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Pelvic organ descent and symptoms of pelvic floor disorders
Authors:Ghetti Chiara  Gregory W Thomas  Edwards S Renee  Otto Lesley N  Clark Amanda L
Affiliation:Division of Urogynecology and Reconstructive Pelvic Surgery, Department of Obstetrics and Gynecology, Oregon Health & Science University, Portland, USA.
Abstract:OBJECTIVE: This study evaluates the relationship between symptoms of pelvic floor disorders, and measurement of pelvic organ prolapse. STUDY DESIGN: This retrospective cross-sectional study assessed prolapse in 905 women in an academic urogynecologic practice using the Pelvic Organ Prolapse Quantification exam. Symptoms were assessed with a Likert symptom questionnaire and the Urogenital Distress Inventory. Relationships between symptoms and prolapse were analyzed using Spearman's correlation. RESULTS: Symptoms of "bulging" correlated moderately to the greatest extent of prolapse (r=0.4, P<.001). Frequency of bother progressively increases when the leading edge descends from -3 and 0. Between +1 and +5, 90% of women report bother. Symptoms typically attributed to anterior or posterior wall prolapse did not correlate with descent of the respective compartment. CONCLUSION: "Bulging" is the principle symptom that correlates with prolapse severity. We found no discrete anatomic position that discriminates between prolapse as a disease state and normal anatomic variation.
Keywords:Pelvic organ prolapse   Vagina   Pelvic anatomy   Pelvic floor
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