• Dr.Roopa.M

Abstract: Back ground. Stage III and IV uterine prolapse are associated with urinary incontinence. Type of urinary continence ,symptoms and relation to urodynamic studies have been variably described. .Methods: Design of the study. It was prospective interventional study .Setting. Study was conducted in tertiary care teaching hospital in south India.Participants:51 patients with grade III and grade IV prolapse. Intervention: Urinary symptoms evaluation and urodynamic study was done before and after pessary . Results:9 patients with clinical incontinence were normal urodynamically. Improvement in incontinence in 30 patients after pessary insertion versus 13 patients without pessary insertion. Improvement was very obvious in stress incontinence group. There was no serious complications observed while using pessary. Conclusion :Clinical symptoms are primary in the diagnosis of urinary incontinence with uterine prolapse ,complemented by urodynamicstudy.Pessary insertion in patients with urinary incontinence, particularly stress incontinence, in those with grade III and IV prolapse decreases the urinary incontinence.

Keywords: Mixed incontinence, stress incontinence, urge incontinence

"CLINICAL AND URODYNAMIC STUDIES IN PATIENTS WITH URINARY PROBLEM IN GRADE III AND GRADE IV UTERINE PROLAPSE", International Journal of Emerging Technologies and Innovative Research (www.jetir.org), ISSN:2349-5162, Vol.8, Issue 6, page no.f687-f692, June-2021, Available :http://www.jetir.org/papers/JETIR2106795.pdf

"CLINICAL AND URODYNAMIC STUDIES IN PATIENTS WITH URINARY PROBLEM IN GRADE III AND GRADE IV UTERINE PROLAPSE", International Journal of Emerging Technologies and Innovative Research (www.jetir.org | UGC and issn Approved), ISSN:2349-5162, Vol.8, Issue 6, page no. ppf687-f692, June-2021, Available at : http://www.jetir.org/papers/JETIR2106795.pdf