Article Text

other Versions

PDF
Cohort study
Childbirth and subsequent development of pelvic organ prolapse
  1. Vivian W Sung
  1. Department of Obstetrics & Gynecology, Brown University, Providence, Rhode Island, USA
  1. Correspondence to: Vivian W Sung
    Department of Obstetrics and Gynecology, Warren Alpert Medical School of Brown University, Women and Infants Hospital of Rhode Island, 101 Dudley Street, Providence, RI 02905, USA; vsung{at}wihri.org

Statistics from Altmetric.com

Commentary on: Gyhagen M, Bullarbo M, Nielsen T, et al. Prevalence and risk factors for pelvic organ prolapse 20 years after childbirth: a national cohort study in singleton primiparae after vaginal or caesarean delivery. BJOG 2013;120:152–60.

Context

Pelvic organ prolapse (POP) is a common condition in women and can cause significant physical discomfort and have a negative effect on quality of life. There is significant debate about how to best define POP as a disease.1 There are often discrepancies between ‘objective’ and ‘subjective’ patient measures. Although many pelvic symptoms have been attributed to POP, most have only weak-to-moderate correlations with examinations. The symptom that most strongly correlates is the presence of a vaginal bulge that can be seen or felt; however, this is not highly sensitive. There are women with advanced POP that do not report vaginal bulge. Therefore, it is generally accepted that although vaginal bulging is the most common …

View Full Text

Request permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.