Obesity: how much does it matter for female pelvic organ prolapse?

Young, Natharnia; Atan, Ixora Kamisan; Rojas, Rodrigo Guzmán; Dietz, Hans Peter

doi:10.1007/s00192-017-3455-8

Cited by 25 publications

(17 citation statements)

References 25 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…[1] There are, however, dissenting voices: Subak et al concluded that BMI had no impact on POP-Q data points [18], and Young et al showed that the association between BMI and prolapse was limited to posterior compartment prolapse. [19] The effect of weight reduction is controversial. While there seems to be a clear positive effect on symptoms of urinary incontinence, [18,20] this may not apply to prolapse symptoms.…”

Section: Discussionmentioning

confidence: 99%

“…Studies have shown a clear association between BMI and pelvic organ prolapse (POP) .Aa recent metaanalysis has found that overweight and obese women are more likely to have pelvic organ prolapse compared with women with body mass index in the normal range [1]. This is found to be true mainly for posterior compartment prolapse [2]. The associations between obesity and prolapse were found to be the strongest for objectively measured prolapse [1].…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Does obesity change the perception of pelvic organ prolapse?

Friedman

Dietz

2022

Arch Gynecol Obstet

Self Cite

View full text Add to dashboard Cite

Introduction and hypothesis: There is a complex relationship between obesity and pelvic organ prolapse.The objective of our study was to evaluate whether body mass index (BMI) changes the relationship between signs and symptoms of prolapse.Methods This was a retrospective observational study based on datasets of women seen in a tertiary urogynecological centre with symptoms of pelvic oor and lower urinary tract dysfunction between April 2012 and October 2015. Patients underwent a strucrured interview, clinical examination (based on the POP-Q) and 4D transperineal ultrasound (TPUS). O ine assessment of sonographic organ descent was undertaken later, blinded to all patient data.Results: Weight and BMI affect the relationship between symptoms and signs of prolapse. This effect is statistically highly signi cant. The more obese a patient is, the less likely she is to notice a given degree of objective prolapse, regardless of whether it is diagnosed clinically or on imaging.Conclusions In this retrospective study, we found a highly signi cant effect of weight and BMI on prolapse perception in the sense that obesity seems to mask prolapse while a low BMI increases the likelihood of a given degree of prolapse being noticed by the patient. Key MessageWeight and BMI affect the relationship between symptoms and signs of prolapse. The more obese a patient is, the less likely she is to notice a given degree of objective prolapse.Receiver Operating Characteristic (ROC) statistics were used to assess the association between

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Does obesity change the perception of pelvic organ prolapse?

Friedman

Dietz

2022

Arch Gynecol Obstet

Self Cite

View full text Add to dashboard Cite

show abstract

“…Overweight and obese women are more likely to suffer from pelvic organ prolapse (POP) in general [23]. Young et al [24] found a strong association between all measures of posterior compartment descent (both clinical and on imaging) and higher BMI. Whether a higher BMI is associated with worse functional outcome following gynaecological surgery for POP is a controversial.…”

Section: Preoperative Fi Postoperative Fimentioning

confidence: 99%

Adverse obstetric history is not a risk factor for poor outcome after ventral rectopexy for obstructive defaecation syndrome

et al. 2018

View full text Add to dashboard Cite

show abstract

“…The more vaginal births women have, the more likely it is for them to experience a prolapse. Other things that press down on the pelvic organs and the pelvic floor muscles that can lead to prolapse are persistent coughing, such as a smoker's cough or asthma, heavy lifting, constipation, and straining induced in the effort to empty the bowel [7][8][9][10].…”

Section: Introductionmentioning

confidence: 99%

Evaluation of a Balloon-Type Vaginal Endoscope Based on Three-Dimensional Printing Technology for Self-Assessment of Pelvic Organ Prolapse

et al. 2020

View full text Add to dashboard Cite

Pelvic organ prolapse (POP) can occur if the support tissues or the pelvic floor muscles are weakened and damaged. There is increased probability for POP occurrence after childbirth, menopause, or in overweight women. Because the natural history and progression of POP is still unknown, the approaches used to prevent it have not been clear. POP is an uncomfortable condition that affects one every three women. However, most people feel uncomfortable to discuss it. Herein, we conducted a feasibility evaluation study for self-assessment approaches with a vaginal endoscope based on three-dimensional (3D) printing. The proposed endoscope has two parts: (a) rubber material used to cover it for its intended insertion, to avoid direct contact with the walls of the vagina, and (b) two types of sensors at the tip for measurements. The condition inside the vagina was observed with a camera and depth sensors based on the regulation of the amount of air. Arbitrary temporary prolapses from the testbed’s generator enabled us to perceive the location of the problem and symptoms that were regarded as the early stage. As discussed, the low-cost design of the 3D-printed-based vaginal endoscope provides a self-check capability and allows continuous observations that help prevent POP.

show abstract

Obesity: how much does it matter for female pelvic organ prolapse?

Abstract: In this observational study, we found a strong association between all tested measures of posterior compartment descent and BMI, both clinical and on imaging.

Cited by 25 publications

References 25 publications

Does obesity change the perception of pelvic organ prolapse?

Does obesity change the perception of pelvic organ prolapse?

Adverse obstetric history is not a risk factor for poor outcome after ventral rectopexy for obstructive defaecation syndrome

Evaluation of a Balloon-Type Vaginal Endoscope Based on Three-Dimensional Printing Technology for Self-Assessment of Pelvic Organ Prolapse

Contact Info

Product

Resources

About