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Introduction and Hypothesis <p>Pelvic organ prolapse (POP) is a multifactorial condition defined as an anatomical prolapse of vaginal walls with the sensation of a vaginal bulge or functional compromise. This study was aimed at estimating the prevalence of pelvic floor disorders in women aged 30–65&#xa0;years and to evaluate the correlation between subjective symptoms, and objective clinical findings of POP.</p> Methods <p>This cross-sectional study was conducted at the Women's Clinic of Tartu University Hospital&#xa0;in 2022–2023 and included 604 women who visited the outpatient department for a cancer screening test. Participants were asked about vaginal bulging sensations and filled out the Pelvic Floor Distress Inventory—20 (PFDI-20) and the Pelvic Floor Impact Questionnaire—7 (PFIQ-7) tools. POP-Q assessment instrument was applied to assess for anatomical prolapse by trained midwives.</p> Results <p>The prevalence of POP was 9.2% among women at the age of 30–65&#xa0;years. Anatomical prolapse (POP-Q stage &gt; 1) was observed in 62 women (10%). A total of 257 (42.6%) patients reported feeling a vaginal bulge, including 90 women without anatomical prolapse (POP-Q stage 0) and 111 with mild prolapse (POP-Q stage I). Women without anatomical POP but with a vaginal bulging sensation had higher PDFI-20 and PFIQ-7 scores than those with anatomical POP but no sensation of bulging (<i>p</i> &lt; 0.05). BMI and obstetric factors (e.g., perineal lacerations) were significantly associated with both anatomical POP and the sensation of vaginal bulging (<i>p</i> &lt; 0.05).</p> Conclusions <p>When managing POP, it is essential to provide comprehensive care that considers both the anatomical and self-reported symptoms of patients.</p>

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The Correlation Between the Sensation of Vaginal Bulging and Anatomical POP-Q Stage in Estonia

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2025年8月8日

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  • Iveta Mikeltadze,
  • Katrin Täär,
  • Liis Järva,
  • Pille Soplepmann,
  • Kristiina Rull

摘要

Introduction and Hypothesis

Pelvic organ prolapse (POP) is a multifactorial condition defined as an anatomical prolapse of vaginal walls with the sensation of a vaginal bulge or functional compromise. This study was aimed at estimating the prevalence of pelvic floor disorders in women aged 30–65 years and to evaluate the correlation between subjective symptoms, and objective clinical findings of POP.

Methods

This cross-sectional study was conducted at the Women's Clinic of Tartu University Hospital in 2022–2023 and included 604 women who visited the outpatient department for a cancer screening test. Participants were asked about vaginal bulging sensations and filled out the Pelvic Floor Distress Inventory—20 (PFDI-20) and the Pelvic Floor Impact Questionnaire—7 (PFIQ-7) tools. POP-Q assessment instrument was applied to assess for anatomical prolapse by trained midwives.

Results

The prevalence of POP was 9.2% among women at the age of 30–65 years. Anatomical prolapse (POP-Q stage > 1) was observed in 62 women (10%). A total of 257 (42.6%) patients reported feeling a vaginal bulge, including 90 women without anatomical prolapse (POP-Q stage 0) and 111 with mild prolapse (POP-Q stage I). Women without anatomical POP but with a vaginal bulging sensation had higher PDFI-20 and PFIQ-7 scores than those with anatomical POP but no sensation of bulging (p < 0.05). BMI and obstetric factors (e.g., perineal lacerations) were significantly associated with both anatomical POP and the sensation of vaginal bulging (p < 0.05).

Conclusions

When managing POP, it is essential to provide comprehensive care that considers both the anatomical and self-reported symptoms of patients.