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Published in: International Urogynecology Journal 10/2012

Open Access 01-10-2012 | Review Article

A systematic review of clinical studies on hereditary factors in pelvic organ prolapse

Authors: Sabrina L. Lince, Leon C. van Kempen, Mark E. Vierhout, Kirsten B. Kluivers

Published in: International Urogynecology Journal | Issue 10/2012

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Abstract

Introduction and hypothesis

There is growing evidence that pelvic organ prolapse (POP) is at least partly caused by underlying hereditary risk factors. The aim of our study was to provide a systematic literature review and meta-analysis of clinical studies on family history of POP as a risk factor for POP in individual women.

Methods

The databases PubMed and Embase were searched. Clinical studies reporting on family history of POP in relation to POP in individual women were included.

Results

Sixteen studies were included, of which eight enabled us to calculate a pooled odds ratio (OR). The pooled OR of POP in case of a positive family history of POP was 2.58 (95 % confidence interval 2.12–3.15).

Conclusions

Women with POP are substantially more likely to have family members with the same condition compared to women without POP. This strengthens the hypothesis that genetic predisposition plays an important role in the development of POP.
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Literature
1.
go back to reference Tegerstedt G, Maehle-Schmidt M, Nyrén O, Hammarström M (2005) Prevalence of symptomatic pelvic organ prolapse in a Swedish population. Int Urogynecol J Pelvic Floor Dysfunct 16(6):497–503PubMedCrossRef Tegerstedt G, Maehle-Schmidt M, Nyrén O, Hammarström M (2005) Prevalence of symptomatic pelvic organ prolapse in a Swedish population. Int Urogynecol J Pelvic Floor Dysfunct 16(6):497–503PubMedCrossRef
2.
go back to reference Hendrix SL, Clark A, Nygaard I, Aragaki A, Barnabei V, McTiernan A (2002) Pelvic organ prolapse in the Women’s Health Initiative: gravity and gravidity. Am J Obstet Gynecol 186(6):1160–1166PubMedCrossRef Hendrix SL, Clark A, Nygaard I, Aragaki A, Barnabei V, McTiernan A (2002) Pelvic organ prolapse in the Women’s Health Initiative: gravity and gravidity. Am J Obstet Gynecol 186(6):1160–1166PubMedCrossRef
3.
go back to reference Digesu GA, Chaliha C, Salvatore S, Hutchings A, Khullar V (2005) The relationship of vaginal prolapse severity to symptoms and quality of life. BJOG 112(7):971–976PubMedCrossRef Digesu GA, Chaliha C, Salvatore S, Hutchings A, Khullar V (2005) The relationship of vaginal prolapse severity to symptoms and quality of life. BJOG 112(7):971–976PubMedCrossRef
4.
go back to reference Chiaffarino F, Chatenoud L, Dindelli M et al (1999) Reproductive factors, family history, occupation and risk of urogenital prolapse. Eur J Obstet Gynecol Reprod Biol 82(1):63–67PubMedCrossRef Chiaffarino F, Chatenoud L, Dindelli M et al (1999) Reproductive factors, family history, occupation and risk of urogenital prolapse. Eur J Obstet Gynecol Reprod Biol 82(1):63–67PubMedCrossRef
5.
go back to reference Sears CL, Wright J, O’Brien J et al (2009) The racial distribution of female pelvic floor disorders in an equal access health care system. J Urol 181(1):187–192PubMedCrossRef Sears CL, Wright J, O’Brien J et al (2009) The racial distribution of female pelvic floor disorders in an equal access health care system. J Urol 181(1):187–192PubMedCrossRef
6.
go back to reference Scherf C, Morison L, Fiander A, Ekpo G, Walraven G (2002) Epidemiology of pelvic organ prolapse in rural Gambia, West Africa. BJOG 109(4):431–436PubMedCrossRef Scherf C, Morison L, Fiander A, Ekpo G, Walraven G (2002) Epidemiology of pelvic organ prolapse in rural Gambia, West Africa. BJOG 109(4):431–436PubMedCrossRef
