Epidemiology and outcome assessment of pelvic organ prolapse

Barber, Matthew D.; Maher, Christopher

doi:10.1007/s00192-013-2169-9

Cited by 557 publications

(363 citation statements)

References 61 publications

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“…3 Prevalence of POP based on symptoms ranges from 3-6% and up 50% when defined by vaginal examination. 4 In Nepal, prevalence of uterus prolopase (UP) among reproductive age women is around 17-27%. 5 Despite the governmental and non-governmental organizations efforts in creating awareness and supporting in treatment facilities of UP both at rural and urban setting, still large numbers of Nepalese women are unaware about UP and have low access to UP diagnosis and treatments facilities.…”

Section: Introductionmentioning

confidence: 99%

“…10,11 Adolescent pregnancy, lack of rest during and immediately after pregnancy -including carrying heavy loads, improper birthing practices used by unskilled birth attendants, poor nutrition, frequent pregnancies and pregnancies close together due to lack of access to contraception are major risk factors associated with UP. 4,7,12,13 In Nepal, child marriage and adolescent pregnancy are high among rural females. 14 According to Nepal Demographic and Health Survey (2011) reflects that of the 29.1% of adolescent girls reporting recent sexual activity, 28.8% were married.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Knowledge on risk factors of uterine prolapse among reproductive age group women of Bajrabarahi Municipality of Lalitpur, Nepal

Singh

Lama

Maharjan³

2016

Int J Reprod Contracept Obstet Gynecol

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Knowledge on risk factors of uterine prolapse among reproductive age group women of Bajrabarahi Municipality of Lalitpur, Nepal

Singh

Lama

Maharjan³

2016

Int J Reprod Contracept Obstet Gynecol

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“…The population in Germany is not only becoming older but also more healthy and active in old age. Since genital prolapse is a problem affecting elderly women [2,3], clinicians in pelvic floor centres are increasingly facing the complex questions of if and with what risks also the very elderly patients who often have co-morbidities can be recommended to undergo surgical treatment. The objectives in these cases are to improve the quality of life and to maintain social independence.…”

mentioning

confidence: 99%

Gynaecological Prolapse Surgery in Very Old Female Patients

Mothes

Kwetkat

Radosa

et al. 2016

Geburtshilfe Frauenheilkd

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Hintergrund: Ziel ist der Vergleich von hochaltrigen Patientinnen mit einer jüngeren Kontrollgruppe nach Deszensuschirurgie hinsichtlich Komorbidität und Komplikationen. Methode: Im Fallkontrolldesign erfolgte die Analyse konsekutiver Daten nach Deszensuschirurgie ab 80. Lebensjahr und einer Kontrollgruppe mittels Clavien-Dindo-(CD-)Klassifikation chirurgischer Komplikationen, Charlson Comorbidity Index und Cumulative Illness Rating Scale Geriatrics (CIRS-G). Statistik: Studentʼs t-, Fisherʼs Exactund Mann-Whitney U-Tests. Ergebnisse: Es wurden n = 57 vs. n = 60 Operationen erfasst. Bei Hochaltrigen lag häufiger ein Grad-IV-Prolaps vor (p < 0,001), es erfolgte häufiger eine apikale Fixation (p < 0,001), die OP-Zeiten unterschieden sich nicht. Bei Hochaltrigen fanden sich 21% CD-II + III-Komplikationen, in der Kontrollgruppe 6,6 % (p = 0,031). In beiden Gruppen traten keine CD-IV-und-V-Komplikationen auf, die Verweildauer lag bei 5 (± 1) vs. 4,1 (± 0,8; p < 0,001) Tagen, eine stationäre Weiterbetreuung erfolgte häufiger bei hochaltrigen Patientinnen (p < 0,001). Die Komorbidität Hochaltriger unterschied sich von der Kontrollgruppe in der Anzahl (median 2,0 vs. 1,5; p < 0,001), im CIRS-G (4,1 ± 2,2 vs. 2,4 ± 1,7; p < 0,001) und im Charlson-Index (1,6 ± 1,6 vs. 0,5 ± 0,7; p < 0,001). Schlussfolgerungen: Ein Deszensus kann bei hochaltrigen Patientinnen sicher chirurgisch versorgt werden. Komplikationen erreichten in keinem Fall Intensivtherapiepflichtigkeit oder Lebensbedrohlichkeit, führten aber zu einer verlängerten Verweildauer und häufiger zu geriatrischer oder internistischer stationärer Weiterbehandlung.

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“…A variety of validated questionnaires exist to help in the assessment of the patient's condition and its impact on her quality of life. 12,13 Physical examination of women with POP is traditionally performed in the dorsal lithotomy position. Ideally, the exam should also be done in the standing position especially if the POP described by the patient is not initially appreciated.…”

Section: Discussionmentioning

confidence: 99%

Pelvic organ prolapse: A primer for urologists

Bureau¹,

Carlson²

2017

CUAJ

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Pelvic organ prolapse (POP) results from weakness or injury of the pelvic floor supports with resulting descent of one or more vaginal compartments (anterior, apical and/or posterior). Women typically become symptomatic from the bulging vaginal wall or related organ dysfunction once this descent reaches the introitus. POP is a common condition, affecting more than half of adult women. Many women presenting to an urologist for stress urinary incontinence or overactive bladder will have associated POP; therefore, it is important for urologists who treat these conditions to be familiar with its diagnosis and management. While POP is part of the core urology training curriculum in some jurisdictions, it is not in Canada.1 This article reviews the diagnosis of POP, including pertinent symptoms to query in the history, important facets of a systematic pelvic examination, and the appropriate use of ancillary tests. Treatment options are also discussed, including conservative measures, pessaries, and various reconstructive and obliterative techniques.

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Epidemiology and outcome assessment of pelvic organ prolapse

Abstract: Significant variation exists in the prevalence and incidence of pelvic organ prolapse surgery and how the outcomes are reported. Much of the variation may be improved by standardisation of definitions and outcomes of reporting on pelvic organ prolapse surgery.

Cited by 557 publications

References 61 publications

Knowledge on risk factors of uterine prolapse among reproductive age group women of Bajrabarahi Municipality of Lalitpur, Nepal

Knowledge on risk factors of uterine prolapse among reproductive age group women of Bajrabarahi Municipality of Lalitpur, Nepal

Gynaecological Prolapse Surgery in Very Old Female Patients

Pelvic organ prolapse: A primer for urologists

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