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Updated: May 8, 2026
Anogenital Distance and Perineal Measurements of the Pelvic Organ Prolapse (POP) Quantification System
Published on: September 20, 2018
Can the PFDI (Pelvic Floor Distress Inventory) or PFIQ (Pelvic Floor Impact Questionnaires) be used to predict
V Letouzey1, G Mercier, S Adjoussou
1Gynecology and obstetrics department, Caremeau university hospital, place Pr R.-Debré, 30900 Nimes, France.
Objective:
To determine a syndrome score threshold on PFDI or PFIQ predictive of a significant improvement in post-operative functional results.
Design:
A retrospective case review (Canadian Task Force Classification II-2).
Setting:
University and research hospital.
Population:
Women diagnosed with pelvic organ prolapse and repaired with synthetic vaginal mesh.
Methods:
Quality of life was arbitrarily considered to have improved significantly if the score decreases by more than 50% between pre-operatively and 36 months post-operatively. We investigated the pre-operative cut-off score predictive of no quality of life improvement at M36 from a prospective trial for surgical pelvic organ prolapse treatment.
Results:
The most accurate pre-operative cut-off score predicting a failure to improve quality of life at 36 months post-operatively was 62/300 (PFDI Score). This cut-off value had a positive predictive value of 83.6% and specificity of 62.1%. No significant threshold was obtained from the PFIQ score.
Conclusion:
The intensity of symptoms before surgery may interfere as a predictive factor for outcome.
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