7.
go back to reference Slieker-ten Hove MC, Pool-Goudzwaard AL, Eijkemans MJ, Steegers-Theunissen RP, Burger CW, Vierhout ME (2009) Symptomatic pelvic organ prolapse and possible risk factors in a general population. Am J Obstet Gynecol 200(2):184 e1–7 Slieker-ten Hove MC, Pool-Goudzwaard AL, Eijkemans MJ, Steegers-Theunissen RP, Burger CW, Vierhout ME (2009) Symptomatic pelvic organ prolapse and possible risk factors in a general population. Am J Obstet Gynecol 200(2):184 e1–7
8.
go back to reference Rodrigues AM, de Oliveira LM, Martins Kde F et al (2009) Risk factors for genital prolapse in a Brazilian population. Rev Bras Ginecol Obstet 31(1):17–21PubMedCrossRef Rodrigues AM, de Oliveira LM, Martins Kde F et al (2009) Risk factors for genital prolapse in a Brazilian population. Rev Bras Ginecol Obstet 31(1):17–21PubMedCrossRef
9.
go back to reference Swift SE, Pound T, Dias JK (2001) Case-control study of etiologic factors in the development of severe pelvic organ prolapse. Int Urogynecol J Pelvic Floor Dysfunct 12(3):187–192PubMedCrossRef Swift SE, Pound T, Dias JK (2001) Case-control study of etiologic factors in the development of severe pelvic organ prolapse. Int Urogynecol J Pelvic Floor Dysfunct 12(3):187–192PubMedCrossRef
10.
go back to reference Swift S, Woodman P, O’Boyle A et al (2005) Pelvic Organ Support Study (POSST): the distribution, clinical definition, and epidemiologic condition of pelvic organ support defects. Am J Obstet Gynecol 192(3):795–806PubMedCrossRef Swift S, Woodman P, O’Boyle A et al (2005) Pelvic Organ Support Study (POSST): the distribution, clinical definition, and epidemiologic condition of pelvic organ support defects. Am J Obstet Gynecol 192(3):795–806PubMedCrossRef
11.
go back to reference Samuelsson EC, Victor FT, Tibblin G, Svärdsudd KF (1999) Signs of genital prolapse in a Swedish population of women 20 to 59 years of age and possible related factors. Am J Obstet Gynecol 180(2 Pt 1):299–305PubMedCrossRef Samuelsson EC, Victor FT, Tibblin G, Svärdsudd KF (1999) Signs of genital prolapse in a Swedish population of women 20 to 59 years of age and possible related factors. Am J Obstet Gynecol 180(2 Pt 1):299–305PubMedCrossRef
12.
go back to reference Moalli PA, Jones Ivy S, Meyn LA, Zyczynski HM (2003) Risk factors associated with pelvic floor disorders in women undergoing surgical repair. Obstet Gynecol 101(5 Pt 1):869–874PubMedCrossRef Moalli PA, Jones Ivy S, Meyn LA, Zyczynski HM (2003) Risk factors associated with pelvic floor disorders in women undergoing surgical repair. Obstet Gynecol 101(5 Pt 1):869–874PubMedCrossRef
13.
go back to reference Rortveit G, Brown JS, Thom DH, Van Den Eeden SK, Creasman JM, Subak LL (2007) Symptomatic pelvic organ prolapse: prevalence and risk factors in a population-based, racially diverse cohort. Obstet Gynecol 109(6):1396–1403PubMedCrossRef Rortveit G, Brown JS, Thom DH, Van Den Eeden SK, Creasman JM, Subak LL (2007) Symptomatic pelvic organ prolapse: prevalence and risk factors in a population-based, racially diverse cohort. Obstet Gynecol 109(6):1396–1403PubMedCrossRef
14.
go back to reference Gürel H, Gürel SA (1999) Pelvic relaxation and associated risk factors: the results of logistic regression analysis. Acta Obstet Gynecol Scand 78(4):290–293PubMedCrossRef Gürel H, Gürel SA (1999) Pelvic relaxation and associated risk factors: the results of logistic regression analysis. Acta Obstet Gynecol Scand 78(4):290–293PubMedCrossRef
15.
