Impact of Pelvic Organ Prolapse on Urination and Bowel Symptoms
Author Information
Author(s): Annette G. Groenendijk, Erwin Birnie, Jan-Paul W. Roovers, Gouke J. Bonsel
Primary Institution: Onze Lieve Vrouwe Hospital
Hypothesis
To investigate the contribution of Pelvic Organ Prolapse (POP) to micturition and defecation symptoms.
Conclusion
The stage of POP and specific prolapse symptoms are associated, but there is no strong association between POP and micturition or defecation symptoms.
Supporting Evidence
- POP had a moderate impact on the symptom of vaginal protrusion.
- Constipation was more likely explained by clinical depression than by pelvic floor defects.
- Voiding problems were associated with specific pelvic floor defects.
Takeaway
Women with pelvic organ prolapse may feel symptoms like pressure or discomfort, but these symptoms aren't always caused by the prolapse itself.
Methodology
Cross-sectional study comparing 64 women with POP symptoms to 50 controls without POP complaints, using various health surveys.
Potential Biases
Differences in characteristics between study and control groups may introduce bias.
Limitations
The study may not represent all types of prolapse, and the control group had a high prevalence of mild prolapse.
Participant Demographics
Study group average age was 56.1 years, with higher parity compared to the control group.
Statistical Information
P-Value
p<0.05
Confidence Interval
95%-CI: 0.04 to 1.25
Statistical Significance
p<0.05
Digital Object Identifier (DOI)
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