Abstract
There is a complex relationship between obesity and pelvic organ prolapse. The objective of our study was to evaluate whether body mass index (BMI) changes the relationship between signs and symptoms of prolapse. This was a retrospective observational study based on datasets of women seen in a tertiary urogynecological center with symptoms of pelvic floor and lower urinary tract dysfunction between April 2012 and October 2015. Patients underwent a structured interview, clinical examination (based on the POP-Q) and 4D transperineal ultrasound (TPUS). Offline assessment of sonographic organ descent was undertaken later, blinded to all patient data. Weight and BMI affect the relationship between symptoms and signs of prolapse. This effect is statistically highly significant. The more obese a patient is, the less likely she is to notice a given degree of objective prolapse, regardless of whether it is diagnosed clinically or on imaging. In this retrospective study, we found a highly significant effect of weight and BMI on prolapse perception in the sense that obesity seems to mask prolapse while a low BMI increases the likelihood of a given degree of prolapse being noticed by the patient.
Highlights
Introduction and hypothesisThere is a complex relationship between obesity and pelvic organ prolapse
Weight and body mass index (BMI) affect the relationship between symptoms and signs of prolapse
The more obese a patient is, the less likely she is to notice a given degree of objective prolapse, regardless of whether it is diagnosed clinically or on imaging. In this retrospective study, we found a highly significant effect of weight and BMI on prolapse perception in the sense that obesity seems to mask prolapse while a low BMI increases the likelihood of a given degree of prolapse being noticed by the patient
Summary
Introduction and hypothesisThere is a complex relationship between obesity and pelvic organ prolapse. The objective of our study was to evaluate whether body mass index (BMI) changes the relationship between signs and symptoms of prolapse. Studies have shown a clear association between BMI and pelvic organ prolapse (POP) .Aa recent metaanalysis has found that overweight and obese women are more likely to have pelvic organ prolapse compared with women with body mass index in the normal range[1]. This is found to be true mainly for posterior compartment prolapse [2]. They did find that the prevalence of pelvic floor disorders increased with higher degrees of obesity, the degree of bother did not vary by degree of obesity[5]
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