نوع مقاله : اصیل پژوهشی
نویسندگان
1 گروه زنان و مامایی، دانشکده پزشکی، دانشگاه علوم پزشکی تهران، تهران، ایران.
2 دانشکده پزشکی دانشگاه علوم پزشکی مشهد
3 Department of Obstetrics and Gynecology, Faculty of Medicine, Tehran University of Medical Sciences, Tehran, Iran.
4 گروه زنان و زایمان، دانشکده پزشکی، دانشگاه علوم پزشکی شهید بهشتی
5 Clinical Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.
6 دانشگاه علوم پزشکی مشهد
7 BC in Midwifery, Tehran University of Medical Sciences, Tehran, Iran.
چکیده
کلیدواژه‌ها
موضوعات
عنوان مقاله [English]
نویسندگان [English]
Introduction: Pelvic organ prolapse (POP) is the descent of pelvic organs beyond the vaginal walls which is associated with bothersome urinary, defecatory, sexual and vaginal mass protrusion symptoms. The aim of this study was to investigate the correlation of the symptoms and POP-Q stage.
Methods: This cross-sectional study was performed on 335 women with pop symptoms referred to the pelvic floor clinic of Tehran Imam khomeini hospital in 2018-2019. A checklist of detailed medical history which contains of urinary, defecatory, sexual and bulging symptoms due to pelvic organ prolapse was filled by a pelvic floor specialist and the stage of POP was evaluated according to pelvic organ prolapse quantification (POPQ) system. Statistical analysis were done using SPSS version 23. P<0.05 was considered significant.
Results: Among women with pelvic organ prolapse symptoms (335 cases), there was significant correlation between stress and urgency urinary incontinence and lower stage of anterior compartment prolapse (p=0.002, p=0.043, respectively). Also, significant correlation observed between urgency urinary incontinence and lower stage of posterior compartment prolapse (P=0.04); but there was no correlation between defecatory symptoms and stage of anterior, posterior or apical compartment prolapse. There was significant correlation between vaginal noise and sexual dissatisfaction with lower stage of anterior compartment prolapse (p=0.014, p=0.025, respectively).
Conclusion: urinary symptoms especially urinary incontinence (both stress and urgency urinary incontinence) and sexual dissatisfaction were correlated with lower stage of POP. There was no correlation between defecatory symptoms and POP stages, so bothersome pop symptoms may have no correlation with the POP staging.
کلیدواژه‌ها [English]
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