+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

Correlation of symptoms with degree of pelvic organ support in a general population of women: What is pelvic organ prolapse?



Correlation of symptoms with degree of pelvic organ support in a general population of women: What is pelvic organ prolapse?



American Journal of Obstetrics & Gynecology 189(2): 372-379



OBJECTIVE: The purpose of this study was to evaluate the correlation between the symptoms of pelvic organ prolapse and the stage of support as determined by the pelvic organ prolapse quantification system. STUDY DESIGN: Four hundred ninety-seven women who were seen for annual gynecologic examinations were recruited. Subjects underwent a pelvic examination and their degree of pelvic support was described according to the pelvic organ prolapse quantification system. They also completed a seven-question questionnaire regarding common symptoms of pelvic organ prolapse. Trend analysis was accomplished with linear regression. RESULTS: Only 477 subjects correctly responded to the questionnaire. They were aged 18 to 82 years (mean age, 44 years). Forty-seven percent were white, 52% were African American, and 1% were of another racial group. The number of subjects with the various pelvic organ prolapse quantification stages were stage 0 (18 subjects), stage I (214 subjects), stage II (231 subjects), and stage III (14 subjects). No subject had stage IV prolapse. The average number of positive responses per subject for the symptoms was 0.27 for stage 0, 0.55 for stage I, 0.77 for stage II, and 2.1 for stage III. This trend did not attain statistical significance. The correlation of symptoms with the leading edge of the prolapse revealed that the average number of symptoms that were reported per subject increased from <1 to >1 when the leading edge of the prolapse extended beyond the hymenal remnants. This trend was statistically significant. CONCLUSION: Women with pelvic organ prolapse with the leading edge of the prolapse beyond the hymenal remnants (some stage II and all stage IIl) have increased symptoms, which may help define symptomatic pelvic organ prolapse.

Please choose payment method:






(PDF emailed within 0-6 h: $19.90)

Accession: 010391176

Download citation: RISBibTeXText

PMID: 14520198

DOI: 10.1067/s0002-9378(03)00698-7


Related references

Lower urinary tract symptoms, quality of life and pelvic organ prolapse: irritative bladder and obstructive voiding symptoms in women planning to undergo abdominal sacrocolpopexy for advanced pelvic organ prolapse. Journal of Urology 178(3 Pt 1): 965-9; Discussion 969, 2007

Symptoms of female pelvic organ prolapse: correlation with organ descent in women with single compartment prolapse. Australian and new Zealand Journal of Obstetrics and Gynaecology 48(3): 317-321, 2008

Pelvic floor muscle function in a general population of women with and without pelvic organ prolapse. International Urogynecology Journal 21(3): 311-319, 2010

Pelvic organ support and prevalence by Pelvic Organ Prolapse-Quantification (POP-Q) in Korean women. Journal of Urology 175(5): 1769-1772, 2006

Prevalence of metabolic syndrome and its components in women with and without pelvic organ prolapse and its association with prolapse severity according to the Pelvic Organ Prolapse Quantification system. International Urogynecology Journal 30(11): 1911-1917, 2019

The association of pelvic organ prolapse severity and improvement in overactive bladder symptoms after surgery for pelvic organ prolapse. Obstetrics and Gynecology Science 59(3): 214-219, 2016

Pelvic floor muscle training can improve symptoms in women with pelvic organ prolapse and may help to reverse prolapse. Journal of PhysioTherapy 56(4): 276, 2010

Racial Differences in Pelvic Organ Prolapse Symptoms Among Women Undergoing Pelvic Reconstructive Surgery for Prolapse. Female Pelvic Medicine and Reconstructive Surgery 25(2): 130-133, 2019

Effect of age, body mass index, and parity on Pelvic Organ Prolapse Quantification system measurements in women with symptomatic pelvic organ prolapse. Journal of Obstetrics and Gynaecology Research 38(2): 415-419, 2012

Pelvic floor muscle training can reduce prolapse symptoms in women with pelvic organ prolapse. Journal of PhysioTherapy 60(3): 164, 2014

Accuracy of assessing Pelvic Organ Prolapse Quantification points using dynamic 2D transperineal ultrasound in women with pelvic organ prolapse. International Urogynecology Journal 23(11): 1555-1560, 2012

A comparison of preoperative and intraoperative evaluation of patients undergoing pelvic reconstructive surgery for pelvic organ prolapse using the Pelvic Organ Prolapse Quantification System. International Urogynecology Journal and Pelvic Floor Dysfunction 17(1): 46-49, 2006

Changes in Prolapse and Urinary Symptoms After Successful Fitting of a Ring Pessary With Support in Women With Advanced Pelvic Organ Prolapse: A Prospective Study. Urology 87: 70-75, 2016

Collagen changes in pelvic support tissues in women with pelvic organ prolapse. European Journal of Obstetrics Gynecology and Reproductive Biology 234: 185-189, 2019

Is pelvic pain associated with defecatory symptoms in women with pelvic organ prolapse?. Neurourology and Urodynamics 30(7): 1305-1308, 2011