Is measuring the posterior urethrovesical angle of clinical value for controlling pelvic organ prolapse? Retrospective analysis of 107 postoperative cases

Vaginal total hysterectomy with vaginal plasty was performed in 107 patient s with pelvic organ prolapse, The posterior urethrovesical angle (PUVA) was measured by chain urethrocystography, Bladder capacity, residual and incon tinence urine volume were measured before and after surgery, and the data o btained were analyzed in relation to postoperative improvement and recurren ce of urinary dysfunction, There were no significant differences between th e background of patients with dysuria, incontinence, a mixture of dysuria a nd incontinence, and neither of these symptoms, Postoperative incontinence and residual urine volume decreased in all groups, However there was no cor relation between the preoperative PUVA and either incontinence or residual urine volume, Measurement of PUVA was neither helpful in making the diagnos is nor predictive of the recurrence of urinary dysfunction, Copyright (C) 2 000 S. Karger AG, Basel.