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Cough test targets early intervention for asymptomatic POP.(Gynecology)(pelvic organ prolapse)

OB GYN News

| November 01, 2005 | Johnson, Kate | COPYRIGHT 2005 International Medical News Group. This material is published under license from the publisher through the Gale Group, Farmington Hills, Michigan.  All inquiries regarding rights should be directed to the Gale Group. (Hide copyright information)Copyright

MONTREAL -- A cough is worth a thousand contractions of the pelvic floor muscles, since it can often reveal the otherwise hidden beginnings of pelvic organ prolapse, according to Maryke Slieker-ten Hove of Erasmus Medical Center in Rotterdam, The Netherlands.

Symptoms of pelvic organ prolapse (POP) are present in more than 90% of parous women, but in the remaining asymptomatic group, early and sometimes advanced POP can be detected simply by asking patients to cough, she discovered during her research.

"It's often at a very early stage; there's no leakage and they are not aware of it--but you can feel that they lose control of their muscles when they cough," she said in an interview.

"Physicians will tell women who have a firm contraction that they don't have a pelvic floor muscle problem. But they don't ask them to cough. Although many women have a very strong muscle, they don't have control when they cough," she said.

In her study, which she presented during the annual meeting of the International Continence Society, Ms. Slieker-ten Hove, who is head of pelvic physiotherapy education at the medical center, randomly selected 653 women from one small town who had agreed to answer questionnaires on urinary and fecal ...

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