Özengin Nuriye, Çankaya Hatice, Duygu Elif, Uysal Muhammet Fatih, Bakar Yeşim
Abant İzzet Baysal University, School of Kemal Demir Physical Therapy and Rehabilitation, Bolu, Turkey.
Turk J Obstet Gynecol. 2017 Jun;14(2):121-127. doi: 10.4274/tjod.45722. Epub 2017 Jun 15.
This retrospective research was planned to investigate the effect of pelvic organ prolapse (POP) type on sexual function, muscle strength, and pelvic floor symptoms in symptomatic women.
Data on POP type and stages as assessed using the Pelvic Organ Prolapse-Quantification system of 721 women who presented to the women's health unit between 2009 and 2016 were collected retrospectively. POP types were recorded as asymptomatic, anterior, apical, and posterior compartment prolapses. Sexual function was assessed using the Pelvic Organ Prolapse/Urinary Incontinence Sexual Questionnaire short-form (PISQ-12), pelvic floor muscle strength was assessed through vaginal pressure measurement, and pelvic floor symptoms and quality of life were assessed using the Pelvic Floor Distress Inventory-20 (PFDI-20).
Among 168 women who met the inclusion criteria, 96 had anterior compartment prolapses, 20 had apical compartment prolapses, 16 had posterior compartment prolapses, and 36 women were asymptomatic. There was no difference between the groups in their PISQ-12 total and subscales scores, PFDI-20 total and two subscale (colorectal/anal, urinary) scores, and muscle strength (p>0.05). In the Pelvic Organ Prolapse Distress Inventory-6, another subscale of PFDI-20, it was determined that there was a difference between asymptomatic women and those with anterior compartment prolapses (p=0.044) and apical compartment prolapses (p=0.011).
This research found that POP type did not affect sexual function, muscle strength, and colorectal and urinary symptoms in our cohort. There were more prolapse symptoms and complaints in women with anterior and apical compartment prolapses.
本回顾性研究旨在调查盆腔器官脱垂（POP）类型对有症状女性性功能、肌肉力量和盆底症状的影响。
回顾性收集了2009年至2016年间到妇女健康科就诊的721名女性使用盆腔器官脱垂定量系统评估的POP类型和分期数据。POP类型记录为无症状、前盆腔、中盆腔和后盆腔脱垂。使用盆腔器官脱垂/尿失禁性功能问卷简表（PISQ-12）评估性功能，通过阴道压力测量评估盆底肌肉力量，使用盆底困扰量表-20（PFDI-20）评估盆底症状和生活质量。
在168名符合纳入标准的女性中，96名有前盆腔脱垂，20名有中盆腔脱垂，16名有后盆腔脱垂，36名女性无症状。各组在PISQ-12总分及各子量表得分、PFDI-20总分及两个子量表（结直肠/肛门、泌尿）得分以及肌肉力量方面均无差异（p>0.05）。在PFDI-20的另一个子量表盆腔器官脱垂困扰量表-6中，确定无症状女性与有前盆腔脱垂和中盆腔脱垂的女性之间存在差异（p=0.044和p=0.011）。
本研究发现，POP类型对我们队列中的性功能、肌肉力量以及结直肠和泌尿症状没有影响。前盆腔和中盆腔脱垂的女性有更多的脱垂症状和主诉。
