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Published in: International Urogynecology Journal 3/2011

01-03-2011 | Original Article

The inter-system association between the simplified pelvic organ prolapse quantification system (S-POP) and the standard pelvic organ prolapse quantification system (POPQ) in describing pelvic organ prolapse

Authors: Jittima Manonai, Lone Mouritsen, Paulo Palma, Oscar Contreras-Ortiz, Jeffrey E. Korte, Steven Swift

Published in: International Urogynecology Journal | Issue 3/2011

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Abstract

Introduction and hypothesis

The objective of this study is to determine the association between the POPQ and a simplified version of the POPQ.

Methods

This was an observational study. The subjects with pelvic floor disorder symptoms underwent two exams: a POPQ exam and a simplified POPQ. To compare with the simplified POPQ, vaginal segments of the POPQ exam were defined using points Ba, Bp, C, and D. Primary outcome was the association between the overall ordinal stages from each exam.

Results

One hundred forty-three subjects with mean age of 56 +/− 13 years. Twenty three subjects were status post-hysterectomy. The Kendall's tau-b statistic for overall stage was 0.80, for the anterior vaginal wall the Kendall's tau-b was 0.71, for the posterior vaginal wall segment the Kendall's tau-b was 0.71, for the cervix the Kendall's tau-b was 0.88, for the posterior fornix/vaginal cuff the Kendall's tau-b was 0.85.

