Department of Obstetrics and Gynecology, Chung Shan Medical University Hospital, Taichung, Taiwan; Department of Obstetrics and Gynecology, Chung Shan Medical University, Taichung, Taiwan.
Department of Obstetrics and Gynecology, Chung Shan Medical University, Taichung, Taiwan; Institute of Medicine, Chung Shan Medical University, Taichung, Taiwan.
Taiwan J Obstet Gynecol. 2021 Jan;60(1):90-94. doi: 10.1016/j.tjog.2020.11.013.
Relationships between pelvic organ prolapse (POP) staging and lower urinary tract symptoms (LUTS) are controversial. In this study, we evaluated correlations of POP staging with LUTS in different compartments.
From January 2016 to December 2017, 250 consecutive patients with urogynecologic complaints who were referred to our urodynamic unit were recruited into this study. Different stages of different compartments (anterior, central and posterior) of POPs according to IUGA and ICS terminology were re-grouped into four categories as stage 0, 1, 2, and 3 (including stage 4 because of a limited number of patients in stage 4). Pearson correlation coefficient and general linear regression were used for correlations of POP staging in different compartments and LUTS (stress urinary incontinence, overactive bladder and voiding symptoms) as well as their associated factors.
Only OAB had a moderate correlation with different compartments of POP (anterior vaginal wall: -0.3116; cervix: -0.2954 and posterior vaginal wall: -0.3779; all p < 0.05). Stage 1 AVWP significantly increased (39.6%) the occurrence of OAB compared to no prolapse. Posterior compartment (stage 1-3) prolapse reduced the occurrence of OAB.
Only stage 1 AVWP is associated with an increase in OAB, and posterior compartment prolapse may reduce the occurrence of OAB.
盆腔器官脱垂（POP）分期与下尿路症状（LUTS）之间的关系存在争议。本研究旨在评估不同部位 POP 分期与 LUTS 的相关性。
2016 年 1 月至 2017 年 12 月，因女性尿失禁或下尿路症状就诊于我院尿动力学检查室的 250 例患者纳入本研究。根据 IUGA 和 ICS 术语，不同部位（前、中、后）的 POP 不同分期被重新分为 4 组，即 0、1、2 和 3 期（4 期因患者数量有限也包括在内）。采用 Pearson 相关系数和广义线性回归分析不同部位 POP 分期与 LUTS（压力性尿失禁、膀胱过度活动症和排尿症状）及其相关因素的相关性。
仅 OAB 与 POP 的不同部位（前阴道壁：-0.3116；宫颈：-0.2954；后阴道壁：-0.3779）具有中度相关性（均 p<0.05）。与无脱垂相比，1 期前阴道壁膨出（AVWP）显著增加 OAB 的发生（增加 39.6%）。后盆腔（1-3 期）膨出降低 OAB 的发生。
仅 1 期前阴道壁膨出与 OAB 增加相关，而后盆腔膨出可能降低 OAB 的发生。
