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.
Original language | English (US) |
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Pages (from-to) | 53-57 |
Number of pages | 5 |
Journal | American journal of obstetrics and gynecology |
Volume | 193 |
Issue number | 1 |
DOIs | |
State | Published - Jul 2005 |
Keywords
- Pelvic anatomy
- Pelvic floor
- Pelvic organ prolapse
- Vagina
ASJC Scopus subject areas
- Obstetrics and Gynecology