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Effect of age, body mass index, and parity on Pelvic Organ Prolapse Quantification system measurements in women with symptomatic pelvic organ prolapse
Author(s) -
Shalom Dara F.,
Lin Stephanie N.,
St Louis Sarah,
Winkler Harvey A.
Publication year - 2012
Publication title -
journal of obstetrics and gynaecology research
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.597
H-Index - 50
eISSN - 1447-0756
pISSN - 1341-8076
DOI - 10.1111/j.1447-0756.2011.01718.x
Subject(s) - medicine , body mass index , parity (physics) , wilcoxon signed rank test , gynecology , obstetrics , mann–whitney u test , physics , particle physics
Aim: To evaluate the effect of age, body mass index (BMI), and parity on Pelvic Organ Prolapse Quantification (POP‐Q) system measurements in women with symptomatic prolapse. Material and Methods: The charts of 603 women with symptomatic prolapse were reviewed. Patients with prior prolapse surgery or hysterectomy were excluded. POP‐Q measurements were recorded by a single examiner. Data were analyzed using descriptive statistics, the Pearson's product‐moment correlation, and Wilcoxon signed rank test. Results: Three hundred and eleven patients met inclusion criteria. Mean age was 63.4 years, mean parity was 2.6, and mean body mass index (BMI) was 26.6 kg/m 2 . Increasing age was correlated with worsening scores on Ba (r = 0.33, P < 0.0001), C (r = 0.14, P < 0.02), D (r = 0.14, P = 0.02) and Bp (r = 0.13, P = 0.02), while parity was only correlated with worsening scores on Aa (r = 0.12, P = 0.04). There was no correlation between BMI and any POP‐Q data point. Conclusion: The effect of increasing parity was seen solely on point Aa in women with symptomatic prolapse. Age affected all vaginal compartments, while BMI had no impact on POP‐Q data points.