title: Advanced pelvic organ prolapse and routine health screening.
abstract: OBJECTIVE
  To evaluate whether patients with advanced pelvic-organ prolapse (POP) were less likely than controls to obtain screening Papanicolaou (Pap) test, mammography, and colonoscopy.
  
  
  METHODS
  Records were reviewed from 7/2/2010 through 4/22/2011. We identified patients with advanced POP, defined as prolapse > or = 4 cm beyond the hymenal ring, and made age- and parity-matched controls from patients whose prolapse was <4 cm. Compliance for screening of cervical, breast and colon cancers was compared between the two groups.
  
  
  RESULTS
  Of 933 records, we identified 51 patients with advanced POP and 51 controls. Neither Pap test nor colonoscopy screening differed between the groups (McNemar chi2, P=1.00; McNemar chi2, P=1.00). Mammogram screening did not differ statistically; however, there was a trend towards neglecting screening in the advanced POP group (McNemar chi2, P=0.057).
  
  
  CONCLUSIONS
  Patients with POP > or = 4 cm beyond the hymenal ring were equally as likely to obtain routine health screening as age- and parity-matched controls whose POP measured <4 cm.
authors.affiliation: Division of Urogynecology, Hartford Hospital, Hartford, USA. bsuozzi@harthosp.org
authors.forename: Brent A
authors.initials: BA
authors.lastname: Suozzi
authors.affiliation: Department of Obstetrics and Gynecology, Hartford Hospital, Hartford, USA
authors.forename: Andrew
authors.initials: A
authors.lastname: Galffy
authors.affiliation: Department of Research Administration, Hartford Hospital, Hartford, USA.
authors.forename: David M
authors.initials: DM
authors.lastname: O'Sullivan
authors.affiliation: Division of Urogynecology, Hartford Hospital, Hartford, USA.
authors.forename: Paul K
authors.initials: PK
authors.lastname: Tulikangas
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D001943:Breast Neoplasms / Q000175:diagnosis; D016022:Case-Control Studies; D003110:Colonic Neoplasms / Q000175:diagnosis; D003113:Colonoscopy / Q000706:statistics & numerical data*; D005260:Female; D006801:Humans; D008327:Mammography / Q000706:statistics & numerical data*; D008403:Mass Screening / Q000379:methods / Q000706:statistics & numerical data; D008875:Middle Aged; D065006:Papanicolaou Test / Q000706:statistics & numerical data*; D056887:Pelvic Organ Prolapse / Q000175:diagnosis / Q000453:epidemiology* / Q000523:psychology; D002583:Uterine Cervical Neoplasms / Q000175:diagnosis