Skip to main content
Erschienen in: The Journal of Obstetrics and Gynecology of India 3/2019

15.05.2018 | Original Article

Relationship of Decubitus Ulcer on Cervix in Pelvic Organ Prolapse with POP-Q Staging

verfasst von: Hemant G. Deshpande, Chandrakant S. Madkar, Saily R. Kiwalkar

Erschienen in: The Journal of Obstetrics and Gynecology of India | Ausgabe 3/2019

Einloggen, um Zugang zu erhalten

Abstract

Aim

Utero vaginal prolapse is a very common complaint of patients in the OPD. It’s an entity that existed since a very long time and hence many classifications were proposed; however, only one system was found to be a validated system for determining the degree of prolapse—POP-Q system.

Objective

To determine the relationship of decubitus ulcer with POP-Q staging.

Materials and Methods

A prospective study of 100 patients with complaints of prolapse (something coming out of vagina) was considered. The patients were staged in accordance with POP-Q system. The number of patients with decubitus ulcer were noted. The area of each decubitus ulcer was also noted, by measuring the radius. Statistical tests were applied to find out if the relationship of the presence of and the area of decubitus ulcer with stage of prolapse was significant.

Results

It was found that as the stage of prolapse increased, the number of patients with decubitus ulcer also increased. Also, as the Point C measurement increased, the area (small/medium/large size) of the decubitus ulcer also increased.

Conclusion

There is a definite correlation between the presence of decubitus ulcer along with its area and the POP-Q component. The study also indicated that POP-Q staging is the only method of classification available that allows accurate and standardized measurements, foregoing pitfalls of all previous classifications.
Literatur
1.
Zurück zum Zitat Kobashi KC. Evaluation of patients with urinary incontinence and pelvic prolapse. In: Wein AJ, editor. Campbell-Walsh textbook of Urology, 10th edn. Philadelphia: Elsevier-Saunders; 2012. Kobashi KC. Evaluation of patients with urinary incontinence and pelvic prolapse. In: Wein AJ, editor. Campbell-Walsh textbook of Urology, 10th edn. Philadelphia: Elsevier-Saunders; 2012.
2.
Zurück zum Zitat Swift S, Woodman P, O’boyle A, et al. Pelvic organ support study (POSST): the distribution, clinical definition, and epidemiologic condition of pelvic organ support defect. Am J Obstet Gynecol. 2005;192:795–806.CrossRefPubMed Swift S, Woodman P, O’boyle A, et al. Pelvic organ support study (POSST): the distribution, clinical definition, and epidemiologic condition of pelvic organ support defect. Am J Obstet Gynecol. 2005;192:795–806.CrossRefPubMed
3.
Zurück zum Zitat Swift S. Classification and epidemiology of pelvic organ prolapse. In: Cardozo L, Staskin D, editors. Textbook of female urology and urogynecology. 2nd ed. Oxon: Informa Healthcare; 2006. p. 999–1008. Swift S. Classification and epidemiology of pelvic organ prolapse. In: Cardozo L, Staskin D, editors. Textbook of female urology and urogynecology. 2nd ed. Oxon: Informa Healthcare; 2006. p. 999–1008.
4.
Zurück zum Zitat Daftary S, Chakravarti S. Manual of obstetrics. 3rd ed. New York: Elsevier; 2011. p. 1–34. Daftary S, Chakravarti S. Manual of obstetrics. 3rd ed. New York: Elsevier; 2011. p. 1–34.
5.
Zurück zum Zitat Bump RC, Mattiasson A, Bo K, et al. The standardization of terminology of female pelvic organ prolapsed and pelvic floor dysfunction. Am J Obstet Gynecol. 1996;175(1):10–7.CrossRefPubMed Bump RC, Mattiasson A, Bo K, et al. The standardization of terminology of female pelvic organ prolapsed and pelvic floor dysfunction. Am J Obstet Gynecol. 1996;175(1):10–7.CrossRefPubMed
6.
Zurück zum Zitat Auwad W, Freeman RM, Swift S. Is the pelvic organ prolapsed quantification (PoPQ) being used? A survey of ICS and AUGS. Int Urogynecol J Pelvic Floor Dysfunct. 2004;15(5):324–7.PubMed Auwad W, Freeman RM, Swift S. Is the pelvic organ prolapsed quantification (PoPQ) being used? A survey of ICS and AUGS. Int Urogynecol J Pelvic Floor Dysfunct. 2004;15(5):324–7.PubMed
7.
Zurück zum Zitat Reich A, Kohorst F, Krienberg R, et al. Influence of bladder volume on pelvic organ prolapsed quantification results. Gynecol Obstet Investig. 2010;70(2):82–6.CrossRef Reich A, Kohorst F, Krienberg R, et al. Influence of bladder volume on pelvic organ prolapsed quantification results. Gynecol Obstet Investig. 2010;70(2):82–6.CrossRef
8.
Zurück zum Zitat Treszezamsky AD, Rascoff L, Shahryarinejad A, et al. Use of pelvic organ prolapse staging systems in published articles of selected specialized journals. Int Urogynecol J. 2010;21(3):359–63.CrossRefPubMed Treszezamsky AD, Rascoff L, Shahryarinejad A, et al. Use of pelvic organ prolapse staging systems in published articles of selected specialized journals. Int Urogynecol J. 2010;21(3):359–63.CrossRefPubMed
9.
Zurück zum Zitat Raizada N, Mittal P, Suri J, et al. Comparative study to evaluate the intersystem association and reliability between standard pelvic organ prolapse quantification system and simplified pelvic organ scoring system. J Obstet Gynaecol India. 2014;64(6):421–4.CrossRefPubMedPubMedCentral Raizada N, Mittal P, Suri J, et al. Comparative study to evaluate the intersystem association and reliability between standard pelvic organ prolapse quantification system and simplified pelvic organ scoring system. J Obstet Gynaecol India. 2014;64(6):421–4.CrossRefPubMedPubMedCentral
11.
Zurück zum Zitat Bharathi HR, Vana H. An unusual case of myiasis in an elderly woman with uterovaginal prolapse. Indian J Obstet Gynecol. 2015;3(2):107–8.CrossRef Bharathi HR, Vana H. An unusual case of myiasis in an elderly woman with uterovaginal prolapse. Indian J Obstet Gynecol. 2015;3(2):107–8.CrossRef
12.
Zurück zum Zitat Chaudhari SK. Operative treatment of genital prolapse in young women. J India Med Assoc. 1983;80:167. Chaudhari SK. Operative treatment of genital prolapse in young women. J India Med Assoc. 1983;80:167.
13.
Zurück zum Zitat Das RK. Surgical treatment of genital prolapse, a review of 200 consecutive cases. J Obstet Gynaecol India. 1968;18:116–25. Das RK. Surgical treatment of genital prolapse, a review of 200 consecutive cases. J Obstet Gynaecol India. 1968;18:116–25.
14.
Zurück zum Zitat Sheth SS. Clinical evaluation of vaginal hysterectomy. J Obstet Gynaecol India. 1966;16:534–9. Sheth SS. Clinical evaluation of vaginal hysterectomy. J Obstet Gynaecol India. 1966;16:534–9.
15.
Zurück zum Zitat Chandrakant MS, Hemant DG, Yogesh TI. POPQ examination: does the time of examination interfere with POPQ measurement system for analysis of the assessment of genital prolapse? J Evol Med Dent Sci. 2015;4(101):16694–7.CrossRef Chandrakant MS, Hemant DG, Yogesh TI. POPQ examination: does the time of examination interfere with POPQ measurement system for analysis of the assessment of genital prolapse? J Evol Med Dent Sci. 2015;4(101):16694–7.CrossRef
16.
Zurück zum Zitat Deshpande HG, Madkar CS, Joshi UP. The relation of urinary problems in genital prolapse with POPQ component. Indian J Appl Sci. 2016;6(3):561. Deshpande HG, Madkar CS, Joshi UP. The relation of urinary problems in genital prolapse with POPQ component. Indian J Appl Sci. 2016;6(3):561.
17.
Zurück zum Zitat Riss P, Dwayer PL. The POP-Q classification system: looking bad and looking forward. Int Urogynecol J. 2014;25:439–40.CrossRefPubMed Riss P, Dwayer PL. The POP-Q classification system: looking bad and looking forward. Int Urogynecol J. 2014;25:439–40.CrossRefPubMed
18.
Zurück zum Zitat Ovama A, Steinberg AC, Watai TK, et al. Pelvic organ prolapse quantification in literature. Female Pelvic Med Reconstr Surg. 2012;18(1):35–6.CrossRef Ovama A, Steinberg AC, Watai TK, et al. Pelvic organ prolapse quantification in literature. Female Pelvic Med Reconstr Surg. 2012;18(1):35–6.CrossRef
Metadaten
Titel
Relationship of Decubitus Ulcer on Cervix in Pelvic Organ Prolapse with POP-Q Staging
verfasst von
Hemant G. Deshpande
Chandrakant S. Madkar
Saily R. Kiwalkar
Publikationsdatum
15.05.2018
Verlag
Springer India
Erschienen in
The Journal of Obstetrics and Gynecology of India / Ausgabe 3/2019
Print ISSN: 0971-9202
Elektronische ISSN: 0975-6434
DOI
https://doi.org/10.1007/s13224-018-1127-3

