Correlation between the posterior vaginal wall and apex in pelvic organ prolapse.
10.5468/ogs.2018.61.4.505
- Author:
Min Hee LEE
1
;
Bo Hye KIM
;
Eun Duc NA
;
Ji Hyon JANG
;
Hyeon Chul KIM
Author Information
1. Department of Obstetrics and Gynecology, CHA Bundang Medical Center, CHA University, Seongnam, Korea. philia@cha.ac.kr
- Publication Type:Original Article
- Keywords:
Pelvic organ prolapse;
Vagina;
Cystocele;
Uterine prolapse;
Rectocele
- MeSH:
Cystocele;
Humans;
Pelvic Organ Prolapse*;
Prolapse;
Rectocele;
Retrospective Studies;
Uterine Prolapse;
Vagina
- From:Obstetrics & Gynecology Science
2018;61(4):505-508
- CountryRepublic of Korea
- Language:English
-
Abstract:
OBJECTIVE: The aim of our study is to reveal the correlation between the posterior vaginal wall and apex in pelvic organ prolapse. METHODS: We retrospectively reviewed the records of all new patient visits to a urogynecology clinic between January 2013 and December 2015. RESULTS: Four hundred five cases were enrolled in our study. When all POP stages were included, the Bp (pelvic organ prolapse quantification point) had a moderate correlation with the C (Pearson's r=0.419; P < 0.001). Cases where Bp was stage 3 and above presented strong positive correlations with C (Spearman's ρ=0.783; P < 0.001). Cases where C was stage 3 and above presented also strong positive correlations with Bp (Spearman's ρ=0.718; P < 0.001). CONCLUSION: Posterior vaginal wall prolapse and apical prolapse were correlated with each other, and this correlation was more prominent as stage increased. Therefore, when admitting a patient suspected of posterior vaginal wall prolapse or apical prolapse, it is necessary to evaluate both conditions. Especially in cases more severe or equal to stage 3, it is a must to suspect both conditions as the 2 are strongly correlated.