qave, Qmax (liverpol), Qave (liverpol), PVR (p>0.05).And also between two groups there was no statistically significant difference in terms of prolapse localization. The results of this questionnaire were similar to the previous study, but there were no statistically significant difference between reduction with speculum and pessary. Discussions and conclusions: Pelvic organ prolapse (POP) and urinary incontinence (UI) are common conditions. But patients who had serious prolapse have occult incontinence too. So Urodynamic testing is helpful when the diagnosis of urinary occult incontinence is unclea. Before prolapse surgery treatment patients should be evaluated in detail.

Anahtar Kelimeler: