Division of Urogynecology, Department of Obstetrics and Gynecology, Mount Auburn Hospital, affiliated with Harvard Medical School, Cambridge, MA, USA.
Am J Obstet Gynecol. 2011 Nov;205(5):502.e1-6. doi: 10.1016/j.ajog.2011.07.013. Epub 2011 Jul 20.
To assess the relationship between stage of pelvic organ prolapse and self-expressed patient goals at initial urogynecologic evaluation.
From February to December of 2010, women presenting for evaluation of pelvic floor disorders were asked to identify up to 5 goals for treatment. Charts were reviewed for demographics. Patients were grouped according to stage of prolapse and goals were grouped into 9 categories.
Two hundred twenty-six women completed the questionnaire. Relief of urinary symptoms were the most commonly stated goal regardless of prolapse stage, pelvic organ prolapse quantitative-0 (59%), pelvic organ prolapse quantitative-I (78%), pelvic organ prolapse quantitative-II (55%), and pelvic organ prolapse quantitative-III (58%). Lifestyle, daily activity, and sexual function goals were the second, third, and fourth most common goals in all stages, respectively.
Resolution of urinary symptoms, ability to perform daily activities, and sexual function goals are at least as important as resolution of prolapse symptoms and may be the reason for seeking care.
评估盆腔器官脱垂患者在初始泌尿妇科评估时自我表达的目标与疾病分期的关系。
2010 年 2 月至 12 月，就诊于盆底障碍门诊的女性患者被要求确定最多 5 项治疗目标。我们对患者的一般资料进行了图表审查。根据脱垂的严重程度对患者进行分组，并将目标分为 9 个类别。
226 名女性完成了问卷调查。缓解尿失禁症状是最常提及的治疗目标，无论脱垂程度如何，盆腔器官脱垂定量 0 期（59%）、盆腔器官脱垂定量 I 期（78%）、盆腔器官脱垂定量 II 期（55%）和盆腔器官脱垂定量 III 期（58%）。改善生活方式、日常活动和性功能是所有阶段中第二、第三和第四常见的目标。
缓解尿失禁症状、进行日常活动的能力和性功能目标与脱垂症状的缓解同样重要，可能是患者寻求治疗的原因。
