Urodynamic indices and pelvic organ prolapse quantification 3 months after vaginal delivery in primiparous women

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14 Scopus citations

Abstract

Introduction and hypothesis This study aims to describe multichannel urodynamic indices and pelvic organ prolapse quantification (POP-Q) in primiparous women 3 months after vaginal delivery. Methods This was a secondary analysis of a group of women who had been randomized to either coached or non-coached pushing during the second stage of labor. Primiparous women were evaluated with POP-Q examination and multichannel urodynamic testing 3 months after vaginal delivery. Results Of 128 women evaluated, the cumulative stage of prolapse was distributed as 4.7% stage 0, 39% stage I, 56% stage II, and none with stage III prolapse or greater. For the anterior compartment, most had stage II prolapse. Stage I prolapse predominated for both the central and posterior compartments. Of the women, 14.1% had urodynamic stress incontinence, 12.5% had detrusor overactivity, and 6% had both. Conclusions In a predominantly Hispanic primiparous population, ICS POP-Q stage II prolapse of the vagina, urodynamic stress incontinence, and detrusor overactivity are common findings at a 3-month postpartum assessment.

Original languageEnglish (US)
Pages (from-to)1293-1298
Number of pages6
JournalInternational Urogynecology Journal
Volume22
Issue number10
DOIs
StatePublished - Oct 2011

Keywords

  • Detrusor overactivity
  • Multichannel urodynamics
  • POP-Q
  • Postpartum
  • Pregnancy
  • Primiparous
  • Urodynamic stress incontinence

ASJC Scopus subject areas

  • Obstetrics and Gynecology
  • Urology

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