Risk factors for pelvic organ prolapse

被引：65

作者：

Kim, C. M. ^{[1
]}

Jeon, M. J. ^{[1
]}

Chung, D. J. ^{[1
]}

Kim, S. K. ^{[1
]}

Kim, Jim. ^{[1
]}

Bai, S. W. ^{[1
]}

机构：

[1] Yonsei Univ, Coll Med, Dept Obstet & Gynecol, Seoul 120752, South Korea

来源：

INTERNATIONAL JOURNAL OF GYNECOLOGY & OBSTETRICS | 2007年 / 98卷 / 03期

关键词：

pelvic organ prolapse; risk factor; stage; component;

D O I：

10.1016/j.ijgo.2007.02.019

中图分类号：

R71 [妇产科学];

学科分类号：

100211 ;

摘要：

Objectives: To evaluate the risk factors for pelvic organ prolapse (POP) and to determine the relationship between these risk factors and stage or other components of POP. Methods: 244 patients with primary POP and 314 women without POP were included. Age, parity, smoking, body mass index (BMI), menopause, and hormone replacement therapy (HRT) were investigated. Result: Independent risk factors for POP included age over 70, parity higher than 3, and menopause. Age, parity, menopause, and HRT were significantly associated with stage of POP. Genital hiatus (GH) and perineal body (PB) showed a significant positive and negative correlation with age and parity, respectively. Menopause and HRT were also associated with them. Conclusion: Age, parity and menopause are possible risk factors of POP and associated with the Lengths of GH and PB in POP women. Further, these risk factors and HRT are significantly correlated with the severity of the disease. (c) 2007 International Federation of Gynecology and Obstetrics. Published by Elsevier Ireland Ltd. All rights reserved.

引用

页码：248 / 251

页数：4

共 16 条

[1]

Bland DR, 1999, AM J OBSTET GYNECOL, V181, P1324, DOI 10.1016/S0002-9378(99)70371-6

[2] The standardization of terminology of female pelvic organ prolapse and pelvic floor dysfunction [J].

Bump, RC ;

Mattiasson, A ;

Bo, K ;

Brubaker, LP ;

DeLancey, JOL ;

Klarskov, P ;

Shull, BL ;

Smith, ARB .

AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY, 1996, 175 (01) :10-17

[3] Size of the urogenital hiatus in the levator ani muscles in normal women and women with pelvic organ prolapse [J].

DeLancey, JOL ;

Hurd, WW .

OBSTETRICS AND GYNECOLOGY, 1998, 91 (03) :364-368

[4] Interobserver and intraobserver reliability of the proposed International Continence Society, Society of Gynecologic Surgeons, and American Urogynecologic Society pelvic organ prolapse classification system [J].

Hall, AF ;

Theofrastous, JP ;

Cundiff, GW ;

Harris, RL ;

Hamilton, LF ;

Swift, SE ;

Bump, RC .

AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY, 1996, 175 (06) :1467-1470

[5] Pelvic organ prolapse in the Women's Health Initiative: Gravity and gravidity [J].

Hendrix, SL ;

Clark, A ;

Nygaard, I ;

Aragaki, A ;

Barnabei, V ;

McTiernan, A .

AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY, 2002, 186 (06) :1160-1166

[6] Changes in metabolism of collagen in genitourinary [J].

Jackson, SR ;

Avery, NC ;

Tarlton, JF ;

Echford, SD ;

Abrams, P ;

Bailey, AJ .

LANCET, 1996, 347 (9016) :1658-1661

[7] Estrogen levels and estrogen receptors in patients with stress urinary incontinence and pelvic organ prolapse [J].

Lang, JH ;

Zhu, L ;

Sun, ZJ ;

Chen, J .

INTERNATIONAL JOURNAL OF GYNECOLOGY & OBSTETRICS, 2003, 80 (01) :35-39

[8] Pelvic organ prolapse in older women: Prevalence and risk factors [J].

Nygaard, I ;

Bradley, C ;

Brandt, D .

OBSTETRICS AND GYNECOLOGY, 2004, 104 (03) :489-497

[9] Epidemiology of surgically managed pelvic organ prolapse and urinary incontinence [J].

Olsen, AL ;

Smith, VJ ;

Bergstrom, JO ;

Colling, JC ;

Clark, AL .

OBSTETRICS AND GYNECOLOGY, 1997, 89 (04) :501-506

[10] Etiology of pelvic organ prolapse [J].

Schaffer, JI ;

Wai, CY ;

Boreham, MK .

CLINICAL OBSTETRICS AND GYNECOLOGY, 2005, 48 (03) :639-647

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