POP symptoms relieved by a variety of surgical approaches

  • Han E & al.
  • Urology
  • 31 Oct 2018

  • curated by Craig Hicks
  • Clinical Essentials
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Takeaway

  • Women who undergo surgical repair for pelvic organ prolapse (POP) have significantly improved Pelvic Floor Distress Index (PFDI) scores regardless of surgical approach.

Why this matters

  • POP affects up to 50% of women who have borne more than 1 child; symptoms can include vaginal bulge, incomplete bladder emptying, positioning to void, splinting for bowel movements, and pelvic pain.

Study design

  • Researchers studied women with POP (n=293), comparing baseline data and outcomes at 1 year.
  • Funding: None disclosed.

Key results

  • Those patients (n=233) who had surgery showed significant improvements in PFDI scores; those who did not have surgery showed no significant improvements (both P=.0001).
  • There were no differences between scores either at baseline or 1 year for patients who underwent vaginal or abdominal procedures, either with or without concurrent hysterectomy, mesh placement, or posterior repair.

Limitations

  • Patients were not randomly assigned, potentially resulting in selection bias.
  • Some patients were lost to follow-up.

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