, Volume 14, Issue 2, pp 122-127
Date: 26 Apr 2003

Symptoms, bother and POPQ in women referred with pelvic organ prolapse

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The aim of this study was to evaluate symptoms and bother in patients with pelvic organ prolapse (POP) and to compare symptoms with POP-Q grading and measurements. One hundred and ten women with POP filled in a symptom–bother questionnaire concerning frequency of mechanical, bladder, bowel and sexual problems, and a 4-point bother score. The POP was grouped grade 0–1 versus grade ≥2 in each compartment. Symptoms more than once per week were associated with a higher bother score. Mechanical symptoms, reported in 70%, were the most troublesome. Various bladder, bowel and sexual symptoms were reported in 5%–52%, 5%–39%, and 35%–57%, respectively. We concluded that symptoms from all domains were frequent and reported generally and with little relation to prolapse in a specific compartment or POP-Q value.

Editorial Comment: This study attempts to correlate functional derangement with the extent and type of pelvic organ prolapse. This is a very important area of urogynecology in which very little data exists. More studies similar to this are needed.