Elmelund Marlene, Biering-Sørensen Fin, Bing Mette Hornum, Klarskov Niels
Clinic for Spinal Cord Injuries, Rigshospitalet, University of Copenhagen, Copenhagen, Denmark.
Department of Obstetrics and Gynecology, Herlev and Gentofte Hospital, University of Copenhagen, Herlev, Denmark.
Spinal Cord. 2019 Jan;57(1):18-25. doi: 10.1038/s41393-018-0181-0. Epub 2018 Aug 10.
Observational cross-sectional study.
Due to weakened pelvic floor muscles, the risk of pelvic organ prolapse (POP) may increase after a spinal cord injury (SCI); hence, the aim of this study was to investigate the occurrence of POP after SCI and to evaluate the need for urogynecological consultations offered to women with SCI.
Clinic for Spinal Cord Injuries, Rigshospitalet, Denmark.
Women with SCI who visited our SCI-clinic during January 2013-January 2018 were offered a specialized urogynecological consultation. Any symptoms of POP, urinary/fecal incontinence, or bladder/bowel emptying problems were registered, and POP was classified according to the POP quantification system during a pelvic examination. Differences in baseline characteristics between women with POP stage 0-1 and POP stage ≥2 were investigated.
A total of 98 women were included in the study. Fourteen women (14%) reported POP symptoms and 21 women (21%) had anatomical POP stage ≥2. The group with POP stage ≥2 had a significantly higher age, higher parity, more with vaginal delivery, and more postmenopausal women, but the groups did not differ on median time after injury, neurological level, and completeness of injury. A total of 71% experienced urinary incontinence, 27% experienced fecal incontinence, 63% experienced bladder emptying problems, and 70% experienced bowel emptying problems. Consequently, 65% received treatment.
Women with SCI are not in increased risk of developing anatomical POP. Nonetheless, the high occurrence of other urogynecological issues and the high treatment-rate supports the need for specialized urogynecological consultations offered to women with SCI.
观察性横断面研究。
由于盆底肌肉功能减弱，脊髓损伤（SCI）后盆腔器官脱垂（POP）的风险可能增加；因此，本研究的目的是调查SCI后POP的发生率，并评估为SCI女性提供泌尿妇科会诊的必要性。
丹麦里格霍斯医院脊髓损伤诊所。
2013年1月至2018年1月期间到我们脊髓损伤诊所就诊的SCI女性接受了专门的泌尿妇科会诊。记录任何POP症状、尿失禁/大便失禁或膀胱/肠道排空问题，并在盆腔检查期间根据POP量化系统对POP进行分类。研究了POP 0-1期和POP≥2期女性之间基线特征的差异。
共有98名女性纳入研究。14名女性（14%）报告有POP症状，21名女性（21%）解剖学POP分期≥2期。POP≥2期组的年龄显著更高、产次更多、经阴道分娩的更多，绝经后女性更多，但两组在受伤后的中位时间、神经平面和损伤完整性方面没有差异。共有71%的人经历过尿失禁，27%的人经历过大便失禁，63%的人经历过膀胱排空问题，70%的人经历过肠道排空问题。因此，65%的人接受了治疗。
SCI女性发生解剖学POP的风险并未增加。尽管如此，其他泌尿妇科问题的高发生率和高治疗率支持了为SCI女性提供专门泌尿妇科会诊的必要性。
