当前位置： SCI文献检索 > INTERNATIONAL UROGYNECOLOGY JOURNAL期刊下所有文献 > Natural history of pelvic organ prolapse in symptomatic patients actively seeking treatment.

Natural history of pelvic organ prolapse in symptomatic patients actively seeking treatment.

Abstract：

INTRODUCTION AND HYPOTHESIS:At our institution many symptomatic patients must wait months or years for surgery. Our aim was to determine the rates of clinically significant pelvic organ prolapse (POP) progression and identify risk factors associated with POP progression. METHODS:Data from a prospectively maintained database of POP patients evaluated between 2008 and 2013 were analyzed. Women with symptomatic POP and two or more POP-Q examinations prior to surgery were included. POP progression was defined as having any of the POP-Q points Aa, Ba, C, D, Ap or Bp above the hymen at the baseline examination and at or below the hymen at the follow-up examination. Multivariable logistic analysis was preformed and the results are presented as odds ratios (OR) with 95% confidence intervals (CI). RESULTS:Of consecutive patients evaluated between July 2008 and June 2013, 388 met the inclusion criteria and were included. The median time between the POP-Q examinations was 9.9 months (IQR 7.8 to 13.8 months). The POP progression rate was 29.1% (95% CI 24.6-33.6%). Predictors of progression included age (OR 1.7, 95% CI 1.01-2.87) and the baseline status of points Ba, C, Bp and gH (OR 1.91, 95% CI 1.01-3.62; OR 0.53, 95% CI 0.3-0.94; OR 0.54, 95% CI 0.32-0.93; OR 2.15, 95% CI 1.13-4.1; respectively). POP-Q point correlations showed that anterior and posterior compartment points evolve with apical compartment points and gH evolves with both the anterior compartment and the apex. CONCLUSIONS:Up to 29.1% of symptomatic patients with POP showed clinically significant progression over a median follow-up of 9.9 months. The likelihood of progression was not significantly associated with time. Those ≥60 years of age as well as those with point Ba ≥4 cm or gH ≥5 cm at baseline were at increased risk of POP progression.

journal_name

Int Urogynecol J

journal_title

International urogynecology journal

authors

Pizarro-Berdichevsky J,Borazjani A,Pattillo A,Arellano M,Li J,Goldman HB

doi

10.1007/s00192-017-3450-0

subject

Has Abstract

pub_date

2018-06-01 00:00:00

pages

873-880

issue

eissn

0937-3462

issn

1433-3023

pii

10.1007/s00192-017-3450-0

journal_volume

pub_type

杂志文章

在线工具

Natural history of pelvic organ prolapse in symptomatic patients actively seeking treatment.