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Obstetrics and Gynecology International
Volume 2012 (2012), Article ID 798035, 9 pages
http://dx.doi.org/10.1155/2012/798035
Clinical Study

Contribution of Primary Pelvic Organ Prolapse to Micturition and Defecation Symptoms

1Department of Gynecology and Obstetrics, Onze Lieve Vrouwe Hospital, P.O. Box 95500, 1090 HM Amsterdam, The Netherlands
2Institute of Health Policy and Management, Erasmus Medical Center, P.O. Box 1738, 3000 DR Rotterdam, The Netherlands
3Department of Gynecology and Obstetrics, Academic Medical Center, University of Amsterdam, P.O. Box 22660, 1100 DD Amsterdam, The Netherlands
4Department of Obstetrics and Gynecology and Division Obstetrics and Prenatal Medicine, Erasmus MC-Sophia, P.O. Box 2060, 3000 CB Rotterdam, The Netherlands

Received 1 April 2011; Accepted 7 July 2011

Academic Editor: Peter L. Rosenblatt

Copyright © 2012 Annette G. Groenendijk et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Objective. To investigate the contribution of Pelvic Organ Prolapse (POP) to micturition and defecation symptoms. Method. Cross-sectional study including 64 women presenting with POP symptoms and 50 controls without POP complaints. Subjects were evaluated using POP-Quantification system, Urinary Distress Inventory, and Defecation Distress Inventory. The MOS SF-36 health survey and the Center for Epidemiological Studies Depression scale were used to measure self-perceived health status and depressive symptoms, respectively. Results. POP in terms of POP-Q had a moderate impact on the symptom observing vaginal protrusion (explained variance 0.31). It contributed modestly to obstructive voiding and overactive bladder symptoms (explained variance 0.09, resp., 0.14) but not to urinary incontinence. Constipation was more likely explained by clinical depression than by pelvic floor defects (explained variance 0.13, resp., 0.05). Conclusion. Stage of POP and specific prolapse symptoms are associated but such a strong association does not exist between POP and micturition or defecation symptoms.