Pelvic Floor Research Group, Division of Gynecology, Department of Obstetrics and Gynecology, University of Michigan Medical School, Ann Arbor, MI, USA.

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Among women with pelvic organ prolapse, compare rates of lower urinary tract symptoms by levator ani defect (LAD) status.

Urinary incontinence and obstructive voiding are analyzed among 151 women with prolapse whose LAD status was determined with magnetic resonance imaging.

Women with major LAD are less likely to experience stress incontinence when "coughing, laughing, or sneezing" (odds ratio (OR) 0.27) and when "twisting, reaching, lifting, or bending over" (OR 0.26) than women with normal muscles. They are less likely to have obstructive symptoms characterized by assuming an "unusual toileting position" or "changing positions...to start or complete urination" (OR 0.27). Women with minor LAD are more likely to experience stress incontinence with exercise (OR 3.1) and urge incontinence (OR 4.0) than those with normal muscles.

Lower urinary tract symptoms are less common among women with prolapse and major levator ani defects and more common among those with minor defects.

Written by:
Morgan DM, Cardoza P, Guire K, Fenner DE, Delancey JO.   Are you the author?

Reference:
Int Urogynecol J Pelvic Floor Dysfunct. 2009 Nov 3. Epub ahead of print.
doi:10.1007/s00192-009-0970-2

PubMed Abstract
PMID:19885634

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