Weitere Artikel der Ausgabe 3/2019

The Journal of Obstetrics and Gynecology of India 3/2019 Zur Ausgabe

Hirsutismus bei PCOS: Laser- und Lichttherapien helfen

26.04.2024 Hirsutismus Nachrichten

Laser- und Lichtbehandlungen können bei Frauen mit polyzystischem Ovarialsyndrom (PCOS) den übermäßigen Haarwuchs verringern und das Wohlbefinden verbessern – bei alleiniger Anwendung oder in Kombination mit Medikamenten.

ICI-Therapie in der Schwangerschaft wird gut toleriert

Müssen sich Schwangere einer Krebstherapie unterziehen, rufen Immuncheckpointinhibitoren offenbar nicht mehr unerwünschte Wirkungen hervor als andere Mittel gegen Krebs.

Weniger postpartale Depressionen nach Esketamin-Einmalgabe

Bislang gibt es kein Medikament zur Prävention von Wochenbettdepressionen. Das Injektionsanästhetikum Esketamin könnte womöglich diese Lücke füllen.

Bei RSV-Impfung vor 60. Lebensjahr über Off-Label-Gebrauch aufklären!

22.04.2024 DGIM 2024 Kongressbericht

Durch die Häufung nach der COVID-19-Pandemie sind Infektionen mit dem Respiratorischen Synzytial-Virus (RSV) in den Fokus gerückt. Fachgesellschaften empfehlen eine Impfung inzwischen nicht nur für Säuglinge und Kleinkinder.

Update Gynäkologie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert – ganz bequem per eMail.