go back to reference Harris RL, Cundiff GW, Coates KW, Bump RC (1998) Urinary incontinence and pelvic organ prolapse in nulliparous women. Obstet Gynecol 92(6):951–954PubMedCrossRef Harris RL, Cundiff GW, Coates KW, Bump RC (1998) Urinary incontinence and pelvic organ prolapse in nulliparous women. Obstet Gynecol 92(6):951–954PubMedCrossRef
16.
go back to reference Bump RC, Norton PA (1998) Epidemiology and natural history of pelvic floor dysfunction. Obstet Gynecol Clin North Am 25(4):723–746PubMedCrossRef Bump RC, Norton PA (1998) Epidemiology and natural history of pelvic floor dysfunction. Obstet Gynecol Clin North Am 25(4):723–746PubMedCrossRef
17.
go back to reference Buchsbaum GM, Duecy EE, Kerr LA, Huang LS, Perevich M, Guzick DS (2006) Pelvic organ prolapse in nulliparous women and their parous sisters. Obstet Gynecol 108(6):1388–1393PubMedCrossRef Buchsbaum GM, Duecy EE, Kerr LA, Huang LS, Perevich M, Guzick DS (2006) Pelvic organ prolapse in nulliparous women and their parous sisters. Obstet Gynecol 108(6):1388–1393PubMedCrossRef
18.
go back to reference Altman D, Forsman M, Falconer C, Lichtenstein L (2008) Genetic influence on stress urinary incontinence and pelvic organ prolapse. Eur Urol 54(4):918–922PubMedCrossRef Altman D, Forsman M, Falconer C, Lichtenstein L (2008) Genetic influence on stress urinary incontinence and pelvic organ prolapse. Eur Urol 54(4):918–922PubMedCrossRef
19.
go back to reference Jack GS, Nikolova G, Vilain E, Raz S, Rodríguez LV (2006) Familial transmission of genitovaginal prolapse. Int Urogynecol J Pelvic Floor Dysfunct 17(5):498–501PubMedCrossRef Jack GS, Nikolova G, Vilain E, Raz S, Rodríguez LV (2006) Familial transmission of genitovaginal prolapse. Int Urogynecol J Pelvic Floor Dysfunct 17(5):498–501PubMedCrossRef
20.
go back to reference Higgins JPT, Thompson SG, Deeks JJ, Altman DG (2003) Measuring inconsistency in meta-analyses. BMJ 327:557–560PubMedCrossRef Higgins JPT, Thompson SG, Deeks JJ, Altman DG (2003) Measuring inconsistency in meta-analyses. BMJ 327:557–560PubMedCrossRef
21.
go back to reference Braekken IH, Majida M, Ellström Engh M, Holme IM, Bø K (2009) Pelvic floor function is independently associated with pelvic organ prolapse. BJOG 116(13):1706–1714PubMedCrossRef Braekken IH, Majida M, Ellström Engh M, Holme IM, Bø K (2009) Pelvic floor function is independently associated with pelvic organ prolapse. BJOG 116(13):1706–1714PubMedCrossRef
22.
go back to reference Lukanovic A, Drazic K (2010) Risk factors for vaginal prolapse after hysterectomy. Int J Gynaecol Obstet 110(1):27–30PubMedCrossRef Lukanovic A, Drazic K (2010) Risk factors for vaginal prolapse after hysterectomy. Int J Gynaecol Obstet 110(1):27–30PubMedCrossRef
23.
go back to reference Rinne KM, Kirkinen PP (1999) What predisposes young women to genital prolapse? Eur J Obstet Gynecol Reprod Biol 84(1):23–25PubMedCrossRef Rinne KM, Kirkinen PP (1999) What predisposes young women to genital prolapse? Eur J Obstet Gynecol Reprod Biol 84(1):23–25PubMedCrossRef
24.
go back to reference Sharma S, Walia I, Singh A (2003) A case control study on uterine prolapse in a Chandigarh slum. Bull Postgrad Inst Med Educ Res Chandigarh 37:143–148 Sharma S, Walia I, Singh A (2003) A case control study on uterine prolapse in a Chandigarh slum. Bull Postgrad Inst Med Educ Res Chandigarh 37:143–148
25.
go back to reference Deval B, Rafii A, Poilpot S, Aflack N, Levardon M (2002) Prolapse in the young woman: study of risk factors. Gynecol Obstet Fertil 30(9):673–676PubMedCrossRef Deval B, Rafii A, Poilpot S, Aflack N, Levardon M (2002) Prolapse in the young woman: study of risk factors. Gynecol Obstet Fertil 30(9):673–676PubMedCrossRef
26.
