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Relationship between pelvic floor symptoms and POP‐Q measurements
Author(s) -
Maai Jittima,
Wattanayingcharoenchai Rujira
Publication year - 2016
Publication title -
neurourology and urodynamics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.918
H-Index - 90
eISSN - 1520-6777
pISSN - 0733-2467
DOI - 10.1002/nau.22786
Subject(s) - hymen , medicine , pelvic floor , vagina , feeling , receiver operating characteristic , surgery , gynecology , psychology , social psychology
Aim To investigate the relationship between pelvic floor symptoms using the Pelvic Floor Bother Questionnaire (PFBQ) and the Pelvic Organ Prolapse Quantification system (POP‐Q) measurements. Methods This was a retrospective study. Consecutive women seeking care for pelvic floor symptoms were evaluated. The PFBQ was self‐administered by all patients before they were examined by three urogynecologists according to the POP‐Q. Pearson's correlation and a receiver operating characteristic (ROC) curve were used to investigate relationship between symptoms and POP‐Q findings. Results Four hundred and sixty‐seven patients completed the questionnaire and underwent standardized pelvic examination. Anterior, posterior and apical compartment prolapse were found in 95.5%, 78.8% and 35.9%, respectively. Moderate correlations were found between a feeling of bulging and the increasing severity of prolapse of all compartments. For all 8 pelvic floor symptoms, the area under the curve for a feeling of bulge with point Ba and point C was significantly greater than 0.7, suggesting fair ability to predict symptomatic patients. The sensitivity and specificity of the symptom were 60% and 83% when point Ba was 1 cm below the hymen. Whereas they were 55% and 83% when point C was 3 cm above the hymen. Conclusions The feeling of a bulge in the vagina is the only symptom that correlated with prolapse of all compartments. The specific thresholds for the feeling of a bulge appear to be 1 cm below the hymen for anterior vaginal wall prolapse, and 3 cm above the hymen for apical prolapse. Neurourol. Urodynam. 35:724–727, 2016 . © 2015 Wiley Periodicals, Inc.