Conclusions

There is substantial association between the POPQ and a simplified version of the POPQ.
Literature
1.
go back to reference Bump RC, Mattiasson A, Bo K, Brubaker LP, DeLancey JOL, Klarskov P et al (1996) The standardization of terminology of female pelvic floor dysfunction. Am J Obstet Gynecol 175:10–17CrossRefPubMed Bump RC, Mattiasson A, Bo K, Brubaker LP, DeLancey JOL, Klarskov P et al (1996) The standardization of terminology of female pelvic floor dysfunction. Am J Obstet Gynecol 175:10–17CrossRefPubMed
2.
go back to reference Muir TW, Stepp KJ, Barber MD (2003) Adoption of the pelvic organ prolapsed quantification system in peer-reviewed literature. Am J Obstet Gynecol 189:1632–1636CrossRefPubMed Muir TW, Stepp KJ, Barber MD (2003) Adoption of the pelvic organ prolapsed quantification system in peer-reviewed literature. Am J Obstet Gynecol 189:1632–1636CrossRefPubMed
3.
go back to reference Treszezamsky AD, Rascoff L, Shahryarinejad A, Vardy MD (2010) Use of pelvic organ prolapse staging systems in published articles of selected specialized journals. Int Urogynecol J 21:359–363CrossRef Treszezamsky AD, Rascoff L, Shahryarinejad A, Vardy MD (2010) Use of pelvic organ prolapse staging systems in published articles of selected specialized journals. Int Urogynecol J 21:359–363CrossRef
4.
go back to reference Prien-Larsen J, Mouritsen L (2001) Pelvic organ prolapse: is ICS-grading without POP-Q measurement reliable? Int Urogynecol J Pelvic Floor Dysfunct 12(Suppl):45, abstract Prien-Larsen J, Mouritsen L (2001) Pelvic organ prolapse: is ICS-grading without POP-Q measurement reliable? Int Urogynecol J Pelvic Floor Dysfunct 12(Suppl):45, abstract
5.
go back to reference Swift S, Morris S, McKinnie V, Freeman R, Petri E, Scotti RJ et al (2006) Validation of a simplified technique for using the POPQ pelvic organ prolapse classification system. Int Urogynecol J 17:615–620CrossRef Swift S, Morris S, McKinnie V, Freeman R, Petri E, Scotti RJ et al (2006) Validation of a simplified technique for using the POPQ pelvic organ prolapse classification system. Int Urogynecol J 17:615–620CrossRef
6.
go back to reference Kendall MG (1938) A new measure of rank correlation. Biometrika 30:81–93 Kendall MG (1938) A new measure of rank correlation. Biometrika 30:81–93
7.
go back to reference Srikrishna S, Robinson D, Cardozo L, Cartwright R (2008) Experiences and expectations of women with urogenital prolapse: a quantitative and qualitative exploration. BJOG 115:1362–1368CrossRefPubMed Srikrishna S, Robinson D, Cardozo L, Cartwright R (2008) Experiences and expectations of women with urogenital prolapse: a quantitative and qualitative exploration. BJOG 115:1362–1368CrossRefPubMed
8.
go back to reference DeLancey JOL (2005) The hidden epidemics of pelvic floor dysfunction: achievable goals for improved prevention and treatment. Am J Obstet Gynecol 192:1488–1495CrossRefPubMed DeLancey JOL (2005) The hidden epidemics of pelvic floor dysfunction: achievable goals for improved prevention and treatment. Am J Obstet Gynecol 192:1488–1495CrossRefPubMed
9.
go back to reference Hall AF, Theofrastous JP, Cundiff GC, Harris RL, Hamilton LF, Swift SE, Bump RC (1996) Interobserver and intraobserver reliability of the proposed International Continence Society, Society of Gynecologic Surgeons, and American Urogynecologic Society Pelvic organ prolapse classification system. Am J Obstet Gynecol 175:1467–1471CrossRefPubMed Hall AF, Theofrastous JP, Cundiff GC, Harris RL, Hamilton LF, Swift SE, Bump RC (1996) Interobserver and intraobserver reliability of the proposed International Continence Society, Society of Gynecologic Surgeons, and American Urogynecologic Society Pelvic organ prolapse classification system. Am J Obstet Gynecol 175:1467–1471CrossRefPubMed
10.
go back to reference Kobak WH, Rosenberger K, Walters MD (1996) Interobserver variation in the assessment of pelvic organ prolapse. Int Urogynecol J Pelvic Floor Dysfunct 7:121–124CrossRefPubMed Kobak WH, Rosenberger K, Walters MD (1996) Interobserver variation in the assessment of pelvic organ prolapse. Int Urogynecol J Pelvic Floor Dysfunct 7:121–124CrossRefPubMed
11.
go back to reference Bland DR, Earle BB, Vitolins MZ, Burke G (1999) Use of the Pelvic Organ Prolapse staging system of the International Continence Society, American Urogynecologic Society, and Society of Gynecologic Surgeons in perimenopausal women. Am J Obstet Gynecol 181:1324–1327CrossRefPubMed Bland DR, Earle BB, Vitolins MZ, Burke G (1999) Use of the Pelvic Organ Prolapse staging system of the International Continence Society, American Urogynecologic Society, and Society of Gynecologic Surgeons in perimenopausal women. Am J Obstet Gynecol 181:1324–1327CrossRefPubMed
12.
go back to reference Auwad W, Freeman RM, Swift S (2004) Is the pelvic organ prolapse quantification system (POPQ) being used? A survey of members of the International Continence Society (ICS) and the American Urogynecologic Society (AUGS). Int Urogynecol J Pelvic Floor Dysfunct 15:324–327PubMed Auwad W, Freeman RM, Swift S (2004) Is the pelvic organ prolapse quantification system (POPQ) being used? A survey of members of the International Continence Society (ICS) and the American Urogynecologic Society (AUGS). Int Urogynecol J Pelvic Floor Dysfunct 15:324–327PubMed
13.
go back to reference Steele A, Mallipeddi P, Welgoss J, Soled S, Kohli N, Karram M (1998) Teaching the pelvic organ prolapse quantification system. Am J Obstet Gynecol 179:1458–1463CrossRefPubMed Steele A, Mallipeddi P, Welgoss J, Soled S, Kohli N, Karram M (1998) Teaching the pelvic organ prolapse quantification system. Am J Obstet Gynecol 179:1458–1463CrossRefPubMed
Metadata
Title
The inter-system association between the simplified pelvic organ prolapse quantification system (S-POP) and the standard pelvic organ prolapse quantification system (POPQ) in describing pelvic organ prolapse
Authors
Jittima Manonai
Lone Mouritsen
Paulo Palma
Oscar Contreras-Ortiz
Jeffrey E. Korte
Steven Swift
Publication date
01-03-2011
Publisher
Springer-Verlag
Published in
International Urogynecology Journal / Issue 3/2011
Print ISSN: 0937-3462
Electronic ISSN: 1433-3023
DOI
https://doi.org/10.1007/s00192-010-1286-y

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