Does Vaginal Parity Alter the Association Between Symptoms and Signs of Pelvic Organ Prolapse?

Author(s):  
Hans Peter Dietz ◽  
Daniella Rozsa ◽  
Nishamini Subramaniam ◽  
Talia Friedman
2016 ◽  
Vol 22 (6) ◽  
pp. 442-446 ◽  
Author(s):  
Ixora Kamisan Atan ◽  
Ka Lai Shek ◽  
Glefy Inacio Furtado ◽  
Jessica Caudwell-Hall ◽  
Hans Peter Dietz

2009 ◽  
Vol 20 (9) ◽  
pp. 1037-1045 ◽  
Author(s):  
Marijke C. Ph. Slieker-ten Hove ◽  
Annelies L. Pool-Goudzwaard ◽  
Marinus J. C. Eijkemans ◽  
Regine P. M. Steegers-Theunissen ◽  
Curt W. Burger ◽  
...  

2021 ◽  
Author(s):  
Talia Friedman ◽  
Hans Peter Dietz

Abstract Introduction and hypothesis: There is a complex relationship between obesity and pelvic organ prolapse. The objective of our study was to evaluate whether body mass index (BMI) changes the relationship between signs and symptoms of prolapse.Methods This was a retrospective observational study based on datasets of women seen in a tertiary urogynecological centre with symptoms of pelvic floor and lower urinary tract dysfunction between April 2012 and October 2015. Patients underwent a strucrured interview, clinical examination (based on the POP-Q) and 4D transperineal ultrasound (TPUS). Offline assessment of sonographic organ descent was undertaken later, blinded to all patient data. Results: Weight and BMI affect the relationship between symptoms and signs of prolapse. This effect is statistically highly significant. The more obese a patient is, the less likely she is to notice a given degree of objective prolapse, regardless of whether it is diagnosed clinically or on imaging.Conclusions In this retrospective study, we found a highly significant effect of weight and BMI on prolapse perception in the sense that obesity seems to mask prolapse while a low BMI increases the likelihood of a given degree of prolapse being noticed by the patient.


Author(s):  
Smita Anand Bijwe ◽  
Pooja Rajbhara

Background: Pelvic organ prolapse is a common, distressing and disabling condition affecting up to 30% of the women, 20- 60 years of age, attending Gynaecology outpatient clinics. Objective of present work was to know the effect of Pelvic Organ Prolapse (POP) on micturition symptoms.Methods: Descriptive study including 64 women presenting with POP symptoms. Subjects were evaluated using POP-Quantification system, Urinary Distress Inventory.Results: Women were asked to rate the extent to which they were bothered by their urinary function on a scale of 1 to 10, with 1 being not at all and 10 being extremely. Ten women (16%) reported 1 to 4, 23 (37%) reported 5 to 7, and 29 (47%) reported and gt;8.Conclusions: Strong association does exist between POP and micturition symptoms which are obstructive in nature and those causing urge incontinence.


2007 ◽  
Vol 177 (4S) ◽  
pp. 160-160
Author(s):  
Sarah E. McAchran ◽  
John C. Kefer ◽  
Courtenay Moore ◽  
Jihad H. Kaouk ◽  
Firouz Daneshgari

2019 ◽  
Vol 2 (1) ◽  
pp. 39-44
Author(s):  
Ermawati Ermawati ◽  
Hafni Bachtiar

Prolap organ panggul merupakan kondisi yang mempengaruhi kualitas hidup wanita. Prolaps organ panggul ini dapat disebabkan oleh perlukaan sewaktu proses persalinan, proses penuaan, komposisi jaringan pada seorang wanita, batuk- batuk kronis, atau sering melakukan pekerjaan berat. Pengenalan dini prolaps terkait dengan prognosis pemulihan anatomik dan fungsional organ panggul. Hingga kini, penerapannya dalam dunia klinis belum banyak sehingga pelatihan dan pembelajaran lebih lanjut tentang pelvic organ prolapse quantification (POPQ) jelas diperlukan. Penelitian ini dilakukan dengan metode case control study di polikilinik Obgin RSUP. Dr. M. Djamil Padang mulai bulan September 2013 sampai jumlah sampel terpenuhi sebanyak 98 orang. Dengan 49 orang kelompok kontrol dan 49 orang kelompok kasus .Analisis dilakukan untuk menilai hubungan usia, paritas, pekerjaan dan indek massa tubuh dengan kejadian prolap organ panggul berdasarkan skor POPQ. Data disajikan dalam bentuk tabel. Data diuji dengan t test dan chi square test. Jika p<0,05 menunjukan hasil yang bermakna. Terdapat hubungan yang bermakna antara usia dengan kejadian prolap organ panggul dengan (p<0,05) dan OR 27,871.terdapat hubungan yang bermakna antara paritas dengan kejadian prolap organ panggul dengan (p<0,05) dan OR 52,970.Dari analisa statistik pekerjaan tidak bisa di uji secara statistik.indek massa tubuh tidak terdapat hubungan yang bermakna terhadap kejadian prolap organ panggul.(p>0,05)


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