TY - JOUR
T1 - Progression and remission of pelvic organ prolapse
T2 - A longitudinal study of menopausal women
AU - Handa, Victoria L.
AU - Garrett, Elizabeth
AU - Hendrix, Susan
AU - Gold, Ellen
AU - Robbins, John
N1 - Funding Information:
Supported by the National Heart, Lung, and Blood Institute, US Department of Health and Human Services.
PY - 2004/1
Y1 - 2004/1
N2 - Objective: The purpose of this study was to describe the natural history of pelvic organ prolapse after menopause. Study design: Over 2 to 8 years, participants in the estrogen plus progestin trial of the Women's Health Initiative at the University of California Davis had annual pelvic examinations, with an assessment of uterine prolapse, cystocele, and rectocele. The findings from these examinations were used to describe the incidence of pelvic organ prolapse, the probability of progression or regression, and the associated risk factors. Results: At baseline, 31.8% of women had pelvic organ prolapse (n = 412 women). The annual incidences of cystocele. rectocele, and uterine prolapse were 9.3, 5.7, and 1.5 cases per 100 women-years, respectively. Incident prolapse was associated with increasing parity and waist circumference. The progression rates for grade 1 pelvic organ prolapse (per 100 women-years) were 9.5 for cystocele, 13.5 for rectocele, and 1.9 for uterine prolapse. The annual rates of regression (per 100 women-years) was 23.5, 22, and 48, respectively. Conclusion: Our data suggest that pelvic organ prolapse is not always chronic and progressive as traditionally thought. Spontaneous regression is common, especially for grade 1 prolapse.
AB - Objective: The purpose of this study was to describe the natural history of pelvic organ prolapse after menopause. Study design: Over 2 to 8 years, participants in the estrogen plus progestin trial of the Women's Health Initiative at the University of California Davis had annual pelvic examinations, with an assessment of uterine prolapse, cystocele, and rectocele. The findings from these examinations were used to describe the incidence of pelvic organ prolapse, the probability of progression or regression, and the associated risk factors. Results: At baseline, 31.8% of women had pelvic organ prolapse (n = 412 women). The annual incidences of cystocele. rectocele, and uterine prolapse were 9.3, 5.7, and 1.5 cases per 100 women-years, respectively. Incident prolapse was associated with increasing parity and waist circumference. The progression rates for grade 1 pelvic organ prolapse (per 100 women-years) were 9.5 for cystocele, 13.5 for rectocele, and 1.9 for uterine prolapse. The annual rates of regression (per 100 women-years) was 23.5, 22, and 48, respectively. Conclusion: Our data suggest that pelvic organ prolapse is not always chronic and progressive as traditionally thought. Spontaneous regression is common, especially for grade 1 prolapse.
KW - Cystocele
KW - Rectocele
KW - Uterine prolapse
KW - Women's health
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U2 - 10.1016/j.ajog.2003.07.017
DO - 10.1016/j.ajog.2003.07.017
M3 - Article
C2 - 14749630
AN - SCOPUS:0742269651
SN - 0002-9378
VL - 190
SP - 27
EP - 32
JO - American journal of obstetrics and gynecology
JF - American journal of obstetrics and gynecology
IS - 1
ER -