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Anogenital Distance and Perineal Measurements of the Pelvic Organ Prolapse (POP) Quantification System
Published on: September 20, 2018
Is there a pelvic organ prolapse threshold that predicts bladder outflow obstruction?
Christina E Dancz1, Begüm Ozel
1Division of Female Pelvic Medicine and Reconstructive Surgery, Department of Obstetrics and Gynecology, Keck School of Medicine, University of Southern California, 1200 N State St IRD 518, Los Angeles, CA 90033, USA. dancz@usc.edu
International Urogynecology Journal
|February 23, 2011
Summary
Anterior vaginal wall prolapse is linked to bladder outflow obstruction (BOO). However, this study found no specific prolapse measurement that reliably predicts BOO in women.
Area of Science:
- Urogynecology
- Pelvic Floor Disorders
- Female Urology
Background:
- Anterior vaginal wall prolapse is common in women.
- Bladder outflow obstruction (BOO) can occur in women with pelvic organ prolapse.
- Identifying predictive factors for BOO is crucial for surgical planning.
Purpose of the Study:
- To investigate if a specific degree of anterior vaginal wall prolapse can predict bladder outflow obstruction.
- To establish a clinical cutpoint for anterior prolapse indicating risk of BOO.
Main Methods:
- Comparative study of women with and without diagnosed bladder outflow obstruction.
- Analysis of baseline characteristics, urodynamic findings, and pelvic organ prolapse quantification (POP-Q) measurements.
- Receiver operator curve (ROC) analysis to identify potential predictive cutpoints.
Main Results:
- Women with BOO were older, had higher parity, and smaller maximum bladder capacity.
- Higher Aa and Ba measurements (anterior vaginal wall prolapse) were observed in women with BOO.
- ROC analysis did not identify a clear cutpoint of anterior prolapse to predict bladder outflow obstruction.
Conclusions:
- Bladder outflow obstruction is associated with anterior vaginal wall prolapse.
- No specific anterior vaginal wall prolapse measurement reliably predicts bladder outflow obstruction.
- Further research may be needed to identify predictive markers for BOO in this population.
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