Int Urogynecol J (2017) 28:1387–1391 DOI 10.1007/s00192-017-3280-0 ORIGINAL ARTICLE Prolapse symptoms are associated with abnormal functional anatomy of the pelvic floor 1,2 3 4 Zeelha Abdool & Hans Peter Dietz & Barend Gerhardus Lindeque Received: 22 November 2016 /Accepted: 19 January 2017 /Published online: 2 February 2017 The International Urogynecological Association 2017 Abstract and the defect was bilateral in almost half of these patients Introduction and hypothesis The etiology of pelvic organ pro- (n = 36). There were significant associations between aware- lapse (POP) likely includes over-distension or tears (avulsion) ness and visualization of a vaginal lump on the one hand and of the levator ani muscle. However, there is a lack of studies hiatal area measurements as well as diagnosis of avulsion on evaluating the association between symptoms of POP and the other. Interference with everyday life was significantly these factors. This study was designed to determine the asso- associated with hiatal area and prolapse stage, but not with ciation between POP symptoms and clinical prolapse stage on avulsion. the one hand, and pelvic floor functional anatomy on the other Conclusions There is a significant association between aware- hand. ness, visualization and/or feeling of a vaginal lump and
International Urogynecology Journal – Springer Journals
Published: Feb 2, 2017
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