go back to reference Forsgren C, Zetterström J, López A, Altman D (2008) Risk factors for vaginal vault prolapse surgery in postmenopausal hysterectomized women. Menopause 15(6):1115–1119PubMedCrossRef Forsgren C, Zetterström J, López A, Altman D (2008) Risk factors for vaginal vault prolapse surgery in postmenopausal hysterectomized women. Menopause 15(6):1115–1119PubMedCrossRef
27.
go back to reference Jeon MJ, Chung SM, Jung HJ, Kim SK, Bai SW (2008) Risk factors for the recurrence of pelvic organ prolapse. Gynecol Obstet Invest 66(4):268–273PubMedCrossRef Jeon MJ, Chung SM, Jung HJ, Kim SK, Bai SW (2008) Risk factors for the recurrence of pelvic organ prolapse. Gynecol Obstet Invest 66(4):268–273PubMedCrossRef
28.
go back to reference Nava y Sánchez RM, Guerrero Ramos RA, González Torres C (1980) Treatment of uterine prolapse in young women. Ginecol Obstet Mex 47(284):441–456PubMed Nava y Sánchez RM, Guerrero Ramos RA, González Torres C (1980) Treatment of uterine prolapse in young women. Ginecol Obstet Mex 47(284):441–456PubMed
29.
go back to reference Rechberger T, Miotła P, Futyma K et al (2010) Risk factors of pelvic organ prolapsed in women qualified to reconstructive surgery–the Polish multicenter study. Ginekol Pol 81(11):821–827PubMed Rechberger T, Miotła P, Futyma K et al (2010) Risk factors of pelvic organ prolapsed in women qualified to reconstructive surgery–the Polish multicenter study. Ginekol Pol 81(11):821–827PubMed
30.
go back to reference Shilo Y, Stav K, Bitman G, Lindner A, Schiff E, Alcalay M (2009) Is family history associated with pelvic organ prolapse in young women? J Urol 181:481–482CrossRef Shilo Y, Stav K, Bitman G, Lindner A, Schiff E, Alcalay M (2009) Is family history associated with pelvic organ prolapse in young women? J Urol 181:481–482CrossRef
31.
go back to reference Sewell CA, Chang E, Sultana CJ (2007) Prevalence of genital prolapse in 3 ethnic groups. J Reprod Med 52(9):769–773PubMed Sewell CA, Chang E, Sultana CJ (2007) Prevalence of genital prolapse in 3 ethnic groups. J Reprod Med 52(9):769–773PubMed
32.
go back to reference McLennan MT, Harris JK, Kariuki B, Meyer S (2008) Family history as a risk factor for pelvic organ prolapse. Int Urogynecol J Pelvic Floor Dysfunct 19(8):1063–1069PubMedCrossRef McLennan MT, Harris JK, Kariuki B, Meyer S (2008) Family history as a risk factor for pelvic organ prolapse. Int Urogynecol J Pelvic Floor Dysfunct 19(8):1063–1069PubMedCrossRef
33.
go back to reference Miedel A, Tegerstedt G, Maehle-Schmidt M, Nyrén O, Hammarström M (2009) Nonobstetric risk factors for symptomatic pelvic organ prolapse. Obstet Gynecol 113(5):1089–1097PubMed Miedel A, Tegerstedt G, Maehle-Schmidt M, Nyrén O, Hammarström M (2009) Nonobstetric risk factors for symptomatic pelvic organ prolapse. Obstet Gynecol 113(5):1089–1097PubMed
34.
go back to reference Nikolova G, Lee H, Berkovitz S et al (2007) Sequence variant in the laminin gamma1 (LAMC1) gene associated with familial pelvic organ prolapse. Hum Genet 120(6):847–856PubMedCrossRef Nikolova G, Lee H, Berkovitz S et al (2007) Sequence variant in the laminin gamma1 (LAMC1) gene associated with familial pelvic organ prolapse. Hum Genet 120(6):847–856PubMedCrossRef
35.
go back to reference Chen HY, Chung YW, Lin WY, Chen WC, Tsai FJ, Tsai CH (2008) Estrogen receptor alpha polymorphism is associated with pelvic organ prolapse risk. Int Urogynecol J Pelvic Floor Dysfunct 19(8):1159–1163PubMedCrossRef Chen HY, Chung YW, Lin WY, Chen WC, Tsai FJ, Tsai CH (2008) Estrogen receptor alpha polymorphism is associated with pelvic organ prolapse risk. Int Urogynecol J Pelvic Floor Dysfunct 19(8):1159–1163PubMedCrossRef
36.
