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LAKE BUENA VISTA, FLA. -- Symptoms of pelvic organ prolapse don't always correlate with the severity or the location of the defect.
That finding emerged from a 24-month study of 237 consecutive patients presenting with symptomatic pelvic organ prolapse (POP). Of more than 60 symptoms of pelvic floor dysfunction that were evaluated, only 16 had some correlation with the severity or the location of the defect.
Moreover, increasing severity of symptoms did not always correlate with the degree of prolapse, Dr. R. Mark Ellerkmann reported at the annual meeting of the Society of Gynecologic Surgeons.
"I think the most important message to take from this study is that very few correlations were found between symptoms of pelvic floor dysfunction and POP, nor was it possible to determine the specific stage of prolapse at which symptoms became pronounced," Dr. Ellerkmann said in an interview.
A standardized physical examination is therefore necessary to assess compartmentalization and severity of prolapse and to assist in determining required treatment, said Dr. Ellerkmann, a urogynecologist at the Greater Baltimore Medical Center and Johns Hopkins University.
Study participants underwent the standardized POP Questionnaire exam, which uses the International Continence Society's system for grading ...
Source: HighBeam Research, Pelvic Organ Prolapse Symptoms May Not Correlate With Defect Location.