E-Posters-10147

10147_Patnam

Pdf Summary

This study reanalyzes the data from the Pelvic Organ Support Study (POSST) to define normal apical values in female patients without symptoms of pelvic organ prolapse. The POSST is a database of 1011 women who completed a prolapse symptom questionnaire and underwent a POP-Q examination. In this study, 59 women who met the definition of prolapse and 4 women who were missing a POP-Q point were excluded from the analysis, resulting in a total of 948 subjects. <br /><br />The results show that the median values for the anterior and posterior vaginal POP-Q points (Aa, Ba, Ap, Bp) are -2 cm, with an intra-quartile range of 0 to -3 cm, which suggests that values at or above the hymen are considered normal. Total vaginal length was shorter in women who had a hysterectomy, which is consistent with other literature. <br /><br />For cervical support (POP-Q point C cervix), the median value is -6 cm, but the normal range suggests it can be between -4 cm and -8 cm. In subjects who have had a hysterectomy, the apical POP-Q point C (vaginal cuff) has a median of -7 cm, with an interquartile range between -4.5 cm and -9.5 cm. <br /><br />These findings may help define success after apical repair procedures. However, it should be noted that there is no agreement on what represents normal apical support, as shown in a recent systematic review. Further research may be needed to establish a more universally accepted definition.

Keywords

Pelvic Organ Support Study

apical values

female patients

pelvic organ prolapse

POP-Q examination

prolapse symptom questionnaire

vaginal POP-Q points

hysterectomy

cervical support

apical repair procedures