Pelvic Organ Prolapse in Older Women: Prevalence and Risk Factors

Nygaard, Ingrid; Bradley, Catherine S.; Brandt, Debra

doi:10.1097/01.aog.0000136100.10818.d8

Cited by 294 publications

(195 citation statements)

References 16 publications

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“…In this study, the most common type of UP was third degree which was also observed in other studies [8,15]. First-degree variety was the most common presentation in an Italian study [12], second degree in a Nigerian study [11], and fourth degree in a study done in USA [18].…”

Section: Discussionsupporting

confidence: 86%

“…In a study done in USA, giving birth to larger babies had more than two times greater risk of prolapse [15].…”

Section: Discussionmentioning

confidence: 97%

“…First-degree variety was the most common presentation in an Italian study [12], second degree in a Nigerian study [11], and fourth degree in a study done in USA [18]. The first-degree prolapse ranged from 2.3 to 65.3 % [8,11,12,15,18,19], second degree ranged from 16.5 to 67 % [8,11,15,18,19], third-degree prolapse ranged from 35.3 to 47 % [8,18,19], and fourth degree ranged from 22.3 to 37.8 % [11,18] in other studies.…”

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Clinical Profile of Uterine Prolapse Cases in South India

Joseph

Krishnan

Reddy

et al. 2015

J Obstet Gynecol India

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Section: Discussionsupporting

confidence: 86%

“…In a study done in USA, giving birth to larger babies had more than two times greater risk of prolapse [15].…”

Section: Discussionmentioning

confidence: 97%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Clinical Profile of Uterine Prolapse Cases in South India

Joseph

Krishnan

Reddy

et al. 2015

J Obstet Gynecol India

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“…In the US approximately half of all women over the age of 50 years have been reported to complain of symptomatic prolapse. [1][2][3][4][5] The burden of disease is found to be even larger in less affluent societies, where childbearing starts earlier, parity is higher, and access to all health care including gynaecological surgery is limited. [6][7][8][9] In spite of the magnitude of the problem worldwide, the knowledge of the aetiology and natural history of POP remains incomplete.…”

Section: Introductionmentioning

confidence: 99%

Change in pelvic organ support during pregnancy and the first year postpartum: a longitudinal study

Reimers

Stær-Jensen

Siafarikas

et al. 2015

BJOG

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Summary Objective To describe changes in pelvic organ support from mid pregnancy until 1 year postpartum among nulliparous pregnant women, and to examine whether delivery route affects changes in pelvic organ support.Design Prospective cohort study. Setting Akershus University Hospital in Norway.Population A cohort of 300 nulliparous pregnant women included at mid-pregnancy.Methods Pelvic organ support assessed at 21 and 37 weeks of gestation, and again at 6 weeks, 6 months, and 12 months postpartum, by the use of the Pelvic Organ Prolapse Quantification (POP-Q) system. Linear mixed model was used to assess longitudinal change in pelvic organ support.Main outcome measures Prevalence of anatomic POP. Change in POP-Q variables over time and between delivery groups.Results The prevalence of anatomic POP ranged from 0 to 10%. Vaginal POP-Q points made a cranial shift from mid to late pregnancy, a caudal shift following delivery, and again a cranial shift after 6 weeks postpartum. Postpartum change was present following both vaginal and caesarean deliveries, but was more pronounced following vaginal delivery. The perineal body and genital hiatus became longer from mid to late pregnancy, and shortened after 6 weeks postpartum. At 12 months postpartum all POP-Q points, except cervix, had recovered to baseline in the vaginal delivery group.Conclusions The prevalence of anatomic POP was low in this cohort. There was change in pelvic organ support both during pregnancy and following vaginal as well as caesarean delivery. The short-term ability to recover was good after the first pregnancy and delivery.Keywords Delivery, pelvic organ support, POP, postpartum, pregnancy, primipara.Tweetable Abstract Pelvic organ support changes during pregnancy. A contribution to the risk of POP?

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“…6 Pelvic organ prolapse can be associated with urinary as well as bowel dysfunction. The etiology of POP is complex, involving potential injury to the many ligaments, muscles, connective tissue and innervation of the pelvis.…”

mentioning

confidence: 99%

Prolapse and Incontinence Surgery in Older Women

et al. 2008

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Purpose-Pelvic floor disorders including urinary incontinence, pelvic organ prolapse and fecal incontinence are common problems encountered by the older woman. With the increasing population of older American women, urologists and gynecologists can expect to provide evaluation and treatment of these conditions with increasing frequency. These conditions are amenable to both medical and surgical therapies.Materials and Methods-Contemporary published articles (year 2003 to present) that included older women undergoing urogynecologic surgical procedures were included in this review. Current data on morbidity, mortality and/or surgical outcomes are presented along with evidencebased pre, intra and post-operative surgical management strategies.Results-The older woman can expect similar operative risks as well as subjective and objective anatomic and quality-of-life outcomes as that of younger women undergoing pelvic floor surgery. Conclusion-The decision for surgical intervention for the treatment of pelvic floor disorders should not be based on chronologic age alone. Prior to selection of a specific surgical procedure, all existing pelvic floor defects should be evaluated. Further research is required to understand the impact that surgery for pelvic floor disorders has on anatomic, physiologic, and functional outcomes in older women.

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Pelvic Organ Prolapse in Older Women: Prevalence and Risk Factors

Abstract: Some degree of prolapse is nearly ubiquitous in older women, which should be considered in the development of clinically relevant definitions of prolapse. Risk factors for prolapse differed depending on the definition of prolapse used.

Cited by 294 publications

References 16 publications

Clinical Profile of Uterine Prolapse Cases in South India

Clinical Profile of Uterine Prolapse Cases in South India

Change in pelvic organ support during pregnancy and the first year postpartum: a longitudinal study

Prolapse and Incontinence Surgery in Older Women

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