go back to reference Chen HY, Wan L, Chung YW, Chen WC, Tsai FJ, Tsai CH (2008) Estrogen receptor beta gene haplotype is associated with pelvic organ prolapse. Eur J Obstet Gynecol Reprod Biol 138(1):105–109PubMedCrossRef Chen HY, Wan L, Chung YW, Chen WC, Tsai FJ, Tsai CH (2008) Estrogen receptor beta gene haplotype is associated with pelvic organ prolapse. Eur J Obstet Gynecol Reprod Biol 138(1):105–109PubMedCrossRef
37.
go back to reference Chen HY, Chung YW, Lin WY, Chen WC, Tsai FJ, Tsai CH (2009) Progesterone receptor polymorphism is associated with pelvic organ prolapse risk. Acta Obstet Gynecol Scand 88(7):835–838PubMedCrossRef Chen HY, Chung YW, Lin WY, Chen WC, Tsai FJ, Tsai CH (2009) Progesterone receptor polymorphism is associated with pelvic organ prolapse risk. Acta Obstet Gynecol Scand 88(7):835–838PubMedCrossRef
38.
go back to reference Kluivers KB, Dijkstra JR, Hendriks JC, Lince SL, Vierhout ME, van Kempen LC (2009) COL3A1 2209G>A is a predictor of pelvic organ prolapse. Int Urogynecol J Pelvic Floor Dysfunct 20(9):1113–1118PubMedCrossRef Kluivers KB, Dijkstra JR, Hendriks JC, Lince SL, Vierhout ME, van Kempen LC (2009) COL3A1 2209G>A is a predictor of pelvic organ prolapse. Int Urogynecol J Pelvic Floor Dysfunct 20(9):1113–1118PubMedCrossRef
39.
go back to reference Chen HY, Chung YW, Lin WY, Wang JC, Tsai FJ, Tsai CH (2008) Collagen type 3 alpha 1 polymorphism and risk of pelvic organ prolapse. Int J Gynaecol Obstet 103(1):55–58PubMedCrossRef Chen HY, Chung YW, Lin WY, Wang JC, Tsai FJ, Tsai CH (2008) Collagen type 3 alpha 1 polymorphism and risk of pelvic organ prolapse. Int J Gynaecol Obstet 103(1):55–58PubMedCrossRef
40.
go back to reference Jeon MJ, Chung SM, Choi JR, Jung HJ, Kim SK, Bai SW (2009) The relationship between COL3A1 exon 31 polymorphism and pelvic organ prolapse. J Urol 181(3):1213–1216PubMedCrossRef Jeon MJ, Chung SM, Choi JR, Jung HJ, Kim SK, Bai SW (2009) The relationship between COL3A1 exon 31 polymorphism and pelvic organ prolapse. J Urol 181(3):1213–1216PubMedCrossRef
41.
go back to reference Martins Kde F, de Jármy-DiBella ZI, da Fonseca AM et al (2011) Evaluation of demographic, clinical characteristics, and genetic polymorphism as risk factors for pelvic organ prolapse in Brazilian women. Neurourol Urodyn 30(7):1325–1328PubMed Martins Kde F, de Jármy-DiBella ZI, da Fonseca AM et al (2011) Evaluation of demographic, clinical characteristics, and genetic polymorphism as risk factors for pelvic organ prolapse in Brazilian women. Neurourol Urodyn 30(7):1325–1328PubMed
42.
go back to reference Chen HY, Lin WY, Chen YH, Chen WC, Tsai FJ, Tsai CH (2010) Matrix metalloproteinase-9 polymorphism and risk of pelvic organ prolapse in Taiwanese women. Eur J Obstet Gynecol Reprod Biol 149(2):222–224PubMedCrossRef Chen HY, Lin WY, Chen YH, Chen WC, Tsai FJ, Tsai CH (2010) Matrix metalloproteinase-9 polymorphism and risk of pelvic organ prolapse in Taiwanese women. Eur J Obstet Gynecol Reprod Biol 149(2):222–224PubMedCrossRef
43.
go back to reference Salvatore S, Athanasiou S, Digesu GA et al (2009) Identification of risk factors for genital prolapse recurrence. Neurourol Urodyn 28(4):301–304PubMedCrossRef Salvatore S, Athanasiou S, Digesu GA et al (2009) Identification of risk factors for genital prolapse recurrence. Neurourol Urodyn 28(4):301–304PubMedCrossRef
44.
go back to reference Barber MD, Neubauer NL, Klein-Olarte V (2006) Can we screen for pelvic organ prolapse without a physical examination in epidemiologic studies? Am J Obstet Gynecol 195(4):942–948PubMedCrossRef Barber MD, Neubauer NL, Klein-Olarte V (2006) Can we screen for pelvic organ prolapse without a physical examination in epidemiologic studies? Am J Obstet Gynecol 195(4):942–948PubMedCrossRef
