Document Detail


Influence of bladder volume on pelvic organ prolapse quantification results.
MedLine Citation:
PMID:  20215766     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
AIMS: To compare the degree of pelvic organ prolapse between examinations performed with full and empty bladder in patients without any prolapse and with pelvic organ prolapse stage I or II using the pelvic organ prolapse quantification (POPQ) system.
METHODS: A prospective observational study with 120 consecutive patients with and without symptoms of pelvic organ prolapse was evaluated. All women were examined with full and empty bladder. The data were analyzed by Wilcoxon's signed-rank test.
RESULTS: With empty bladder 54% had the same stage, 41% had a one-step higher stage and 5% had a two-step higher stage of prolapse. There was an increase in the extent of prolapse in the empty bladder setting at all six site-specific points (Aa, Ba, C, D, Ap, Bp; p < 0.001) but not in the results of genital hiatus, perineal body and total vaginal length.
CONCLUSION: Our results suggest that the full extent of prolapse may be only assessed with an empty bladder.
Authors:
Andreas Reich; Frauke Kohorst; Rolf Kreienberg; Felix Flock
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Publication Detail:
Type:  Journal Article     Date:  2010-03-09
Journal Detail:
Title:  Gynecologic and obstetric investigation     Volume:  70     ISSN:  1423-002X     ISO Abbreviation:  Gynecol. Obstet. Invest.     Publication Date:  2010  
Date Detail:
Created Date:  2010-08-24     Completed Date:  2010-12-10     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7900587     Medline TA:  Gynecol Obstet Invest     Country:  Switzerland    
Other Details:
Languages:  eng     Pagination:  82-6     Citation Subset:  IM    
Copyright Information:
Copyright 2010 S. Karger AG, Basel.
Affiliation:
Department of Urogynecology, University of Ulm, Ulm, Germany. andreas.reich@uniklinik-ulm.de
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MeSH Terms
Descriptor/Qualifier:
Aged
Aged, 80 and over
Female
Humans
Middle Aged
Pelvic Organ Prolapse / pathology*
Perineum / anatomy & histology
Physical Examination / methods,  standards
Posture
Reproducibility of Results
Urinary Bladder / anatomy & histology*,  physiology*
Urine
Vagina / anatomy & histology

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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