Sydney Medical School Nepean, The University of Sydney, Sydney, NSW, Australia.
Chaim Sheba Medical Center, Tel Hashomer, Tel Aviv University, Ramat Gan, Israel.
Arch Gynecol Obstet. 2022 Jun;305(6):1491-1495. doi: 10.1007/s00404-022-06430-6. Epub 2022 Feb 21.
There is a complex relationship between obesity and pelvic organ prolapse. The objective of our study was to evaluate whether body mass index (BMI) changes the relationship between signs and symptoms of prolapse.
This was a retrospective observational study based on datasets of women seen in a tertiary urogynecological center with symptoms of pelvic floor and lower urinary tract dysfunction between April 2012 and October 2015. Patients underwent a structured interview, clinical examination (based on the POP-Q) and 4D transperineal ultrasound (TPUS). Offline assessment of sonographic organ descent was undertaken later, blinded to all patient data.
Weight and BMI affect the relationship between symptoms and signs of prolapse. This effect is statistically highly significant. The more obese a patient is, the less likely she is to notice a given degree of objective prolapse, regardless of whether it is diagnosed clinically or on imaging.
In this retrospective study, we found a highly significant effect of weight and BMI on prolapse perception in the sense that obesity seems to mask prolapse while a low BMI increases the likelihood of a given degree of prolapse being noticed by the patient.
肥胖与盆腔器官脱垂之间存在复杂的关系。我们研究的目的是评估体重指数（BMI）是否改变脱垂的体征和症状之间的关系。
这是一项基于 2012 年 4 月至 2015 年 10 月在三级泌尿妇科中心就诊的患有盆底和下尿路功能障碍症状的女性数据集的回顾性观察性研究。患者接受了结构化访谈、临床检查（基于 POP-Q）和 4D 经会阴超声（TPUS）。随后，在不了解所有患者数据的情况下，对超声器官下降进行离线评估。
体重和 BMI 影响脱垂的症状和体征之间的关系。这种影响具有统计学意义。患者越肥胖，她注意到给定程度的客观脱垂的可能性就越小，无论它是临床诊断还是影像学诊断。
在这项回顾性研究中，我们发现体重和 BMI 对脱垂感知有显著影响，肥胖似乎掩盖了脱垂，而低 BMI 增加了患者注意到给定程度脱垂的可能性。
