Prevalence of Hydronephrosis in Women With Advanced Pelvic Organ Prolapse
| Autor: | Begüm Özel, Diane Thomas, Christina E. Dancz, Daphne K. Walker |
|---|---|
| Rok vydání: | 2015 |
| Předmět: |
Gynecology
medicine.medical_specialty Pelvic organ business.industry Urology Mean age Hydronephrosis Middle Aged medicine.disease Severity of Illness Index Pelvic Organ Prolapse Article Urodynamics Diabetes mellitus Severity of illness Prevalence medicine Humans Female Prospective Studies business Prospective cohort study Body mass index Cohort study |
| Zdroj: | Urology |
| ISSN: | 0090-4295 |
| Popis: | Objective To describe the prevalence of hydronephrosis in advanced pelvic organ prolapse (POP) and to describe clinical and urodynamic parameters associated with hydronephrosis. Materials and Methods Prospective, observational cohort study examining the prevalence of hydronephrosis in advanced POP. Women with a POP-Q examination of at least +1 for points C, Aa, or Ba were enrolled and screened for hydronephrosis. Basic demographics, clinical, and urodynamic findings among women with and without hydronephrosis were compared. The University of Southern California IRB approved this protocol. Results A total of 180 participants were enrolled. Fifty-five women had some hydronephrosis, for a prevalence of 30.6% (24.3%-37.6%). Mean age was 57.9 (±9.0) years and mean body mass index was 29.2 kg/m2 (± 4.6). Of the participants, 80.6% were postmenopausal. The presence of diabetes mellitus was significantly associated with hydronephrosis (8% without vs 21.8% with, P = .009), as was the degree of anterior and apical (median Aa, Ba, C, and D higher with hydronephrosis than without, P |
| Databáze: | OpenAIRE |
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