Urinary Complications among Women with Cystoceles: A Systematic Review

Cystoceles result from a pelvic-floor support system that is not strong enough. This systematic review aims to study the urinary complications in women with cystoceles, especially SUI, and the complication following surgical repair. PubMed, Web of Science, Science Direct, EBSCO, and Scopus were searched. Study articles were screened by title and abstract using Rayyan QCRI then a full-text assessment was implemented. Thirteen studies were included, with a total of 1043 women with cystoceles and urinary complications. The follow-up duration ranged from 1.4 months to 53 months. Most of the included studies had SUI as a complication of cystoceles. The other complication included urge incontinence, mixed incontinence, frequency, incomplete voiding, and voiding difficulties. Incontinence recurrence and voiding dysfunction were reported only in one investigation. The majority of cystoceles cases had SUI. Frequency, incomplete voiding, urge incontinence, mixed incontinence, and voiding issues were among the other complications. The most frequent surgical complications were pyelonephritis, cystitis, and UTIs.