TY - JOUR
T1 - A comparison of women with primary and recurrent pelvic prolapse
AU - Kenton, K.
AU - Sadowski, D.
AU - Shott, S.
AU - Brubaker, L.
AU - Zurawin, R. K.
AU - Julian, T.
AU - Fine, P. M.
PY - 1999
Y1 - 1999
N2 - OBJECTIVE: Our purpose was to identify clinically relevant differences in women with primary and recurrent pelvic organ prolapse. STUDY DESIGN: Consecutive women undergoing reconstructive surgery completed a urogynecologic history and physical examination and underwent either multichannel urodynamic testing or pelvic floor fluoroscopy, or both. Two groups were compared: primary (no prior surgery for pelvic organ prolapse) and recurrent. RESULTS: One hundred eighty-one consecutive women were studied - 103 with primary and 78 with recurrent prolapse. The groups were similar with respect to age, race, weight, vaginal parity, prolapse stage, urodynamic diagnosis; extent of visceral malposition, and common urinary, anorectal, and sexual symptoms. Clinically relevant differences were found, with the recurrent group having shorter vaginal lengths (P = .0005), being more likely to have had a hysterectomy for a nonprolapse indication (P = .00018) and to be receiving hormone replacement therapy (P = .00003). CONCLUSION: The women with primary and recurrent pelvic organ prolapse in this population were remarkably similar in many quantifiable parameters measured. The clinical differences may be related to previous surgery for pelvic organ prolapse.
AB - OBJECTIVE: Our purpose was to identify clinically relevant differences in women with primary and recurrent pelvic organ prolapse. STUDY DESIGN: Consecutive women undergoing reconstructive surgery completed a urogynecologic history and physical examination and underwent either multichannel urodynamic testing or pelvic floor fluoroscopy, or both. Two groups were compared: primary (no prior surgery for pelvic organ prolapse) and recurrent. RESULTS: One hundred eighty-one consecutive women were studied - 103 with primary and 78 with recurrent prolapse. The groups were similar with respect to age, race, weight, vaginal parity, prolapse stage, urodynamic diagnosis; extent of visceral malposition, and common urinary, anorectal, and sexual symptoms. Clinically relevant differences were found, with the recurrent group having shorter vaginal lengths (P = .0005), being more likely to have had a hysterectomy for a nonprolapse indication (P = .00018) and to be receiving hormone replacement therapy (P = .00003). CONCLUSION: The women with primary and recurrent pelvic organ prolapse in this population were remarkably similar in many quantifiable parameters measured. The clinical differences may be related to previous surgery for pelvic organ prolapse.
KW - Fluoroscopy
KW - Pelvic organ prolapse
KW - Urodynamics
UR - http://www.scopus.com/inward/record.url?scp=0033051534&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=0033051534&partnerID=8YFLogxK
U2 - 10.1016/S0002-9378(99)70027-X
DO - 10.1016/S0002-9378(99)70027-X
M3 - Article
C2 - 10368479
AN - SCOPUS:0033051534
SN - 0002-9378
VL - 180
SP - 1415
EP - 1418
JO - American journal of obstetrics and gynecology
JF - American journal of obstetrics and gynecology
IS - 6 I
ER -