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Relationship between pelvic floor complaints and multicompartment prolapsus

Yıl 2024, Cilt: 7 Sayı: 3, 337 - 340, 27.05.2024
https://doi.org/10.32322/jhsm.1438190

Öz

Aims: The aim of this study is to investigate the frequency and characteristics of multi-compartment prolapse in women evaluated with pelvic floor complaints.
Methods: The data of 259 patients who applied to our hospital with pelvic floor complaints between May 2022 and March 2023 were evaluated retrospectively, and after the exclusion criteria were applied, the remaining 69 patients were included. Patients were grouped according to their primary complaints as those presenting with anterior compartment symptoms (ACS), those presenting with middle compartment symptoms (MCS), those presenting with posterior compartment symptoms (PCS), those presenting with proctological symptoms (PS) and those presenting with chronic pelvic pain (CPP).
Results: A total of 69 patients were included in the study. The mean age was 49.8±13.1 years and the median symptom duration was 60 months. When patients are evaluated in terms of main complaint; The primary complaint was ACS in 16 patients, MCS in 4 patients, PCS in 26 patients, PS in 20 patients, and CPP in 3 patients. According to MRI defecography findings, ACS was detected in 1 patients, MCS in 1 patients, PCS in 13 patients and multicompartment prolapse in 54 patients. In patients with a history of vaginal delivery, in patients with a history of previous pelvic surgery and as the number of vaginal delivery increases multi-compartment prolapse rate was significantly increased.
Conclusion: Regardless of the underlying primary complaint, the presence of multicompartment prolapse should be investigated through examination and tests in pelvic floor diseases. History and number of vaginal deliveries, previous pelvic surgery history carry a higher risk for multi-compartment prolapse.

Kaynakça

  • Altman D, Zetterstrom J, Schultz I, et al. Pelvic organ prolapse and urinary incontinence in women with surgically managed rectal prolapse: a population-based case-control study. Dis Colon Rectum. 2006;49(1):28-35.
  • Reimers C, Siafarikas F, Stær-Jensen J, Småstuen MC, Bø K, Ellström Engh M. Risk factors for anatomic pelvic organ prolapse at 6 weeks postpartum: a prospective observational study. Int Urogynecol J. 2019;30(3):477-482.
  • Geltzeiler CB, Birnbaum EH, Silviera ML, et al. Combined rectopexy and sacrocolpopexy is safe for correction of pelvic organ prolapse. Int J Colorectal Dis. 2018;33(10):1453-1459.
  • Chen CCG, Avondstondt AM, Khatry SK, et al. Prevalence of symptomatic urinary incontinence and pelvic organ prolapse among women in rural Nepal. Int Urogynecol J. 2020;31(9):1851-1858.
  • Weber AM, Abrams P, Brubaker L, et al. The standardization of terminology for researchers in female pelvic floor disorders. Int Urogynecol J Pelvic Floor Dysfunct. 2001;12(3):178-186.
  • Colaiacomo MC, Masselli G, Polettini E, et al. Dynamic MR imaging of the pelvic floor: a pictorial review. Radiographics. 2009;29(3):e35.
  • Bertschinger KM, Hetzer FH, Roos JE, Treiber K, Marincek B, Hilfiker PR. Dynamic MR imaging of the pelvic floor performed with patient sitting in an open-magnet unit versus with patient supine in a closed-magnet unit. Radiol. 2002;223(2):501-508.
  • Roos JE, Weishaupt D, Wildermuth S, Willmann JK, Marincek B, Hilfiker PR. Experience of 4 years with open MR defecography: pictorial review of anorectal anatomy and disease. Radiograph. 2002;22(4):817-832.
  • Blaivas JG, Appell RA, Fantl JA, et al. Standards of efficacy for evaluation of treatment outcomes in urinary incontinence: recommendations of the Urodynamic Society. Neurourol Urodyn. 1997;16(3):145-147.
  • Barber MD, Walters MD, Bump RC. Short forms of two condition specific quality-of-life questionnaires for women with pelvic floor disorders (PFDI-20 and PFIQ-7). Am J Obstet Gynecol. 2005;193(1):103-113.
  • Lawrence JM, Lukacz ES, Nager CW, Hsu JW, Luber KM. Prevalence and co-occurrence of pelvic floor disorders in community-dwelling women. Obstet Gynecol. 2008;111(3):678-685.
  • Brubaker L, Cundiff GW, Fine P, et al. Abdominal sacrocolpopexy with Burch colposuspension to reduce urinary stress incontinence. N Engl J Med. 2006;354(15):1557-1566.
  • Weinberg D, Qeadan F, McKee R, Rogers RG, Komesu YM. Safety of laparoscopic sacrocolpopexy with concurrent rectopexy: peri-operative morbidity in a nationwide cohort. Int Urogynecol J. 2019;30(3):385-392.
Yıl 2024, Cilt: 7 Sayı: 3, 337 - 340, 27.05.2024
https://doi.org/10.32322/jhsm.1438190

