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Erschienen in: International Urogynecology Journal 5/2007

01.05.2007 | Original Article

Correlation of pelvic organ prolapse quantification system scores with obstetric parameters and lower urinary tract symptoms in primiparae postpartum

verfasst von: Ching-Chung Liang, Ling-Hong Tseng, Shang-Gwo Horng, I-wen Lin, Shuenn-Dhy Chang

Erschienen in: International Urogynecology Journal | Ausgabe 5/2007

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Abstract

This study investigated the correlation between results of the pelvic organ prolapse quantification (POPQ) system at 3 days and at 2 months postpartum with obstetric parameters and lower urinary tract symptoms (LUTS) in 125 primiparae with vaginal delivery. The clinical characteristics, prevalence of pregnancy-related LUTS, and POPQ scores were evaluated. Regarding the relationship of obstetric parameters with POPQ scoring, the gh was found positively correlated with the body mass index and vaginal laceration at 2 months postpartum. The POPQ evaluation did not find the LUTS to be significantly related to the prolapse score. The mean scores of points C and D were significantly increased, and gh, pb, and tvl were significantly decreased between the initial and 2-month follow-up scores. Our results revealed that a decrease in vaginal size is the principal change during the first 2 months postpartum and that with the exception of gh, neither the obstetric parameters nor the LUTS were associated with the POPQ scoring system.
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Literatur
1.
Zurück zum Zitat Olsen AL, Smith VJ, Bergstrom JO, Colling JC, Clark AL (1997) Epidemiology of surgically managed pelvic organ prolapse and urinary incontinence. Obstet Gynecol 89:501–506PubMedCrossRef Olsen AL, Smith VJ, Bergstrom JO, Colling JC, Clark AL (1997) Epidemiology of surgically managed pelvic organ prolapse and urinary incontinence. Obstet Gynecol 89:501–506PubMedCrossRef
2.
Zurück zum Zitat Samuelsson EC, Victor FTA, Tibblin G, Svardsudd KF (1999) Signs of genital prolapse in a Swedish population of women 20 to 59 years of age and possible related factors. Am J Obstet Gynecol 180:299–305PubMedCrossRef Samuelsson EC, Victor FTA, Tibblin G, Svardsudd KF (1999) Signs of genital prolapse in a Swedish population of women 20 to 59 years of age and possible related factors. Am J Obstet Gynecol 180:299–305PubMedCrossRef
3.
Zurück zum Zitat Mant J, Painter R, Vessey M (1997) Epidemiology of genital prolapse: observations from the Oxford Family Planning Association study. Br J Obstet Gynecol 104:579–585 Mant J, Painter R, Vessey M (1997) Epidemiology of genital prolapse: observations from the Oxford Family Planning Association study. Br J Obstet Gynecol 104:579–585
4.
Zurück zum Zitat Swift SE (2000) The distribution of pelvic organ support in a population of female subjects seen for routine gynecologic health care. Am J Obstet Gynecol 183:277–285PubMedCrossRef Swift SE (2000) The distribution of pelvic organ support in a population of female subjects seen for routine gynecologic health care. Am J Obstet Gynecol 183:277–285PubMedCrossRef
5.
Zurück zum Zitat Peschers U, Schaer G, Anthuber C, Delancey JOL, Schuessler B (1996) Changes in vesical neck mobility following vaginal delivery. Obstet Gynecol 88:1001–1006PubMedCrossRef Peschers U, Schaer G, Anthuber C, Delancey JOL, Schuessler B (1996) Changes in vesical neck mobility following vaginal delivery. Obstet Gynecol 88:1001–1006PubMedCrossRef
6.
Zurück zum Zitat Meyer S, Schreyer A, De Grandi P, Hohlfeld P (1998) The effects of birth on urinary continence mechanisms and other pelvic floor characteristics. Obstet Gynecol 92:613–618PubMedCrossRef Meyer S, Schreyer A, De Grandi P, Hohlfeld P (1998) The effects of birth on urinary continence mechanisms and other pelvic floor characteristics. Obstet Gynecol 92:613–618PubMedCrossRef
7.
Zurück zum Zitat Sze EHM, Sherard GB, Dolezal JM (2002) Pregnancy, labor, delivery, and pelvic organ prolapse. Obstet Gynecol 100:981–986PubMedCrossRef Sze EHM, Sherard GB, Dolezal JM (2002) Pregnancy, labor, delivery, and pelvic organ prolapse. Obstet Gynecol 100:981–986PubMedCrossRef
8.
Zurück zum Zitat Bump RC, Mattiasson A, Bo K, Brubaker LP, DeLancey JO, Klarskov P et al (1996) The standardization of terminology of female pelvic organ prolapse and pelvic floor dysfunction. Am J Obstet Gynecol 175:10–17PubMedCrossRef Bump RC, Mattiasson A, Bo K, Brubaker LP, DeLancey JO, Klarskov P et al (1996) The standardization of terminology of female pelvic organ prolapse and pelvic floor dysfunction. Am J Obstet Gynecol 175:10–17PubMedCrossRef
9.
