Transactions Of The Twenty-Seventh Scientific Meeting Of The Society Of Gynecologic SurgeonsCorrelation of symptoms with location and severity of pelvic organ prolapse☆
Section snippets
Material and methods
All patients whose cases were included for analysis in this study were seen and examined at The Johns Hopkins Medicine Urogynecology Clinic during a 24-month period commencing in July 1998. Most of the patients were ultimately examined for problems that were associated with pelvic organ prolapse and dysfunction (including but not limited to urinary and fecal incontinence, voiding, and defecatory and sexual dysfunction). New patients were asked to complete 2 questionnaires before their initial
Results
Two hundred thirty-seven women completed the questionnaires and subsequently underwent urogynecologic examination. The mean age of the women was 57.2 years (range, 23-93 years). One hundred eighty-six women (79%) were postmenopausal; of these, 151 women (64%) were receiving hormone replacement therapy. Mean parity was 2.2 (range, 0-9). Forty-one women (17%) were nulliparous; 41 women (17%) reported 1 delivery, and the remaining 155 women (65%) reported more than 1 delivery. Of the 515
Comment
The most important finding in this study is that very few correlations were encountered between symptoms of pelvic floor dysfunction and the presence of pelvic organ prolapse. Although there were weak to moderate correlations with respect to several symptoms that are typically thought to be compartment specific, it was not possible to determine a specific stage of prolapse at which these symptoms became more pronounced. Symptoms that correlated with worsening prolapse in more than one
References (19)
- et al.
Clinical presentation of enterocele
Obstet Gynecol
(2000) - et al.
The standardization of terminology of female pelvic organ prolapse and pelvic floor dysfunction
Am J Obstet Gynecol
(1996) - et al.
The effect of uterovaginal prolapse on urethrovesical pressure dynamics
Am J Obstet Gynecol
(1983) - et al.
The effect of genital prolapse on voiding
J Urol
(1999) - et al.
Sexual function in women with uterovaginal prolapse and urinary incontinence
Obstet Gynecol
(1995) The distribution of pelvic organ support in a population of female subjects seen for routine gynecologic health care
Am J Obstet Gynecol
(2000)- et al.
Bowel dysfunction: a pathogenic factor in uterovaginal prolapse and urinary stress incontinence
Br J Obstet Gyneacol
(1994) - et al.
Posterior vaginal prolapse and bowel function
Obstet Gynecol
(1998) - et al.
The standardization of terminology for researchers in female pelvic floor dysfunction
Int Urogyn J
(2001)
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Reprint requests: R. Mark Ellerkmann, MD, Department of Gynecology, The Greater Baltimore Medical Center, 6569 N Charles St, Suite 307, Baltimore, MD 21204.