Department of Obstetrics and Gynecology, Hartford Hospital, Hartford, CT.
Department of Research Administration, Hartford Hospital, Hartford, CT.
Urology. 2014 Jun;83(6):1236-8. doi: 10.1016/j.urology.2014.02.009. Epub 2014 Apr 16.
To determine the prevalence of asymptomatic microscopic hematuria (AMH) in patients with pelvic organ prolapse.
The Urogynecology patient database was reviewed for patients presenting between July 2010 and April 2011 inclusive. We compared the prevalence of AMH in patients with no prolapse with those with prolapse. A post-hoc analysis was performed to evaluate if overall stage of prolapse was related to the presence of AMH. Pearson chi-square analysis was used for categorical variables, and P values<.05 were deemed statistically significant.
Of the 230 women with evaluable AMH data, 29 (12.6%) had AMH. Baseline patient demographic data did not significantly differ between groups. Women with prolapse had a higher prevalence of AMH compared with women with no prolapse (18.3% vs 5.1%, P=.003). There was a significant difference in the distribution of AMH by stage of prolapse, with AMH more prevalent among women with higher stages of prolapse (P=.007).
Women with prolapse beyond the hymen have a significantly higher prevalence of AMH when compared with women with prolapse at or above the hymen. We suggest an overall rate of AMH in the Urogynecologic population of 12.6%.
确定盆腔器官脱垂患者无症状性镜下血尿（AMH）的患病率。
回顾 2010 年 7 月至 2011 年 4 月间就诊的尿失禁患者的泌尿妇科患者数据库。我们比较了无脱垂患者和脱垂患者 AMH 的患病率。进行了事后分析，以评估脱垂的总体阶段是否与 AMH 的存在相关。对于分类变量使用 Pearson 卡方分析，P 值<.05 被认为具有统计学意义。
在可评估 AMH 数据的 230 名女性中，有 29 名（12.6%）患有 AMH。两组患者的基线人口统计学数据无显著差异。与无脱垂的女性相比，脱垂的女性 AMH 患病率更高（18.3%对 5.1%，P=.003）。AMH 的分布与脱垂的阶段存在显著差异，脱垂程度越高，AMH 越普遍（P=.007）。
与脱垂位于处女膜以上的女性相比，脱垂超过处女膜的女性 AMH 患病率显著更高。我们建议泌尿妇科人群中 AMH 的总体发生率为 12.6%。