Zurück zum Zitat Hall AF, Theofrastous JP, Cundiff GW, Harris RL, Hamilton LF, Swift SE (1996) Interobserver and intraobserver reliability of the proposed International Continence Society, Society of Gynecologic Surgeons, and American Urogynecologic Society pelvic organ prolapse classification system. Am J Obstet Gynecol 175:1467–1471PubMedCrossRef Hall AF, Theofrastous JP, Cundiff GW, Harris RL, Hamilton LF, Swift SE (1996) Interobserver and intraobserver reliability of the proposed International Continence Society, Society of Gynecologic Surgeons, and American Urogynecologic Society pelvic organ prolapse classification system. Am J Obstet Gynecol 175:1467–1471PubMedCrossRef
10.
Zurück zum Zitat Swift SE, Herring MD (1998) Comparison of pelvic organ prolapse in the dorsal lithotomy versus the standing position. Obstet Gynecol 91:961–964PubMedCrossRef Swift SE, Herring MD (1998) Comparison of pelvic organ prolapse in the dorsal lithotomy versus the standing position. Obstet Gynecol 91:961–964PubMedCrossRef
11.
Zurück zum Zitat Kobak WH, Rosenberger K, Walters MD (1996) Interoberver variation in the assessment of pelvic organ prolapse. Int Urogynecol J 7:121–124CrossRef Kobak WH, Rosenberger K, Walters MD (1996) Interoberver variation in the assessment of pelvic organ prolapse. Int Urogynecol J 7:121–124CrossRef
12.
Zurück zum Zitat O’Boyle AL, O’Boyle JD, Ricks RE, Patience TH, Calhoun B, Davis G (2003) The natural history of pelvic organ support in pregnancy. Int Urogynecol J 14:46–49CrossRef O’Boyle AL, O’Boyle JD, Ricks RE, Patience TH, Calhoun B, Davis G (2003) The natural history of pelvic organ support in pregnancy. Int Urogynecol J 14:46–49CrossRef
13.
Zurück zum Zitat Sun MJ, Chen GD, Chang SY, Lin KC, Chen SY (2005) Prevalence of lower urinary tract symptoms during pregnancy in Taiwan. J Formos Med Assoc 104:185–189PubMed Sun MJ, Chen GD, Chang SY, Lin KC, Chen SY (2005) Prevalence of lower urinary tract symptoms during pregnancy in Taiwan. J Formos Med Assoc 104:185–189PubMed
14.
Zurück zum Zitat Abrams P, Cardozo L, Fall M, Griffiths D, Rosier P, Ulmsten U et al (2002) The standardization of terminology of lower urinary tract function: report from the Standardization Sub-committee of the International Continence Society. Neurourol Urodyn 21:167–178PubMedCrossRef Abrams P, Cardozo L, Fall M, Griffiths D, Rosier P, Ulmsten U et al (2002) The standardization of terminology of lower urinary tract function: report from the Standardization Sub-committee of the International Continence Society. Neurourol Urodyn 21:167–178PubMedCrossRef
15.
Zurück zum Zitat Abrams P, Blaivas JG, Stanton SL, Andersen JT (1988) Standardization of terminology of lower urinary tract function. Neurourol Urodyn 7:403–427CrossRef Abrams P, Blaivas JG, Stanton SL, Andersen JT (1988) Standardization of terminology of lower urinary tract function. Neurourol Urodyn 7:403–427CrossRef
16.
Zurück zum Zitat Vierhout ME, Stoutjesdijk J, Spruijt J (2005) A comparison of preoperative and intraoperative evaluation of patients undergoing pelvic reconstructive surgery for pelvic organ prolapse using the pelvic organ prolapse quantification system. Int Urogynecol J 17:46–49CrossRef Vierhout ME, Stoutjesdijk J, Spruijt J (2005) A comparison of preoperative and intraoperative evaluation of patients undergoing pelvic reconstructive surgery for pelvic organ prolapse using the pelvic organ prolapse quantification system. Int Urogynecol J 17:46–49CrossRef
17.
Zurück zum Zitat O’Boyle AL, Woodman PJ, O’Boyle JD, Ricks RE, Patience TH, Calhoun B et al (2002) Pelvic organ support in nulliparous pregnant and non-pregnant women. Am J Obstet Gynecol 187:99–102PubMedCrossRef O’Boyle AL, Woodman PJ, O’Boyle JD, Ricks RE, Patience TH, Calhoun B et al (2002) Pelvic organ support in nulliparous pregnant and non-pregnant women. Am J Obstet Gynecol 187:99–102PubMedCrossRef
18.
Zurück zum Zitat Baden WF, Walker TA, Lindsay HJ (1968) The vaginal profile. Tex Med 64:56–58PubMed Baden WF, Walker TA, Lindsay HJ (1968) The vaginal profile. Tex Med 64:56–58PubMed
19.
Zurück zum Zitat Jackson S, Smith P (1997) Diagnosing and managing genitourinary prolapse. BMJ 314:875–880PubMed Jackson S, Smith P (1997) Diagnosing and managing genitourinary prolapse. BMJ 314:875–880PubMed
Metadaten
Titel
Correlation of pelvic organ prolapse quantification system scores with obstetric parameters and lower urinary tract symptoms in primiparae postpartum
verfasst von
Ching-Chung Liang
Ling-Hong Tseng
Shang-Gwo Horng
I-wen Lin
Shuenn-Dhy Chang
Publikationsdatum
01.05.2007
Verlag
Springer-Verlag
Erschienen in
International Urogynecology Journal / Ausgabe 5/2007
Print ISSN: 0937-3462
Elektronische ISSN: 1433-3023
DOI
https://doi.org/10.1007/s00192-006-0195-6

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