Prevalence of Vaginal Laxity and Correlation of Genital laxity and Wind to the symptoms of Pelvic Organ Prolapse
IUGA Academy. Al-Badr A. Jun 30, 2018; 212788; 482 Topic: Pelvic Organ Prolapse
Dr. Ahmed Al-Badr
Dr. Ahmed Al-Badr

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482

Prevalence of vaginal laxity and correlation of genital laxity and wind to the symptoms of pelvic organ prolapse

Talab, S1;Al-Badr, A2; AlKusayer, G3; Dawood, A2

1: Security Forces Hospital / KSA; 2: King Fahad Medical City; 3: Princess Nourah Bint Abdulraman University

Background: Pelvic organ prolapse (POP), a common pelvic floor dysfunction, usually present with symptoms, such as vaginal bulge, splinting, or vaginal pressure. Other less common symptoms associated with POP are urinary and/or sexual dysfunction. “Vaginal laxity”, a symptom frequently encountered in parous women with POP, but has not been sufficiently evaluated in the Literature, nor been correlated with POP.Auditory passage of vaginal air (flatulence) is also a symptom reported in women with pelvic floor disorders (PFDs) and POP. Recently, vaginal passage of wind was characterized as a symptom of affecting 69% of women with PFDs with no clear correlation with the symptoms of POP.

Objective:To study the association between vaginal laxity and other symptoms of POP, and to correlate it to objective findings on exam.

Methods:A retrospective cohort study that includes women seen in KFMC Urogynecology clinic during the study period of January 2013 to April 2015.Demographic information and clinical characteristics was collected for all women pre and post-operative POP quantification (POP-Q) data was obtained.

Results:Among 384 women have POP using POP-Q; 187 (48.4%) had Prolapse as a chief complaint; 135 women (35.2 %) had Vaginal laxity. Age 47.8 ±11.7 (23, 99) years old, parity 3 (0, 19). Vaginal delivery, vaginal wind, pressure complaint, diabetes increase risk of vaginal laxity; OR (7.65, 21.84, 2.24, 3.90 respectively). Vaginal laxity is associated with POP especially stage II anterior and posterior prolapse CI 95%;0.59 (0.44, 0.78) and 0.59 (0.45, 0.78) respectively (P value <0.001).Vaginal flatus complaint was reported by 74(30.3) patients that had GH (measurement from middle of external urethral meatus to posterior midline hymen) median widening of ≥4 cm, its likelihood was 1.23 times more than the subjects that had GH median widening of <4 cm within which 34(26.2) had vaginal flatus. The difference was not significant.

Conclusions:Vaginal laxity has a strong clinical correlation with POP and associated with its symptoms.Vaginal laxity and genital flatus have a clinical correlation with POP which is more likely to be associated with significant POP especially posterior.

Disclosure:

Work supported by industry: no.

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