AUGS/IUGA Scientific Meeting 2019-Short Oral Session 8

Video Transcription

Video Summary

In this video, several studies are presented with the goal of evaluating various aspects of pelvic organ prolapse (POP) and obstructed labor. <br /><br />The first study explores the relationship between changes in the size of the genital hiatus (GH) over time and the development of POP. The researchers used data from a longitudinal study of Paris women and found that women who went on to develop POP had a significantly larger GH at study enrollment and a faster rate of widening of the GH over time compared to women without POP.<br /><br />The second study focuses on the risk factors for failure of transvaginal uterosacral ligament suspension as a treatment for apical POP. The researchers found that a lower D-point measurement, which indicates the level of descent of the cervix relative to the hymen, was a risk factor for failure of the procedure.<br /><br />The third study investigates the prevalence and risk factors for anal incontinence three months after delivery. The researchers found that younger age, smaller BMI, and having had a stillbirth or C-section were risk factors for anal incontinence after delivery. They also developed a risk scale based on anthropomorphic measurements to identify women at high risk for obstructed labor and subsequent obstetric fistula.<br /><br />Overall, these studies provide insights into the causes, risk factors, and potential interventions for pelvic organ prolapse and obstructed labor. Note: the summaries have been paraphrased for brevity and clarity.

Asset Caption

Hege H. Johannessen, PhD, Mary M. Rieger, MD, Ka Woon Wong, MBBS, MRCOG, Victoria L. Handa, MD, MHS, Renée M. Ward, MD, Sarah E. Bradley, MD, Stephanie J Handler, MD, Tessa Krantz, MD, Annelise Long

Keywords

pelvic organ prolapse

obstructed labor

genital hiatus

longitudinal study

transvaginal uterosacral ligament suspension

risk factors

anal incontinence

obstetric fistula