Öz

Kaynakça

  • Altman D, Zetterstrom J, Schultz I, et al. Pelvic organ prolapse and urinary incontinence in women with surgically managed rectal prolapse: a population-based case-control study. Dis Colon Rectum. 2006;49(1):28-35.
  • Reimers C, Siafarikas F, Stær-Jensen J, Småstuen MC, Bø K, Ellström Engh M. Risk factors for anatomic pelvic organ prolapse at 6 weeks postpartum: a prospective observational study. Int Urogynecol J. 2019;30(3):477-482.
  • Geltzeiler CB, Birnbaum EH, Silviera ML, et al. Combined rectopexy and sacrocolpopexy is safe for correction of pelvic organ prolapse. Int J Colorectal Dis. 2018;33(10):1453-1459.
  • Chen CCG, Avondstondt AM, Khatry SK, et al. Prevalence of symptomatic urinary incontinence and pelvic organ prolapse among women in rural Nepal. Int Urogynecol J. 2020;31(9):1851-1858.
  • Weber AM, Abrams P, Brubaker L, et al. The standardization of terminology for researchers in female pelvic floor disorders. Int Urogynecol J Pelvic Floor Dysfunct. 2001;12(3):178-186.
  • Colaiacomo MC, Masselli G, Polettini E, et al. Dynamic MR imaging of the pelvic floor: a pictorial review. Radiographics. 2009;29(3):e35.
  • Bertschinger KM, Hetzer FH, Roos JE, Treiber K, Marincek B, Hilfiker PR. Dynamic MR imaging of the pelvic floor performed with patient sitting in an open-magnet unit versus with patient supine in a closed-magnet unit. Radiol. 2002;223(2):501-508.
  • Roos JE, Weishaupt D, Wildermuth S, Willmann JK, Marincek B, Hilfiker PR. Experience of 4 years with open MR defecography: pictorial review of anorectal anatomy and disease. Radiograph. 2002;22(4):817-832.
  • Blaivas JG, Appell RA, Fantl JA, et al. Standards of efficacy for evaluation of treatment outcomes in urinary incontinence: recommendations of the Urodynamic Society. Neurourol Urodyn. 1997;16(3):145-147.
  • Barber MD, Walters MD, Bump RC. Short forms of two condition specific quality-of-life questionnaires for women with pelvic floor disorders (PFDI-20 and PFIQ-7). Am J Obstet Gynecol. 2005;193(1):103-113.
  • Lawrence JM, Lukacz ES, Nager CW, Hsu JW, Luber KM. Prevalence and co-occurrence of pelvic floor disorders in community-dwelling women. Obstet Gynecol. 2008;111(3):678-685.
  • Brubaker L, Cundiff GW, Fine P, et al. Abdominal sacrocolpopexy with Burch colposuspension to reduce urinary stress incontinence. N Engl J Med. 2006;354(15):1557-1566.
  • Weinberg D, Qeadan F, McKee R, Rogers RG, Komesu YM. Safety of laparoscopic sacrocolpopexy with concurrent rectopexy: peri-operative morbidity in a nationwide cohort. Int Urogynecol J. 2019;30(3):385-392.
Toplam 13 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Genel Cerrahi
Bölüm Orijinal Makale
Yazarlar

Tansu Altıntaş 0000-0001-6517-7948

Çiğdem Arslan 0000-0002-2282-7207

Yayımlanma Tarihi 27 Mayıs 2024
Gönderilme Tarihi 16 Şubat 2024
Kabul Tarihi 24 Mayıs 2024
Yayımlandığı Sayı Yıl 2024 Cilt: 7 Sayı: 3

Kaynak Göster

AMA Altıntaş T, Arslan Ç. Relationship between pelvic floor complaints and multicompartment prolapsus. J Health Sci Med /JHSM /jhsm. Mayıs 2024;7(3):337-340. doi:10.32322/jhsm.1438190

Üniversitelerarası Kurul (ÜAK) Eşdeğerliği:  Ulakbim TR Dizin'de olan dergilerde yayımlanan makale [10 PUAN] ve 1a, b, c hariç  uluslararası indekslerde (1d) olan dergilerde yayımlanan makale [5 PUAN]

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Not:
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Yüksek Öğretim Kurumu (YÖK) kriterlerine göre yağmacı/şüpheli dergiler hakkındaki kararları ile yazar aydınlatma metni ve dergi ücretlendirme politikasını tarayıcınızdan indirebilirsiniz. https://dergipark.org.tr/tr/journal/2316/file/4905/show 


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