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Urodynamic indices and pelvic organ prolapse quantification 3 months after vaginal delivery in primiparous women.

Research paper by Clifford Y CY Wai, Donald D DD McIntire, Shanna D SD Atnip, Joseph I JI Schaffer, Steven L SL Bloom, Kenneth J KJ Leveno

Indexed on: 12 May '11Published on: 12 May '11Published in: International Urogynecology Journal



Abstract

This study aims to describe multichannel urodynamic indices and pelvic organ prolapse quantification (POP-Q) in primiparous women 3 months after vaginal delivery.This was a secondary analysis of a group of women who had been randomized to either coached or non-coached pushing during the second stage of labor. Primiparous women were evaluated with POP-Q examination and multichannel urodynamic testing 3 months after vaginal delivery.Of 128 women evaluated, the cumulative stage of prolapse was distributed as 4.7% stage 0, 39% stage I, 56% stage II, and none with stage III prolapse or greater. For the anterior compartment, most had stage II prolapse. Stage I prolapse predominated for both the central and posterior compartments. Of the women, 14.1% had urodynamic stress incontinence, 12.5% had detrusor overactivity, and 6% had both.In a predominantly Hispanic primiparous population, ICS POP-Q stage II prolapse of the vagina, urodynamic stress incontinence, and detrusor overactivity are common findings at a 3-month postpartum assessment.