Effect of age, body mass index, and parity on Pelvic Organ Prolapse Quantification system measurements in women with symptomatic pelvic organ prolapse

Shalom, Dara F.; Lin, Stephanie N.; Louis, Sarah St.; Winkler, Harvey A.

doi:10.1111/j.1447-0756.2011.01718.x

Cited by 18 publications

(17 citation statements)

References 13 publications

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“…Pelvic examination was performed with the patient in the dorsal lithotomy position. The POP-Q system was used to quantify the POP severity at a maximum Valsalva strain [12,15,16].…”

Section: Study Groupsmentioning

confidence: 99%

Retrospective comparison between the Prolift and Elevate anterior vaginal mesh procedures: 18-month clinical outcome

et al. 2015

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“…Pelvic examination was performed with the patient in the dorsal lithotomy position. The POP-Q system was used to quantify the POP severity at a maximum Valsalva strain [12,15,16].…”

Section: Study Groupsmentioning

confidence: 99%

Retrospective comparison between the Prolift and Elevate anterior vaginal mesh procedures: 18-month clinical outcome

et al. 2015

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“…In the present study, patients were not matched for BMI. Although it seems intuitive that increasing BMI would affect specific POP‐Q data points or overall stage, previous studies have found no significant association between BMI and pelvic organ descent [13–15].…”

Section: Discussionmentioning

confidence: 93%

Effect of prior hysterectomy on the anterior and posterior vaginal compartments of women presenting with pelvic organ prolapse

Shalom

Lin

O'Shaughnessy

et al. 2012

Intl J Gynecology & Obste

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“…In this respect, Shalom et al [22] have reported a complex correlation between parity and POP-Q measurements in women presenting with greater degrees of POP where it appears that it is only before the POP has become symptomatic that parity has any effect on prolapse severity. It is accepted that none of the available grading systems correlate worsening grade with clinical impact and that they do not strictly direct the surgeon as to how best to correct the vaginal position or even when to decide if surgical treatment is indicated [23].…”

Section: Discussionmentioning

confidence: 99%

Preoperative Stratification in Pelvic Organ Prolapse: Can POP-Q Measurements Predict Surgical Outcome?

Levy¹,

Beck²,

From³

et al. 2019

Gynecol Reprod Health

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Objective: The study aimed to determine if a single preoperative objective measure of the Pelvic Organ Prolapse Quantification (POP-Q) system, the Ba, (which represents the distal leading point of the anterior vaginal wall), predicts a successful outcome in patients presenting with ≥ stage 3 pelvic organ prolapse (POP) who undergo a transvaginal repair. Methods: Patients with ≥ stage 3 POP managed with transvaginal mesh implantation were divided into 2 groups based on preoperative Ba measurement (Group 1; Ba = 2-3 cm and Group 2; Ba ≥ 4 cm). An anatomically successful outcome was defined as Ba <1cm. Results: There were 138 women surgically managed between 2009 and 2013 with complete follow-up available on 113 cases (median age 62.5 years; range 42-83 years). The median follow-up period was 29 months (range 8-38 months). Of 89 women with stage ≥ 3 POP there were 39 cases in Group 1 and 50 patients in Group 2. There was a significantly lower postoperative Ba in Group 1 cases when compared with Group 2 patients (-2.61 cm vs.-1.74 cm; P = 0.03). Logistic regression analysis failed to discern any effect on a successful outcome of factors normally responsible for prolapse (age, parity, BMI, prior surgery or operative delivery). Conclusion: A favorable anatomic outcome after transvaginal surgery for POP can be anticipated with a preoperative Ba < 4 cm. Future studies are required assessing the value of the preoperative POP-Q measurements in patients with ≥ 3rd degree POP using different types of surgery.

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Effect of age, body mass index, and parity on Pelvic Organ Prolapse Quantification system measurements in women with symptomatic pelvic organ prolapse

Abstract: The effect of increasing parity was seen solely on point Aa in women with symptomatic prolapse. Age affected all vaginal compartments, while BMI had no impact on POP-Q data points.

Cited by 18 publications

References 13 publications

Retrospective comparison between the Prolift and Elevate anterior vaginal mesh procedures: 18-month clinical outcome

Retrospective comparison between the Prolift and Elevate anterior vaginal mesh procedures: 18-month clinical outcome

Effect of prior hysterectomy on the anterior and posterior vaginal compartments of women presenting with pelvic organ prolapse

Preoperative Stratification in Pelvic Organ Prolapse: Can POP-Q Measurements Predict Surgical Outcome?

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