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

Deshpande, Hemant; Madkar, Chandrakant S.; Kiwalkar, Saily R.

doi:10.1007/s13224-018-1127-3

Cited by 6 publications

(1 citation statement)

References 15 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Most of the cases neglected themselves and presented late with a higher stage of pelvic organ prolapse and a larger size of decubitus ulcer. A similar result has also been shown by Deshpande et al [ 18 ]. Deshpande et al also observed that as the measurement of point C increases, the area of decubitus ulcer also increases.…”

Section: Discussionsupporting

confidence: 90%

Study of the Relationship Between Pelvic Organ Prolapse Quantification (POP-Q) Staging and Decubitus Ulcer in Pelvic Organ Prolapse

Samantray¹,

Mohapatra

2021

Cureus

View full text Add to dashboard Cite

Introduction The protrusion of pelvic organs and their associated vaginal segments into or through the vagina is called pelvic organ prolapse (POP). One of the worrisome complications of POP is decubitus ulcer.It is a feature of old, long-standing prolapse. The standardized pelvic organ prolapse quantification (POP-Q) system of classification was proposed by the International Incontinence Society (ICS) for staging pelvic organ prolapse in 1996. This system is a clear and reproducible quantification method and has more inter-observer and intra-observer reliability. This study was designed to determine the relationship of the POP-Q stage with the presence and size of decubitus ulcer. Methods A total of 92 cases with pelvic organ prolapse were included in the study. We examined our patients by the POP-Q method and measured the dimension of the decubitus ulcer if present. Results Out of the 92 patients included in the study, 32 cases had a decubitus ulcer. As the POP-Q stage increased, the number of patients with a decubitus ulcer also increased. We also observed that larger dimension (>6 cm 2 ) decubitus ulcers are present in stage 3 and stage 4 POP. A statistically significant correlation was observed between the POP-Q stage and the size of the decubitus ulcer, r s =0.607, p<0.001. Conclusion A decubitus ulcer becomes more common as the POP-Q stage increases. The size of the ulcer also increases with the advancing stage of POP-Q.

show abstract

Section: Discussionsupporting

confidence: 90%

Study of the Relationship Between Pelvic Organ Prolapse Quantification (POP-Q) Staging and Decubitus Ulcer in Pelvic Organ Prolapse

Samantray¹,

Mohapatra

2021

Cureus

View full text Add to dashboard Cite

show abstract

Comparison of cervical length measured by pelvic organ prolapse quantification system and sonography

Tondro Anamag,

Noshad Iran,

Mousavi

et al. 2024

Sonography

View full text Add to dashboard Cite

BackgroundPelvic organ prolapse (POP) is associated with cervical elongation (CE). The presence of CE could affect the surgical approach for the patient. Cervical length measurement using the pelvic organ prolapse quantification system (POP‐Q) has poor accuracy in CE detection. We speculated that transvaginal sonography of the cervix could be an alternative method to assess the cervical length properly.AimsWe aimed to compare cervical length based on POP‐Q examination with transvaginal sonography.MethodsThis was a prospective observational study of 99 patients with POP symptoms. POP‐Q staging was performed, and a gynaecologist determined cervical length. Moreover, all women underwent transvaginal sonography, and cervical length was reported. We used the inter‐class correlation coefficient and Bland–Altman plot to assess agreement. We used Spearman or Pearson correlation to determine the relationship between measurements difference and age, body mass index (BMI), total vaginal length, and parity.ResultsOne‐sample t‐test showed a significant difference between cervical length measured by POP‐Q and sonography (mean difference 9.93, 95% CI 8.26–11.93, p value <.001). The inter‐class correlation coefficient was reported as 0.476 (95% CI 0.22–0.65). The Bland–Altman plot illustrated considerable disagreement. There was no statistically significant correlation between measurement discrepancy and age, BMI, total vaginal length, or parity.ConclusionsThere is a significant discrepancy between the POP‐Q system and sonography in cervical length measurement. Given the importance of CE detection in choosing an appropriate surgical approach, it seems reasonable to repeat the measurement using alternative methods like sonography.

show abstract

Total colpocleisis technique in huge neglected ulcerated uterovaginal prolapse

2020

View full text Add to dashboard Cite

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

Cited by 6 publications

References 15 publications

Study of the Relationship Between Pelvic Organ Prolapse Quantification (POP-Q) Staging and Decubitus Ulcer in Pelvic Organ Prolapse

Study of the Relationship Between Pelvic Organ Prolapse Quantification (POP-Q) Staging and Decubitus Ulcer in Pelvic Organ Prolapse

Comparison of cervical length measured by pelvic organ prolapse quantification system and sonography

Total colpocleisis technique in huge neglected ulcerated uterovaginal prolapse

Contact Info

Product

Resources

About