45.
go back to reference Tan JS, Lukacz ES, Menefee SA, Powell CR, Nager CW et al (2005) Predictive value of prolapse symptoms: a large database study. Int Urogynecol J Pelvic Floor Dysfunct 16(3):203–209, discussion 209PubMedCrossRef Tan JS, Lukacz ES, Menefee SA, Powell CR, Nager CW et al (2005) Predictive value of prolapse symptoms: a large database study. Int Urogynecol J Pelvic Floor Dysfunct 16(3):203–209, discussion 209PubMedCrossRef
46.
go back to reference Kee F, Tiret L, Robo JY et al (1993) Reliability of reported family history of myocardial infarction. BMJ 307(6918):1528–1530PubMedCrossRef Kee F, Tiret L, Robo JY et al (1993) Reliability of reported family history of myocardial infarction. BMJ 307(6918):1528–1530PubMedCrossRef
47.
go back to reference Mitchell RJ, Brewster D, Campbell H et al (2004) Accuracy of reporting of family history of colorectal cancer. Gut 53(2):291–295PubMedCrossRef Mitchell RJ, Brewster D, Campbell H et al (2004) Accuracy of reporting of family history of colorectal cancer. Gut 53(2):291–295PubMedCrossRef
48.
go back to reference Bø K (2006) Can pelvic floor muscle training prevent and treat pelvic organ prolapse? Acta Obstet Gynecol Scand 85(3):263–268PubMedCrossRef Bø K (2006) Can pelvic floor muscle training prevent and treat pelvic organ prolapse? Acta Obstet Gynecol Scand 85(3):263–268PubMedCrossRef
49.
go back to reference Braekken IH, Majida M, Engh ME, Bø K (2010) Morphological changes after pelvic floor muscle training measured by 3-dimensional ultrasonography: a randomized controlled trial. Obstet Gynecol 115(2 Pt 1):317–324PubMedCrossRef Braekken IH, Majida M, Engh ME, Bø K (2010) Morphological changes after pelvic floor muscle training measured by 3-dimensional ultrasonography: a randomized controlled trial. Obstet Gynecol 115(2 Pt 1):317–324PubMedCrossRef
50.
go back to reference Rodrigues AM, Girão MJ, da Silva ID, Sartori MG, Martins Kde F, Castro Rde A (2008) COL1A1 Sp1-binding site polymorphism as a risk factor for genital prolapse. Int Urogynecol J Pelvic Floor Dysfunct 19(11):1471–1475PubMedCrossRef Rodrigues AM, Girão MJ, da Silva ID, Sartori MG, Martins Kde F, Castro Rde A (2008) COL1A1 Sp1-binding site polymorphism as a risk factor for genital prolapse. Int Urogynecol J Pelvic Floor Dysfunct 19(11):1471–1475PubMedCrossRef
51.
go back to reference Leijonhufvud A, Lundholm C, Cnattingius S, Granath F, Andolf E, Altman D (2011) Risks of stress urinary incontinence and pelvic organ prolapse surgery in relation to mode of childbirth. Am J Obstet Gynecol 204(1):70 e1–7PubMedCrossRef Leijonhufvud A, Lundholm C, Cnattingius S, Granath F, Andolf E, Altman D (2011) Risks of stress urinary incontinence and pelvic organ prolapse surgery in relation to mode of childbirth. Am J Obstet Gynecol 204(1):70 e1–7PubMedCrossRef
52.
go back to reference Dolan LM, Hilton P (2010) Obstetric risk factors and pelvic floor dysfunction 20 years after first delivery. Int Urogynecol J 21(5):535–544PubMedCrossRef Dolan LM, Hilton P (2010) Obstetric risk factors and pelvic floor dysfunction 20 years after first delivery. Int Urogynecol J 21(5):535–544PubMedCrossRef
Metadata
Title
A systematic review of clinical studies on hereditary factors in pelvic organ prolapse
Authors
Sabrina L. Lince
Leon C. van Kempen
Mark E. Vierhout
Kirsten B. Kluivers
Publication date
01-10-2012
Publisher
Springer-Verlag
Published in
International Urogynecology Journal / Issue 10/2012
Print ISSN: 0937-3462
Electronic ISSN: 1433-3023
DOI
https://doi.org/10.1007/s00192-012-1704-4

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