Pelvic-Floor Muscle Function in Women With Pelvic Organ Prolapse

The purpose of this study was to determine whether pelvic organ prolapse severity, pelvic symptoms, quality of life, and sexual function differ based on pelvic-floor muscle function in women planning to have prolapse surgery. Three hundred seventeen women without urinary stress incontinence who were...

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Bibliographic Details
Published in:Physical therapy 2007-04, Vol.87 (4), p.399-407
Main Authors: Borello-France, Diane F, Handa, Victoria L, Brown, Morton B, Goode, Patricia, Kreder, Karl, Scheufele, Laura L, Weber, Anne M
Format: Article
Language:English
Subjects:
Care and treatment
Coitus
Female
Gynecology
Humans
Injuries
Intervention
Middle Aged
Muscle Contraction
Muscles
Pelvic Floor - physiopathology
Pelvic muscles
Pelvis
Physical therapists
Physical therapy
Prolapse
Quality of Life
Risk factors
Severity of Illness Index
Studies
Therapeutics, Physiological
Urinary incontinence
Urinary Incontinence - classification
Urogenital system
Women
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Summary:The purpose of this study was to determine whether pelvic organ prolapse severity, pelvic symptoms, quality of life, and sexual function differ based on pelvic-floor muscle function in women planning to have prolapse surgery. Three hundred seventeen women without urinary stress incontinence who were enrolled in a multicenter surgical trial were examined to determine pelvic-floor muscle function (by Brink scale score). The subjects were 61.6+/-10.2 (X+/-SD) years of age. Thirteen percent of the subjects had stage II (to the hymen) pelvic organ prolapse, 68% had stage III (beyond the hymen) prolapse, and 19% had stage IV (complete vaginal eversion) prolapse. Subjects with lowest (3-6) and highest (10-12) Brink scale scores were compared on prolapse severity, pelvic symptoms and bother, quality of life, and sexual function. Subjects with the highest Brink scores (n=75) had less advanced prolapse, smaller genital hiatus measurements, and less urinary symptom burden compared with those with the lowest Brink scores (n=56). The results indicated that pelvic-floor muscle function was not associated with condition-specific quality of life or sexual function. Although modestly clinically significant, better pelvic-floor muscle function was associated with less severe prolapse and urinary symptoms.
ISSN:0031-9023
1538-6724
DOI:10.2522/ptj.20060160