- 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.
- Researchers studied women with POP (n=293), comparing baseline data and outcomes at 1 year.
- Funding: None disclosed.
- 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.
- Patients were not randomly assigned, potentially resulting in selection bias.
- Some patients were lost to follow-up.