Pelvic-floor muscle function in women with pelvic organ prolapse.
OBJECTIVE
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.


METHODS
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 (X+/-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.


RESULTS
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.


CONCLUSIONS
Although modestly clinically significant, better pelvic-floor muscle function was associated with less severe prolapse and urinary symptoms.
Borello-France
Diane F
DF
Department of Physical Therapy, 111 Health Sciences Bldg, Duquesne University, Pittsburgh, PA 15282, USA. borellofrance@duq.edu
Handa
Victoria L
VL
Brown
Morton B
MB
Goode
Patricia
P
Kreder
Karl
K
Scheufele
Laura L
LL
Weber
Anne M
AM
D003075:Coitus; D005260:Female; D006801:Humans; D008875:Middle Aged; D009119:Muscle Contraction; D017773:Pelvic Floor / Q000503:physiopathology*; D011391:Prolapse; D011788:Quality of Life; D012720:Severity of Illness Index; D014549:Urinary Incontinence / Q000145:classification*