Abstract
This study investigated the correlation between results of the pelvic organ prolapse quantification (POPQ) system at 3 days and at 2 months postpartum with obstetric parameters and lower urinary tract symptoms (LUTS) in 125 primiparae with vaginal delivery. The clinical characteristics, prevalence of pregnancy-related LUTS, and POPQ scores were evaluated. Regarding the relationship of obstetric parameters with POPQ scoring, the gh was found positively correlated with the body mass index and vaginal laceration at 2 months postpartum. The POPQ evaluation did not find the LUTS to be significantly related to the prolapse score. The mean scores of points C and D were significantly increased, and gh, pb, and tvl were significantly decreased between the initial and 2-month follow-up scores. Our results revealed that a decrease in vaginal size is the principal change during the first 2 months postpartum and that with the exception of gh, neither the obstetric parameters nor the LUTS were associated with the POPQ scoring system.
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Acknowledgement
This work was supported by the Medical Research Project, Chang Gung Memorial Hospital (CMRPG33048 and BMRP412).
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Appendix
Appendix
Lower urinary tract symptoms questionnaire
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1.
Lost any urine when you cough, sneeze, or physically exert yourself? (stress urinary incontinence)
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2.
Gone to the toilet more than seven times during the day? (frequency)
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3.
Had to wake more than once during the night to void? (nocturia)
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4.
Felt a sudden compelling desire to void, which was difficult to defer? (urgency)
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5.
Leaked urine if you had to wait to use the toilet, or leaked on your way to the toilet? (urge incontinence)
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6.
Felt incomplete emptying after rising from the toilet? (incomplete emptying)
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7.
Had difficulty initiating micturition when you have been ready to pass urine? (voiding difficulty)
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8.
Had to use abdominal strength to pass urine? (straining)
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Liang, CC., Tseng, LH., Horng, SG. et al. Correlation of pelvic organ prolapse quantification system scores with obstetric parameters and lower urinary tract symptoms in primiparae postpartum. Int Urogynecol J 18, 537–541 (2007). https://doi.org/10.1007/s00192-006-0195-6
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DOI: https://doi.org/10.1007/s00192-006-0195-6