The effect of physical activity on pelvic organ prolapse

Objective  The objective of this study was to determine whether pelvic organ prolapse increases after physical activity. Design  Prospective observational study. Setting  St Mary’s Hospital, Manchester, UK. Sample  Women undergoing surgery for pelvic organ prolapse. Methods  Fifty‐four women were re...

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Bibliographic Details
Published in:BJOG : an international journal of obstetrics and gynaecology 2009-05, Vol.116 (6), p.824-828
Main Authors: Ali‐Ross, NS, Smith, ARB, Hosker, G
Format: Article
Language:English
Subjects:
Aged
Biological and medical sciences
Clinical outcomes
Exercise
Female
Gynecology
Gynecology. Andrology. Obstetrics
Humans
Medical sciences
Middle Aged
Motor Activity
Pelvic heaviness
pelvic organ prolapse
physical activity
Posture
Prospective Studies
Quality of Life
Reproductive system
Risk factors
Severity of Illness Index
Uterine Prolapse - etiology
Uterine Prolapse - surgery
vaginal lump
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Summary:Objective  The objective of this study was to determine whether pelvic organ prolapse increases after physical activity. Design  Prospective observational study. Setting  St Mary’s Hospital, Manchester, UK. Sample  Women undergoing surgery for pelvic organ prolapse. Methods  Fifty‐four women were recruited to the study. Symptoms and POPQ findings were assessed after a period of prescribed activity and overnight bedrest. Main outcome measures  Primary outcome was an increase in Pelvic Organ Prolapse Quantification (POPQ) measurements with activity. Secondary outcomes were association of symptoms or quality‐of‐life scores (Pelvic Floor Distress Inventory [PFDI] and Pelvic Floor Impact Questionnaire [PFIQ]) with an increase in POPQ measurements. Results  There was a significant increase in POPQ stage and five vaginal parameters (Aa, Ba, C, Ap and Bp) with physical activity (P < 0.001). Reported symptoms, higher PFDI and PFIQ scores and higher individual symptom bother scores were not more common in the women with greater pelvic organ descent (measured by the POPQ system) following physical activity. Conclusions  Greater pelvic organ prolapse was found on POPQ examination following physical activity, but this was not associated with worsening of symptoms and greater impairment of quality of life.
ISSN:1470-0328
1471-0528
DOI:10.1111/j.1471-0528.2009.02112.x