Correlation of POP-Q posterior compartment measures with defecatory dysfunction - Abstract

INTRODUCTION AND HYPOTHESIS: The relationships of Pelvic Organ Prolapse Quantification (POP-Q) items pb and Bp with defecatory dysfunction were evaluated with the hypothesis that increased values for both items would correlate with symptoms of stool trapping.

METHODS: Pelvic Floor Distress Inventory (PFDI-20) results and POP-Q exams from 1,663 urogynecology patients were compiled in a database. Rectocele was defined as POP-Q point Bp > -0.5 and perineocele as pb >3. PFDI-20 questions were used to compare defecatory symptoms and bother in women with and without rectocele and perineocele.

RESULTS: While perineocele was not associated with symptoms or bother, women with isolated rectoceles had higher rates of splinting (p < 0.001) and incomplete evacuation (p = 0.001) and higher bother scores (p < 0.001) than those with neither rectocele nor perineocele.

CONCLUSIONS: The POP-Q Bp point, but not the pb measurement, correlates with symptoms of defecatory dysfunction.

Written by:
Collins SA, O'Sullivan DM, Lasala CA.   Are you the author?
Department of Obstetrics and Gynecology, Division of Urogynecology, Hartford Hospital, Hartford, CT, USA.

Reference: Int Urogynecol J. 2012 Jan 17. Epub ahead of print.
doi: 10.1007/s00192-011-1643-5

PubMed Abstract
PMID: 22249278 Female Urology Section



Newsletter subscription

Free Daily and Weekly newsletters offered by content of interest

The fields of GU Oncology and Urology are rapidly advancing. Sign up today for articles, videos, conference highlights and abstracts from peer-review publications by disease and condition delivered to your inbox and read on the go.