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Functional: Pelvic Organ Prolapse
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== Urinary incontinence and Pelvic Organ Prolapse == * '''<span style="color:#ff0000">Pelvic organ prolapse can exacerbate storage lower urinary tract symptoms</span>''' ** '''Important to identify and manage symptomatic prolapse when evaluating patients with UI''' *** > 40% of women with SUI will have a significant cystocele *** '''Procedures for UI [without correction of POP] can exacerbate certain types of POP''' ** '''<span style="color:#ff0000">Improvement of storage symptoms can be expected after POP surgery in a significant proportion of patients</span>''' * '''<span style="color:#ff0000">Occult SUI is stress urinary incontinence that develops after prolapse reduction, due to urethral sphincteric incompetence that was previously masked by the presence of high-stage anterior POP.</span>''' ** '''Failure to address occult SUI at the time of surgery for POP may lead to more severely symptomatic SUI postoperatively.''' * '''Although POP is generally considered a QoL condition with few medical sequelae, untreated prolapse can become advanced to a point when a woman can develop urinary retention from urethral compression and, rarely, renal failure from ureteral compression.'''
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