Pelvic organ prolapse and urogynecological assessment in women with spinal cord injury.

Autor: Elmelund M; Clinic for Spinal Cord Injuries, Rigshospitalet, University of Copenhagen, Copenhagen, Denmark. marleneelmelund@hotmail.com.; Department of Obstetrics and Gynecology, Herlev and Gentofte Hospital, University of Copenhagen, Herlev, Denmark. marleneelmelund@hotmail.com., Biering-Sørensen F; Clinic for Spinal Cord Injuries, Rigshospitalet, University of Copenhagen, Copenhagen, Denmark., Bing MH; Department of Obstetrics and Gynecology, Herlev and Gentofte Hospital, University of Copenhagen, Herlev, Denmark., Klarskov N; Department of Obstetrics and Gynecology, Herlev and Gentofte Hospital, University of Copenhagen, Herlev, Denmark.
Jazyk: angličtina
Zdroj: Spinal cord [Spinal Cord] 2019 Jan; Vol. 57 (1), pp. 18-25. Date of Electronic Publication: 2018 Aug 10.
DOI: 10.1038/s41393-018-0181-0
Abstrakt: Study Design: Observational cross-sectional study.
Objectives: Due to weakened pelvic floor muscles, the risk of pelvic organ prolapse (POP) may increase after a spinal cord injury (SCI); hence, the aim of this study was to investigate the occurrence of POP after SCI and to evaluate the need for urogynecological consultations offered to women with SCI.
Setting: Clinic for Spinal Cord Injuries, Rigshospitalet, Denmark.
Methods: Women with SCI who visited our SCI-clinic during January 2013-January 2018 were offered a specialized urogynecological consultation. Any symptoms of POP, urinary/fecal incontinence, or bladder/bowel emptying problems were registered, and POP was classified according to the POP quantification system during a pelvic examination. Differences in baseline characteristics between women with POP stage 0-1 and POP stage ≥2 were investigated.
Results: A total of 98 women were included in the study. Fourteen women (14%) reported POP symptoms and 21 women (21%) had anatomical POP stage ≥2. The group with POP stage ≥2 had a significantly higher age, higher parity, more with vaginal delivery, and more postmenopausal women, but the groups did not differ on median time after injury, neurological level, and completeness of injury. A total of 71% experienced urinary incontinence, 27% experienced fecal incontinence, 63% experienced bladder emptying problems, and 70% experienced bowel emptying problems. Consequently, 65% received treatment.
Conclusions: Women with SCI are not in increased risk of developing anatomical POP. Nonetheless, the high occurrence of other urogynecological issues and the high treatment-rate supports the need for specialized urogynecological consultations offered to women with SCI.
Databáze: MEDLINE
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