{"title":"Clinical Characteristics and Influencing Factors of Pelvic Organ Prolapse Among Women in Fushun City: A Cross-Sectional Study.","authors":"BingJie Rui, GuangHai Rui, YanFeng Yang","doi":"10.1007/s00192-025-06284-x","DOIUrl":null,"url":null,"abstract":"<p><strong>Introduction and hypothesis: </strong>This study evaluates the prevalence of pelvic organ prolapse (POP) symptoms among women in Fushun and compares transperineal ultrasound (TPUS) and pelvic floor muscle (PFM) strength parameters across different symptom groups.</p><p><strong>Methods: </strong>A cross-sectional study recruited 237 participants aged ≥ 18 years. Data collection included the self-reported simple pelvic floor impact questionnaire (SPFIQ), three-dimensional TPUS, and PFM strength measurements. Among them, 196 participants underwent physician interviews and were divided into two groups based on International Continence Society (ICS) diagnostic criteria to compare TPUS and PFM parameters.</p><p><strong>Results: </strong>Higher body mass index (BMI) and alcohol consumption were associated with stress incontinence. Urinary retention correlated with self-reported conditions and higher dynamic vaginal pressure (DVP). A higher bladder neck position at rest (BNPR) reduced POP risk, while increased bladder neck mobility (BNM) elevated the risk of stress incontinence and POP. Levator hiatus area during Valsalva (LHA-Valsalva) was positively correlated with POP symptoms. Postmenopausal women showed more colorectal-anal symptoms, linked to type II pelvic floor muscle fatigue (PFMF-II). Clustering analysis identified two groups: one with mild symptoms and minimal quality-of-life impact, and another with significant urinary incontinence (UI) affecting daily activities, characterized by increased BNM and reduced PFM strength. In the physician-interviewed subset, bladder neck position during Valsalva (BNPV), BNM, and LHA-Valsalva showed varying predictive values for urinary incontinence.</p><p><strong>Conclusions: </strong>POP symptoms are significantly associated with higher BMI, alcohol consumption, self-reported conditions, postmenopause, and specific PFM and TPUS parameters. TPUS measurements, including BNPV, BNM, and LHA-Valsalva, offer predictive insights for clinical assessment and management of POP.</p>","PeriodicalId":14355,"journal":{"name":"International Urogynecology Journal","volume":" ","pages":""},"PeriodicalIF":1.8000,"publicationDate":"2025-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"International Urogynecology Journal","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1007/s00192-025-06284-x","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"OBSTETRICS & GYNECOLOGY","Score":null,"Total":0}
引用次数: 0
Abstract
Introduction and hypothesis: This study evaluates the prevalence of pelvic organ prolapse (POP) symptoms among women in Fushun and compares transperineal ultrasound (TPUS) and pelvic floor muscle (PFM) strength parameters across different symptom groups.
Methods: A cross-sectional study recruited 237 participants aged ≥ 18 years. Data collection included the self-reported simple pelvic floor impact questionnaire (SPFIQ), three-dimensional TPUS, and PFM strength measurements. Among them, 196 participants underwent physician interviews and were divided into two groups based on International Continence Society (ICS) diagnostic criteria to compare TPUS and PFM parameters.
Results: Higher body mass index (BMI) and alcohol consumption were associated with stress incontinence. Urinary retention correlated with self-reported conditions and higher dynamic vaginal pressure (DVP). A higher bladder neck position at rest (BNPR) reduced POP risk, while increased bladder neck mobility (BNM) elevated the risk of stress incontinence and POP. Levator hiatus area during Valsalva (LHA-Valsalva) was positively correlated with POP symptoms. Postmenopausal women showed more colorectal-anal symptoms, linked to type II pelvic floor muscle fatigue (PFMF-II). Clustering analysis identified two groups: one with mild symptoms and minimal quality-of-life impact, and another with significant urinary incontinence (UI) affecting daily activities, characterized by increased BNM and reduced PFM strength. In the physician-interviewed subset, bladder neck position during Valsalva (BNPV), BNM, and LHA-Valsalva showed varying predictive values for urinary incontinence.
Conclusions: POP symptoms are significantly associated with higher BMI, alcohol consumption, self-reported conditions, postmenopause, and specific PFM and TPUS parameters. TPUS measurements, including BNPV, BNM, and LHA-Valsalva, offer predictive insights for clinical assessment and management of POP.
期刊介绍：
The International Urogynecology Journal is the official journal of the International Urogynecological Association (IUGA).The International Urogynecology Journal has evolved in response to a perceived need amongst the clinicians, scientists, and researchers active in the field of urogynecology and pelvic floor disorders. Gynecologists, urologists, physiotherapists, nurses and basic scientists require regular means of communication within this field of pelvic floor dysfunction to express new ideas and research, and to review clinical practice in the diagnosis and treatment of women with disorders of the pelvic floor. This Journal has adopted the peer review process for all original contributions and will maintain high standards with regard to the research published therein. The clinical approach to urogynecology and pelvic floor disorders will be emphasized with each issue containing clinically relevant material that will be immediately applicable for clinical medicine. This publication covers all aspects of the field in an interdisciplinary fashion
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