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KMID : 1143220180610040505
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Obstetrics & Gynecology Science
2018 Volume.61 No. 4 p.505 ~ p.508
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Correlation between the posterior vaginal wall and apex in pelvic organ prolapse
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Lee Min-Hee
Kim Bo-Hye
Na Eun-Duc
Jang Ji-Hyon
Kim Hyeon-Chul
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Abstract
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Objective: The aim of our study is to reveal the correlation between the posterior vaginal wall and apex in pelvic organ prolapse.
Methods: We retrospectively reviewed the records of all new patient visits to a urogynecology clinic between January 2013 and December 2015.
Results: Four hundred five cases were enrolled in our study. When all POP stages were included, the Bp (pelvic organ prolapse quantification point) had a moderate correlation with the C (Pearson's r=0.419; P<0.001). Cases where Bp was stage 3 and above presented strong positive correlations with C (Spearman's ρ=0.783; P<0.001). Cases where C was stage 3 and above presented also strong positive correlations with Bp (Spearman's ρ=0.718; P<0.001).
Conclusion: Posterior vaginal wall prolapse and apical prolapse were correlated with each other, and this correlation was more prominent as stage increased. Therefore, when admitting a patient suspected of posterior vaginal wall prolapse or apical prolapse, it is necessary to evaluate both conditions. Especially in cases more severe or equal to stage 3, it is a must to suspect both conditions as the 2 are strongly correlated.
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KEYWORD
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Pelvic organ prolapse, Vagina, Cystocele, Uterine prolapse, Rectocele
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