Self-perceived natural history of pelvic organ prolapse described by women presenting for treatment |
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Authors: | Christina Lewicky-Gaupp Rebecca U. Margulies Kindra Larson Dee E. Fenner Daniel M. Morgan John O. L. DeLancey |
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Affiliation: | (1) Pelvic Floor Research Group, Division of Gynecology, Department of Obstetrics and Gynecology, University of Michigan, Ann Arbor, MI, USA;(2) Women’s Hospital L4100, 1500 East Medical Center Drive, Ann Arbor, MI 48109-0276, USA |
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Abstract: | Introduction and hypothesis This study aimed to describe the self-perceived natural history of pelvic organ prolapse (POP) in women seeking care. Methods Women presenting to a university-based urogynecology clinic for POP (n = 107) completed a questionnaire including questions about how and when their prolapse was discovered. A urogynecologic examination including the pelvic organ prolapse quantification (POP-Q) was also performed. Results Forty-eight percent of these women sought medical attention “immediately” after discovering a bulge. The median time to seek care was 4 months (range from 1 month to 45 years). Twenty-six percent associated their prolapse with a specific event (e.g., moving furniture or pushing a car). POP was self-discovered by 76% (81/107) of women. Self-discovered prolapses were larger than those diagnosed by physicians (Ba +1.3 vs 0.1 cm, P = .03, respectively). Conclusions Women seek medical advice within months of discovering their prolapse. Self-discovery is associated with higher stage prolapse than prolapse diagnosed by health care providers. |
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Keywords: | Natural history Pelvic organ prolapse |
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