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International Urogynecology Journal

Erschienen in:

01.04.2011 | Original Article

Short-term natural history in women with symptoms indicative of pelvic organ prolapse

verfasst von: Ann Miedel, Marion Ek, Gunilla Tegerstedt, Marianne Mæhle-Schmidt, Olof Nyrén, Margareta Hammarström

Erschienen in: International Urogynecology Journal | Ausgabe 4/2011

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Abstract

Introduction and hypothesis

Information about the natural history of pelvic organ prolapse (POP) is scarce.

Methods

This was a prospective cohort study of 160 women (mean age 56 years), whose answers in a population-based survey investigation indicated presence of symptomatic prolapse (siPOP), and 120 women without siPOP (mean age 51 years).

Results

Follow-up questionnaire was completed by 87%, and 67% underwent re-examination according to pelvic organ prolapse quantification (POP-Q) system after 5 years. Among re-examining siPOP women, 47% had an unchanged POP-Q stage, 40% showed regression, and 13% showed progression. The key symptom “feeling of a vaginal bulge” remained unchanged in 30% of women with siPOP, 64% improved by at least one step on our four-step rating scale, and 6% deteriorated. Among control women, siPOP developed in 2%. No statistically significant relationship emerged between changes in anatomic status and changes in investigated symptoms.

Conclusion

Only a small proportion of women with symptomatic POP get worse within 5 years.

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Titel: Short-term natural history in women with symptoms indicative of pelvic organ prolapse
verfasst von: Ann Miedel
Marion Ek
Gunilla Tegerstedt
Marianne Mæhle-Schmidt
Olof Nyrén
Margareta Hammarström
Publikationsdatum: 01.04.2011
Verlag: Springer-Verlag
Erschienen in: International Urogynecology Journal / Ausgabe 4/2011
Print ISSN: 0937-3462
Elektronische ISSN: 1433-3023
DOI: https://doi.org/10.1007/s00192-010-1305-z

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Short-term natural history in women with symptoms indicative of pelvic organ prolapse