Retrospective review of treatment outcomes for women referred to the combined pelvic floor disorders clinic
IUGA Academy. G. Tincello D. Jun 30, 2018; 212932; 312 Topic: Pelvic Organ Prolapse
Douglas G. Tincello
Douglas G. Tincello

Access to Premium content is currently a membership benefit.

Click here to join IUGA or renew your membership.

Discussion Forum (0)
Rate & Comment (0)


Retrospective review of treatment outcomes for women referred to the combined pelvic floor disorders clinic

Obloza, A1; Miller, A1; Hoh, C1; Teo, R1; Revicky, V1; Tincello, D1


Background: Pelvic floor disorders represent a significant cause of morbidity and reduction in quality of life. They are associated frequently with constipation and obstructive defeacation symptoms (ODS). Management includes both conservative and surgical approach. It is unclear whether vaginal prolapse repair improves ODS.

Method: A retrospective review of women discussed at the Pelvic Floor MDT and who underwent posterior colporrhaphy +/- perineorrhaphy was done. Demographic data, descriptive/qualitative symptoms and BSUG database data were recorded. Data are presented as median (range), proportion or percent with 95% confidence intervals. Non-parametric statistical tests were used for analysis.

Results: We examined 46 cases between 2012 and 2016. Median age was 55 (32-89), BMI 29 (20-41) and parity 2 (1-5). ICIQ prolapse symptoms scores and bowel symptoms improved (Table 1 & 2) and there were significant improvements in all POPQ points, typically from 0 (-3,2) to -3 (-3,0) p = 0.0001.

Table 1

ICIQ scores


3/12 Post-op


Vaginal symptoms

24.5 (5-45)

6 (0-45)


Sexual matters

47 (10-58)

9.5 (0-58)


QoL affected

9 (1-10)

0 (0-8)


Table 2



3/12 Post-operative

% difference (95% CI)

Vaginal bulge



73.2 (51.4, 95.1)

Obstructed defaecation



74.5 (53.3, 95.6)




25.9 (0.3, 51.6)

Conclusion: Surgical correction of vaginal posterior compartment prolapse is effective in correcting anatomical defects and functional outcomes of obstructed defaecation of women with symptomatic prolapse.


Work supported by industry: no.

Code of conduct/disclaimer available in General Terms & Conditions
Anonymous User Privacy Preferences

Strictly Necessary Cookies (Always Active)

MULTILEARNING platforms and tools hereinafter referred as “MLG SOFTWARE” are provided to you as pure educational platforms/services requiring cookies to operate. In the case of the MLG SOFTWARE, cookies are essential for the Platform to function properly for the provision of education. If these cookies are disabled, a large subset of the functionality provided by the Platform will either be unavailable or cease to work as expected. The MLG SOFTWARE do not capture non-essential activities such as menu items and listings you click on or pages viewed.

Performance Cookies

Performance cookies are used to analyse how visitors use a website in order to provide a better user experience.

Google Analytics is used for user behavior tracking/reporting. Google Analytics works in parallel and independently from MLG’s features. Google Analytics relies on cookies and these cookies can be used by Google to track users across different platforms/services.

Save Settings