Pelvic-Floor Muscle Function in Women With Pelvic Organ Prolapse

Diane Borello-France; Victoria Handa; Morton Brown; Patricia Goode; Karl J Kreder; Laura L Scheufele; Anne M Weber; Pelvic Floor Disorders Network

doi:10.2522/ptj.20060160

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Pelvic-Floor Muscle Function in Women With Pelvic Organ Prolapse

Journal article

Peer reviewed

Pelvic-Floor Muscle Function in Women With Pelvic Organ Prolapse

Diane Borello-France, Victoria Handa, Morton Brown, Patricia Goode, Karl J Kreder, Laura L Scheufele, Anne M Weber and Pelvic Floor Disorders Network

Physical therapy, Vol.87(4), pp.399-407

04/01/2007

DOI: 10.2522/ptj.20060160

PMID: 17341510

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Abstract

The purpose of this study was to determine whether pelvic organ prolapse severity, pelvic symptoms, quality of life, and sexual function differ based on pelvic-floor muscle function in women planning to have prolapse surgery. Three hundred seventeen women without urinary stress incontinence who were enrolled in a multicenter surgical trial were examined to determine pelvic-floor muscle function (by Brink scale score). The subjects were 61.6±10.2 (...±SD) years of age. Thirteen percent of the subjects had stage II (to the hymen) pelvic organ prolapse, 68% had stage III (beyond the hymen) prolapse, and 19% had stage IV (complete vaginal eversion) prolapse. Subjects with lowest (3-6) and highest (10-12) Brink scale scores were compared on prolapse severity, pelvic symptoms and bother, quality of life, and sexual function. Subjects with the highest Brink scores (n=75) had less advanced prolapse, smaller genital hiatus measurements, and less urinary symptom burden compared with those with the lowest Brink scores (n=56). The results indicated that pelvic-floor muscle function was not associated with condition-specific quality of life or sexual function. Although modestly clinically significant, better pelvic-floor muscle function was associated with less severe prolapse and urinary symptoms.

Physical Therapy

Urogenital System

Gynecology

Intervention

Physical therapists

Risk factors

Studies

Urinary incontinence

Women

Details

Title: Subtitle: Pelvic-Floor Muscle Function in Women With Pelvic Organ Prolapse
Creators: Diane Borello-France - Duquesne University
Victoria Handa - Johns Hopkins University
Morton Brown - University of Michigan–Ann Arbor
Patricia Goode - Birmingham VA Medical Center
Karl J Kreder - Urology
Laura L Scheufele
Anne M Weber - Eunice Kennedy Shriver National Institute of Child Health and Human Development
Pelvic Floor Disorders Network
Resource Type: Journal article
Publication Details: Physical therapy, Vol.87(4), pp.399-407
Publisher: Oxford University Press
DOI: 10.2522/ptj.20060160
PMID: 17341510
ISSN: 0031-9023
eISSN: 1538-6724
Language: English
Date published: 04/01/2007
Academic Unit: Obstetrics and Gynecology; Urology
Record Identifier: 9984383891202771

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