Contribution of Primary Pelvic Organ Prolapse to Micturition and Defecation Symptoms

Objective. To investigate the contribution of Pelvic Organ Prolapse (POP) to micturition and defecation symptoms. Method. Cross-sectional study including 64 women presenting with POP symptoms and 50 controls without POP complaints. Subjects were evaluated using POP-Quantification system, Urinary Dis...

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Main Authors: Annette G. Groenendijk, Erwin Birnie, Jan-Paul W. Roovers, Gouke J. Bonsel
Format: Article
Language:English
Published: Wiley 2012-01-01
Series:Obstetrics and Gynecology International
Online Access:http://dx.doi.org/10.1155/2012/798035
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author Annette G. Groenendijk
Erwin Birnie
Jan-Paul W. Roovers
Gouke J. Bonsel
author_facet Annette G. Groenendijk
Erwin Birnie
Jan-Paul W. Roovers
Gouke J. Bonsel
author_sort Annette G. Groenendijk
collection DOAJ
description Objective. To investigate the contribution of Pelvic Organ Prolapse (POP) to micturition and defecation symptoms. Method. Cross-sectional study including 64 women presenting with POP symptoms and 50 controls without POP complaints. Subjects were evaluated using POP-Quantification system, Urinary Distress Inventory, and Defecation Distress Inventory. The MOS SF-36 health survey and the Center for Epidemiological Studies Depression scale were used to measure self-perceived health status and depressive symptoms, respectively. Results. POP in terms of POP-Q had a moderate impact on the symptom observing vaginal protrusion (explained variance 0.31). It contributed modestly to obstructive voiding and overactive bladder symptoms (explained variance 0.09, resp., 0.14) but not to urinary incontinence. Constipation was more likely explained by clinical depression than by pelvic floor defects (explained variance 0.13, resp., 0.05). Conclusion. Stage of POP and specific prolapse symptoms are associated but such a strong association does not exist between POP and micturition or defecation symptoms.
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spelling doaj-art-c2f77cd7b6e44349ba21bb52a96ce5be2025-08-20T03:23:15ZengWileyObstetrics and Gynecology International1687-95891687-95972012-01-01201210.1155/2012/798035798035Contribution of Primary Pelvic Organ Prolapse to Micturition and Defecation SymptomsAnnette G. Groenendijk0Erwin Birnie1Jan-Paul W. Roovers2Gouke J. Bonsel3Department of Gynecology and Obstetrics, Onze Lieve Vrouwe Hospital, P.O. Box 95500, 1090 HM Amsterdam, The NetherlandsInstitute of Health Policy and Management, Erasmus Medical Center, P.O. Box 1738, 3000 DR Rotterdam, The NetherlandsDepartment of Gynecology and Obstetrics, Academic Medical Center, University of Amsterdam, P.O. Box 22660, 1100 DD Amsterdam, The NetherlandsInstitute of Health Policy and Management, Erasmus Medical Center, P.O. Box 1738, 3000 DR Rotterdam, The NetherlandsObjective. To investigate the contribution of Pelvic Organ Prolapse (POP) to micturition and defecation symptoms. Method. Cross-sectional study including 64 women presenting with POP symptoms and 50 controls without POP complaints. Subjects were evaluated using POP-Quantification system, Urinary Distress Inventory, and Defecation Distress Inventory. The MOS SF-36 health survey and the Center for Epidemiological Studies Depression scale were used to measure self-perceived health status and depressive symptoms, respectively. Results. POP in terms of POP-Q had a moderate impact on the symptom observing vaginal protrusion (explained variance 0.31). It contributed modestly to obstructive voiding and overactive bladder symptoms (explained variance 0.09, resp., 0.14) but not to urinary incontinence. Constipation was more likely explained by clinical depression than by pelvic floor defects (explained variance 0.13, resp., 0.05). Conclusion. Stage of POP and specific prolapse symptoms are associated but such a strong association does not exist between POP and micturition or defecation symptoms.http://dx.doi.org/10.1155/2012/798035
spellingShingle Annette G. Groenendijk
Erwin Birnie
Jan-Paul W. Roovers
Gouke J. Bonsel
Contribution of Primary Pelvic Organ Prolapse to Micturition and Defecation Symptoms
Obstetrics and Gynecology International
title Contribution of Primary Pelvic Organ Prolapse to Micturition and Defecation Symptoms
title_full Contribution of Primary Pelvic Organ Prolapse to Micturition and Defecation Symptoms
title_fullStr Contribution of Primary Pelvic Organ Prolapse to Micturition and Defecation Symptoms
title_full_unstemmed Contribution of Primary Pelvic Organ Prolapse to Micturition and Defecation Symptoms
title_short Contribution of Primary Pelvic Organ Prolapse to Micturition and Defecation Symptoms
title_sort contribution of primary pelvic organ prolapse to micturition and defecation symptoms
url http://dx.doi.org/10.1155/2012/798035
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