Incontinencia de orina oculta en mujeres con prolapso genital severo, evidenciada por una prueba mínimamente invasiva

objectives: to evaluate the urodynamic changes when a severe cystocele is correct by a vaginal valve to identify occult urinary incontinence. method: prospective study in 70 women at the urogynecology and vaginal surgery unit, in clínica las condes. inclusion criteria: symptomatic cystocele degree iii or iv. exclusion criteria: antecedent of incontinence and/o genital prolapse surgery; presence of urinary incontinence symptoms. in all patients the urethra retroresistance pressure was measured by a non-multichannel urodynamic test with and without cystocele reduction by a vaginal bresky valve. additionally a cystometry was realized. results: in all patients the urp was normal when the severe cystocele was not reduced. when the severe cystocele was reduced in 50 (71.4%) women the urp was altered. the cystometry identify asymptomatic overactive detrusor in 8 women. occult urinary incontinence in the 50 women was: type i in 1, type ii in 27, type iii in 1, type ii+iii in 21. conclusion: when a severe cystocele is reduced by a vaginal valve, urodynamic changes can be detected and women with occult urinary incontinence may be identified. these women may express symptoms of urinary incontinence when a prolapse surgery is realized.