Comparative Study to Evaluate Pelvic Organ Prolapse Quantification System and Simplified Pelvic Organ Prolapse Scoring System by Assessing Anatomical and Functional Outcome in Women with Pelvic Organ Prolapse after Surgery
Pelvic organ prolapse quantification system, Randomized controlled trial, Simplified pelvic organ prolapse scoring system
Citation Information :
Comparative Study to Evaluate Pelvic Organ Prolapse Quantification System and Simplified Pelvic Organ Prolapse Scoring System by Assessing Anatomical and Functional Outcome in Women with Pelvic Organ Prolapse after Surgery. J South Asian Feder Menopause Soc 2019; 7 (2):71-76.
Aim: To evaluate pelvic organ prolapse quantification system (POP-Q) and simplified pelvic organ prolapse scoring system (S-POP) by assessing anatomical and functional outcome in women with pelvic organ prolapse after surgery and to propose a better method for preoperative assessment and planning for surgery. Materials and methods: This randomized controlled trial was conducted in 65 women of reproductive, perimenopausal, and postmenopausal age group with symptoms of pelvic organ prolapse having urinary or bowel complaints admitted to gynaecology ward of Lata Mangeshkar Hospital, Nagpur, during the period from October 1, 2016 to October 31, 2018. Women willing to participate in the study were assessed and enrolled in the study after fulfilling inclusion and exclusion criteria. Women were assessed by both the assessment systems—POP-Q and S-POP—preoperatively; following which women were divided into two groups by block randomization to be evaluated further by POP-Q or S-POP separately. All women were then subjected to various surgeries, and their postoperative findings were noted. Subsequently, anatomical and functional improvement with variation in assessment methods was gauged. Comparison of POP-Q and S-POP was done. Results: 70.97% women assessed by POP-Q and 61.77% women assessed by S-POP had marked functional improvement. A total of 93.55% women belonging to POP-Q group and 82.35% women belonging to S-POP group had considerable anatomical improvement postoperatively. Conclusion: There was significant improvement anatomically and functionally in women with pelvic organ prolapse who were treated and evaluated by POP-Q. Clinical significance: We hope to find a suitable, standardized, and user-friendly method for quantification of pelvic organ prolapse to relate the result of the test to the outcome of treatment.
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