Contribution of Primary Pelvic Organ Prolapse to Micturition and Defecation Symptoms

Table 2

Multiple linear regression analysis showing the relationship between patient’s characteristics, psychological characteristics and anatomical defects at the one hand and pelvic floor symptoms (log scale) at the other hand.

	β-coefficient [95%-CI]	P value	Change in 𝑅^2 adjusted (P value of change)
(i) UDI-prolapse feeling (log scale)
Constant	3.28 [−7.17 to 7.29]	0.11
Patient characteristics			0.14 (𝑃<0.01)
Age (years)	0.00 [−0.03 to 0.04]	0.80
BMI	−1.00 [−0.17 to −0.3]	<0.01
Parity	0.14 [−0.08 to 0.36]	0.22
Perineal trauma	−0.19 [−0.80 to 0.42]	0.54
Physical health	−0.02 [−1.13 to 0.25]	0.28
Educational level 1^a	−0.20 [−0.73 to 0.72]	0.96
Educational level 2^b	−0.44 [−1.13 to 0.25]	0.21
Psychological factors			0.02 (𝑃=0.14)
Clinical depression	0.65 [−0.02 to 1.32]	0.06
Mental health	−0.01 [−0.04 to 0.02]	0.7
POP-Q points			0.31 (𝑃<0.01)
Ba	0.22 [0.04 to 0.39]	0.01
C	0.04 [−0.07 to 0.15]	0.51
Bp	0.17 [−0.02 to 0.36]	0.07
gh + pb	0.31 [0.05 to 0.58]	0.02
Full model			0.47 (𝑃<0.01)
(ii) UDI-obstructive voiding (log scale)
Constant	4.69 [0.74 to 8.64]	0.02
Patient characteristics			0.21 (𝑃<0.01)
Age (years)	−0.01 [−0.05 to 0.02]	0.44
BMI	0.02 [−0.05 to 0.09]	0.55
Parity	0.16 [−0.07 to 0.38]	0.17
Perineal trauma	−0.95 [−1.56 to −0.35]	<0.01
Physical health	−0.06 [−0.09 to −0.02]	<0.01
Educational level 1^a	0.44 [−0.30 to 1.17]	0.24
Educational level 2^b	−0.22 [−0.91 to 0.46]	0.52
Psychological factors			0.00 (𝑃=0.35)
Clinical depression	−0.35 [−1.01 to 0.32]	0.30
Mental health	−0.02 [−0.05 to 0.01]	0.24
POP-Q points			0.09 (𝑃<0.01)
Ba	−0.03 [−0.20 to 0.14]	0.71
C	0.10 [−0.00 to 0.21]	0.06
Bp	0.09 [−0.09 to 0.28]	0.33
gh + pb	0.18 [−0.09 to 0.44]	0.18
Full model			0.30 (𝑃<0.01)
(iii) UDI-overactive bladder (log scale)
Constant	3.09 [−0.91 to 7.09]	0.13
Patient characteristics			0.07 (𝑃=0.04)
Age (years)	0.00 [−0.04 to 0.04]	0.99
BMI	−0.01 [−0.08 to 0.06]	0.85
Parity	−0.03 [−0.26 to 0.19]	0.77
Perineal trauma	−0.33 [−0.94 to 0.28]	0.28
Physical health	0.01 [−0.03 to 0.04]	0.67
Educational level 1^a	−0.98 [−1.72 to −0.24]	0.01
Educational level 2^b	−0.54 [−1.23 to 0.16]	0.13
Psychological factors			0.00 (𝑃=0.49)
Clinical depression	0.27 [−0.40 to 0.94]	0.43
Mental health	0.001 [−0.03 to 0.03]	0.97
POP-Q points			0.14 (𝑃<0.01)
Ba	−0.02 [−0.15 to 0.19]	0.80
C	0.11 [−0.00 to 0.21]	0.06
Bp	0.24 [ 0.06 to 0.43]	0.01
gh + pb	−0.01 [−0.27 to 0.26]	0.97
Full model			0.21 (𝑃<0.01)
(iv) UDI-discomfort and pain (log scale)
Constant	4.93 [0.88 to 7.91]	0.01
Patient characteristics			0.10 (𝑃=0.01)
Age (years)	−0.01 [0.05 to 0.02]	0.36
BMI	−0.04 [−0.11 to 0.03]	0.25
Parity	0.09 [−0.11 to 0.29]	0.36
Perineal trauma	0.19 [−0.35 to 0.72]	0.49
Physical health	−0.04 [−0.07 to −0.01]	0.02
Educational level 1^a	−0.09 [−0.74 to 0.57]	0.79
Educational level 2^b	−0.18 [−0.79 to 0.43]	0.56
Psychological factors			0.07 (𝑃<0.01)
Clinical depression	0.73 [0.14 to 1.32]	0.02
Mental health	−0.01 [−0.04 to 0.01]	0.37
POP-Q points			0.12 (𝑃<0.01)
Ba	−0.02 [−0.17 to 0.13]	0.79
C	0.05 [−0.05 to 0.14]	0.35
Bp	0.17 [0.00 to 0.33]	0.05
gh + pb	0.24 [0.00 to 0.47]	0.05
Full model			0.29 (𝑃<0.01)
(v) DDI-constipation (log scale)
Constant	3.32 [−0.08 to 6.71]	0.06
Patient characteristics			0.06 (𝑃=0.07)
Age (years)	0.00 [−0.03 to 0.03]	0.99
BMI	−0.08 [−0.14 to −0.02]	0.01
Parity	0.09 [−0.10 to 0.28]	0.35
Perineal trauma	−0.12 [−0.64 to 0.40]	0.69
Physical health	−0.03 [−0.06 to −0.01]	0.02
Educational level 1^a	0.58 [−0.31 to 0.87]	0.69
Educational level 2^b	0.28 [−0.31 to 0.87]	0.07
Psychological factors			0.13 (𝑃<0.01)
Clinical depression	0.96 [0.39 to 1.53]	<0.01
Mental health	−0.01 [−0.04 to 0.01]	0.35
POP-Q points			0.05 (𝑃=0.03)
Ba	−0.02 [−0.16 to 0.13]	0.82
C	−0.08 [−0.17 to 0.02]	0.10
Bp	0.12 [−0.04 to 0.28]	0.16
gh + pb	0.26 [0.03 to 0.49]	0.03
Full model			0.24 (𝑃<0.01)

^aSecondary education; reference is primary school/lower vocational education.
^bHigher professional education; reference is primary school/lower vocational education.