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Related Experiment Video

Updated: Jun 26, 2026

Quantification of Levator Ani Hiatus Enlargement by Magnetic Resonance Imaging in Males and Females with Pelvic Organ Prolapse
07:41

Quantification of Levator Ani Hiatus Enlargement by Magnetic Resonance Imaging in Males and Females with Pelvic Organ Prolapse

Published on: April 17, 2019

Prolapse worsens with age, doesn't it?

Hans Peter Dietz1

  • 1Department of Obstetrics and Gynaecology, Nepean Clinical School, University of Sydney, Nepean Hospital, Penrith, New South Wales, Australia. hpdietz@bigpond.com

The Australian & New Zealand Journal of Obstetrics & Gynaecology
|January 10, 2009
PubMed
Summary
This summary is machine-generated.

Pelvic organ prolapse progression with age is complex. While some prolapse increases with age, particularly around menopause, it doesn't universally worsen, challenging common assumptions about aging and pelvic organ support.

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Laparoscopic Non-Mesh Cerclage Pectopexy with Uterine Preservation for Pelvic Organ Prolapse

Published on: October 25, 2024

Area of Science:

  • Urogynecology
  • Pelvic Floor Disorders
  • Gerontology

Background:

  • Female pelvic organ prolapse (POP) is prevalent and often assumed to worsen with age.
  • Recent findings suggest mild to moderate pelvic organ descent is common even in young, nulligravid women.

Purpose of the Study:

  • To investigate the complex relationship between patient age and the prevalence and severity of pelvic organ prolapse.
  • To differentiate the impact of age from other factors like parity and menopausal status on POP.

Main Methods:

  • Retrospective analysis of 971 women's clinical and imaging data (ultrasound).
  • Data included patient age, parity, menopausal status, and POP staging via clinical examination and urodynamics.
  • Statistical analysis explored correlations between age and different types of prolapse (cystocele, rectocele, uterine prolapse).

Main Results:

  • A complex, non-linear relationship was observed between age and pelvic organ prolapse.
  • Cystocele and rectocele showed a parabolic relationship with age, increasing around menopause and decreasing thereafter.
  • Uterine prolapse demonstrated a near-linear increase with age. The association between age and cystocele in premenopausal nulliparous women was significant, independent of childbearing.

Conclusions:

  • Age plays a multifaceted role in the development and progression of pelvic organ prolapse.
  • The findings challenge the traditional view of age as a primary, linear risk factor for POP and subsequent reconstructive surgery.
  • Further research is needed to fully elucidate the pathogenetic mechanisms influenced by aging.