OP26.06: Is the Valsalva/Rest ratio for area the ‘levator elasticity index’?

on examination. Latency between age at first vaginal delivery and presentation was 32.6 years (0–72.6). There was a strong association between levator avulsion and symptoms and signs of prolapse (all P < 0.001). Patients with avulsion were not shown to present earlier, regardless of symptoms. On multivariable logistic regression, the relationship between symptoms/signs of FPOP and latency was nonlinear and was treated as a binary variable (<=20, > 20 years). However, latency was not an effect modifier of the relationship between avulsion and symptoms/signs of FPOP. Conclusions: We have found no evidence for the hypothesis that levator trauma leads to earlier presentation of women with symptoms and/ or signs of prolapse.