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KMID : 0358420040470122459
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Korean Journal of Obstetrics and Gynecology
2004 Volume.47 No. 12 p.2459 ~ p.2464
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Use of Pelvic Organ Prolapse Quantification system in Korean Population Women
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김주명/Kim JM
서주태/홍준식/최규홍/Seo JT/Hong JS/Choi KH
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Abstract
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Objective: The aim of our study is to apply the Pelvic Organ Prolapse staging system to women seen for gynecologic care to generate normative data for Korean population women.
Methods: The study population considered of 486 women aged to 19 to 72 years old who seen for annual Papanicolau test and pelvic examination. Pregnant or patients within 6 weeks postpartum were not recruited. All pelvic examinations were performed by a single examiner with the subject placed in the dorsal lithotomy position by means of pelvic examination chair. All nine measurements, with the exception of total vaginal length, were taken with the patient performing maximal Valsalva maneuver.
Results: The subjects had a mean age of 41.3 years (range 19-72), mean parity of 1.6 (0-6) and a mean body mass index of 22.2 kg/m2 (15.7-30.9). Mean scores that described the position of the cervix, the position of the posterior forinx and the total vaginal length were as follows: C: -5.0 D: -6.6 and tvl: 7.0 cm. The overall distribution of pelvic organ prolapse quantification system stages were as follows: stage 0, 66.5%; stage 1, 21.8%; stage 2, 11.5%; and stage 3, 0.2%. No subjects examined had stage 4 prolapse.
Conclusion: Vaginal size of Korean population women differs from that of Western population women. We are hopeful that the normative data presented in this study may provide a useful reference for physician as they evaluate prolapse an attempt to restore normal pelvic anatomy.
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