Risk factors for genital prolapse in non-hysterectomized women around menopause

Parazzini, Fabio; Aloysio, Domenico De; Donato, Paola Di; Giulini, N. A.; Modena, B.; Cicchetti, G; Comitini, Giuseppina; Gentile, G; Cristiani, P.; Careccia, A.; Esposito, E.; Gigli, C; Mandruzzato, G; Bertelli, Francesco; Frate, G. Del; Garofalo, Serafina; Marino, Luise V.; Costa, Mauro; Quaranta, Sylvie; Bossi, C. M.; Amantea, P; Omodei, U.; Vaccari, M.; Luerti, Massimo; Repetti, F.; Zandonini, G.; Raspagliesi, Francesco; Dolci, Filippo; Zacchi, V.; Bennici, S.; Polizzotti, G.; Bottino, S; Raffaelli, Francesca; Minervini, C.; Colombo, Delia; Belloni, C; Viani, A; Cecchini, Giulio; Winkler, Sandra; Samaja, B. A.; Pasinetti, E.; Penotti, M.; Malanetto, C; Massobrio, M; Campagnoli, C; Dolfin, G; Tartaglino, P.; Mossotto, D.; Pesando, P; Pacilli, L; Rattazzi, P. D.; Arisi, E.; Gamper, Marianne; Salvatores, D.; Bocchin, E.; Stellin, G.; Meli, G; Azzini, V.; Tirozzi, F.; Buoso, G.; Fraioli, Rebecca E.; Marsoni, V.; Cetera, C.; Sposetti, R.; Bellati, U; Angeloni, Claudio; Buonerba, M.; Garzarelli, S.; Santilli, C.; Mucci, M.; Nisio, Q. Di; Falasca, L.; Ferrante, Daniel; Cirese, E.; Todaro, P. A.; Romaninï, Carlo; Spagnuolo, Lorenzo; Lanzone, Antonio; Donadio, Carlo; Fabiani, Massimo; Baldaccini, E.; Votano, Sergio; Serra, G. B.; Bellardini, P.; Massacesi, Luca; Donini, G; Genazzani, R. A.; Scarselli, Gianfranco; Curiel, P; Leo, Vincenzo De; Melani, Andrea S.; D'Ancona, V Levi; Giarrè, Giovanna; Gioia, E. Di; Ciccarelli, P.; Sarti, C. Donati; Balsotti, G.; Pupita, P.

doi:10.1016/s0301-2115(00)00285-2

Cited by 87 publications

(3 citation statements)

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“…Probably, the factors that play a role in the occurrence of pelvic organ prolapse in the first place are also risk factors for recurrence of prolapse after surgery. Risk factors for pelvic organ prolapse that have been described in literature are aging [4, 5], obesity [4, 6], family history of prolapse [7, 8], and collagen weakness [5]. Furthermore, there is a strong relationship between vaginal child birth and pelvic organ prolapse [4, 7, 9].…”

Section: Introductionmentioning

confidence: 99%

“…Risk factors for pelvic organ prolapse that have been described in literature are aging [4, 5], obesity [4, 6], family history of prolapse [7, 8], and collagen weakness [5]. Furthermore, there is a strong relationship between vaginal child birth and pelvic organ prolapse [4, 7, 9]. Vaginal birth gives a 4- to 11-fold increase in risk for developing pelvic organ prolapse among parous women compared to women without vaginal delivery in their history [10].…”

Section: Introductionmentioning

confidence: 99%

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Avulsion of puborectalis muscle and other risk factors for cystocele recurrence: a 2-year follow-up study

et al. 2011

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Introduction and hypothesisThis study aimed to determine the relationship of recurrent cystocele with avulsion of puborectalis muscle and other risk factors.MethodsIn this prospective observational cohort study, 245 women undergoing anterior colporrhaphy were invited for a 2-year follow-up visit consisting of a questionnaire, physical examination, and translabial 3D ultrasonography. Women with and without recurrent cystocele were compared to identify recurrence risk factors.ResultsOf the 245 women, 156 agreed to the follow-up visit (63.7%). Objective recurrence rate was 80 of 156 (51.3%). Seventeen of the 156 (10.9%) reported subjective recurrence. Risk factors for anatomical recurrence were complete avulsion of puborectalis muscle (OR, 2.4; 95% CI, 1.3, 4.7), advanced preoperative stage (OR, 2.0; 95% CI, 1.0, 4.1), family history of prolapse (OR, 2.4; 95% CI, 1.2, 4.9), and sacrospinous fixation (OR, 6.5; 95% CI, 2.0, 21.2).ConclusionsRisk factors for anatomical cystocele recurrence after anterior colporrhaphy were complete avulsion of puborectalis muscle, advanced preoperative stage, family history of prolapse, and sacrospinous fixation.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Avulsion of puborectalis muscle and other risk factors for cystocele recurrence: a 2-year follow-up study

et al. 2011

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“…Parity is one of the well-established risk factors involved in the development of pelvic organ prolapse (POP) [1,2,3,4,5,6]. It seems that pelvic floor injuries that take place during pregnancy, labor and delivery may predispose to POP later in life.…”

Section: Introductionmentioning

confidence: 99%

Influence of Mode of Delivery on Pelvic Organ Support 6 Months Postpartum

Diez-Itza¹,

Arrue²,

Ibañez³

et al. 2011

Gynecol Obstet Invest

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Aims: The aims of this study were to describe pelvic organ support 6 months postpartum among women who delivered by cesarean section, spontaneous and instrumental vaginal delivery, and to evaluate the differences between the groups. Methods: This was a cross-sectional study of 382 primigravid women who gave birth at Donostia Hospital during 2007. Pelvic organ support was explored 6 months postpartum using the pelvic organ prolapse quantification (POPQ) system. Joint hypermobility, height and weight were also assessed. Results: POPQ stage ≧II was present in 7.7, 18.1 and 29.0% of women who delivered by cesarean section, spontaneous and instrumental vaginal delivery, respectively. Spontaneous vaginal delivery increased the risk by more than three times (OR 3.19; 95% CI 1.07–9.49) while instrumental vaginal delivery increased it more than fivefold (OR 5.52; 95% CI 1.79–17.30) in comparison with cesarean section. Instrument-assisted delivery did not increase the risk of prolapse in women who delivered vaginally. Conclusions: Cesarean section is associated with a lower prevalence of pelvic organ prolapse after delivery. Instrument- assisted delivery is not associated with an increased risk of postpartum prolapse among women who delivered vaginally.

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