Related Experiment Video
Updated: Jul 5, 2026
Anogenital Distance and Perineal Measurements of the Pelvic Organ Prolapse (POP) Quantification System
Published on: September 20, 2018
Does pelvic organ prolapse reduction affect abdominal leak point pressures?
James L Whiteside1, Alexei Viazmenski, Kris Strohbehn
1Department of Obstetrics and Gynecology, Dartmouth Medical School, Hanover, New Hampshire 03756, USA. james.l.whiteside@hitchcock.org
Objective:
To determine if pelvic organ prolapse reduction decreases cystometric leak point pressure.
Study Design:
A retrospective review was performed of women with pelvic organ prolapse points Aa, Ba or C > or = -1 cm that leaked with and without vaginal support (barrier testing) during multichannel urodynamic investigation (N=44). An analysis of the mean and difference between leak point pressure (LPP) (vesicle pressure) with and without prolapse reduction was used to determine significance.
Results:
Among 460 possible study subjects, 15% (71/460) leaked only with and 4% (17/460) only without prolapse reduction. Among the 44 women who leaked both with and without prolapse reduction, prolapse reduction was associated with a mean decrease in LPP of 16.1 cm H2O (95% CI 7.4-24.7, p = 0.0005).
Conclusion:
Reduction of pelvic organ prolapse is associated with a mean decrease in LPP of 16.1 cm H2O.
