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Relationship of Decubitus Ulcer on Cervix in Pelvic Organ Prolapse with POP-Q Staging

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The Journal of Obstetrics and Gynecology of India Aims and scope Submit manuscript

Abstract

Aim

Utero vaginal prolapse is a very common complaint of patients in the OPD. It’s an entity that existed since a very long time and hence many classifications were proposed; however, only one system was found to be a validated system for determining the degree of prolapse—POP-Q system.

Objective

To determine the relationship of decubitus ulcer with POP-Q staging.

Materials and Methods

A prospective study of 100 patients with complaints of prolapse (something coming out of vagina) was considered. The patients were staged in accordance with POP-Q system. The number of patients with decubitus ulcer were noted. The area of each decubitus ulcer was also noted, by measuring the radius. Statistical tests were applied to find out if the relationship of the presence of and the area of decubitus ulcer with stage of prolapse was significant.

Results

It was found that as the stage of prolapse increased, the number of patients with decubitus ulcer also increased. Also, as the Point C measurement increased, the area (small/medium/large size) of the decubitus ulcer also increased.

Conclusion

There is a definite correlation between the presence of decubitus ulcer along with its area and the POP-Q component. The study also indicated that POP-Q staging is the only method of classification available that allows accurate and standardized measurements, foregoing pitfalls of all previous classifications.

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Authors and Affiliations

  1. OBGY Department, Dr. D. Y. Patil Medical College Affiliated to D. Y. Patil Vidhyapeeth, Pimpri, Pune, Maharashtra, 411018, India

    Hemant G. Deshpande

  2. Dr. D. Y. Patil Medical College Affiliated to D. Y. Patil Vidhyapeeth, Pimpri, Pune, Maharashtra, 411018, India

    Chandrakant S. Madkar & Saily R. Kiwalkar

Authors
  1. Hemant G. Deshpande
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  2. Chandrakant S. Madkar
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  3. Saily R. Kiwalkar
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Corresponding author

Correspondence to Chandrakant S. Madkar.

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Conflict of interest

All authors declare that they have no conflict of interest.

Ethical Standards

All procedures followed were in accordance with the ethical standards of the responsible committee on human experiments and with the 1975 Declaration of Helsinki and revised in 2008(5).

Informed Consent

Informed consent was obtained from all the patients included in the study.

Additional information

Dr. Hemant G. Deshpande, MD, OBGY, is an HOD OBGY Department, at the Dr. D. Y. Patil Medical College and Research Centre, Pimpri, Pune, Maharashtra, India; Dr. Chandrakant S. Madkar, MD, DGO, OBGY, is an Professor OBGY Department, at the Dr. D. Y. Patil Medical College and Research Centre, Pimpri, Pune, Maharashtra, India; Dr. Saily R. Kiwalkar, is a Junior Resident, at the Dr. D. Y. Patil Medical College and Research Centre, Pimpri, Pune, Maharashtra, India.

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Deshpande, H.G., Madkar, C.S. & Kiwalkar, S.R. Relationship of Decubitus Ulcer on Cervix in Pelvic Organ Prolapse with POP-Q Staging. J Obstet Gynecol India 69, 266–271 (2019). https://doi.org/10.1007/s13224-018-1127-3

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  • DOI: https://doi.org/10.1007/s13224-018-1127-3

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