American Journal of Obstetrics & Gynecology
Volume 202, Issue 5 , Pages 503.e1-503.e4 , May 2010

The association between obesity and stage II or greater prolapse

Presented at the 30th Annual Scientific Meeting of the American Urogynecologic Society, Hollywood, FL, Sept. 24-26, 2009.

Received 31 July 2009 ,Revised 25 October 2009 ,Accepted 12 January 2010.

References 

  1. Swift S, Woodman P, O'Boyle A, et al. Pelvic organ support study (POSST): the distribution, clinical definition, and epidemiologic condition of pelvic organ support defects. Am J Obstet Gynecol. 2005;192:795–806
  2. Nygaard I, Barber MD, Burgio KL, et al. Prevalence of symptomatic pelvic floor disorders in US women. JAMA. 2008;300:1311–1316
  3. Olsen AL, Smith VJ, Bergstrom JO, Colling JC, Clark AL. Epidemiology of surgically managed pelvic organ prolapse and urinary incontinence. Obstet Gynecol. 1997;89:501–506
  4. Hendrix SL, Clark A, Nygaard I, Aragaki A, Barnabei V, McTiernan A. Pelvic organ prolapse in the women's health initiative: gravity and gravidity. Am J Obstet Gynecol. 2002;186:1160–1166
  5. Mant J, Painter R, Vessey M. Epidemiology of genital prolapse: observations from the Oxford family planning association study. Br J Obstet Gynaecol. 1997;104:579–585
  6. Ogden CL, Carroll MD, McDowell MA, Flegal KM. Obesity among adults in the United States–no statistically significant change since 2003-2004. NCHS Data Brief. 2007;1:1–8
  7. Richter HE, Burgio KL, Clements RH, Goode PS, Redden DT, Varner RE. Urinary and anal incontinence in morbidly obese women considering weight loss surgery. Obstet Gynecol. 2005;106:1272–1277
  8. Erekson EA, Sung VW, Myers DL. Effect of body mass index on the risk of anal incontinence and defecatory dysfunction in women. Am J Obstet Gynecol. 2008;198:596.e1–596.e4
  9. Rortveit G, Brown JS, Thom DH, Van Den Eeden SK, Creasman JM. Symptomatic pelvic organ prolapse: prevalence and risk factors in a population-based, racially diverse cohort. Obstet Gynecol. 2007;109:1396–1403
  10. Subak LL, Whitcomb E, Shen H, Saxton J, Vittinghoff E, Brown JS. Weight loss: a novel and effective treatment for urinary incontinence. J Urol. 2005;174:190–195
  11. Barber MD, Walters MD, Bump RC. Short forms of two condition-specific quality-of-life questionnaires for women with pelvic floor disorders (PFDI-20 and PFIQ-7). Am J Obstet Gynecol. 2005;193:103–113
  12. National Institutes of Health. Clinical guidelines on the identification, evaluation, and treatment of overweight and obesity in adults–the evidence report. [published correction appears in Obes Res 1998;6:464] Obes Res. 1998;6:51S–209S
  13. Bump RC, Mattiasson A, Bo K, et al. The standardization of terminology of female pelvic organ prolapse and pelvic floor dysfunction. Am J Obstet Gynecol. 1996;175:10–17
  14. Whitcomb EL, Lukacz ES, Lawrence JM, Nager CW, Luber KM. Prevalence and degree of bother from pelvic floor disorders in obese women. Int Urogynecol J. 2009;20:289–294
  15. Bradley CS, Zimmerman MB, Qi Y, Nygaard IE. Natural history of pelvic organ prolapse in postmenopausal women. Obstet Gynecol. 2007;109:848–854
  16. Kudish BI, Iglesia CB, Sokol RJ, et al. Effect of weight change on the natural history of pelvic organ prolapse. Obstet Gynecol. 2009;113:81–87
  17. Handa VL, Garrett E, Hendrix S, Gold E, Robbins J. Progression and remission of pelvic organ prolapse: a longitudinal study of menopausal women. Am J Obstet Gynecol. 2004;190:27–32
  18. Nygaard I, Bradley C, Brandt D. Pelvic organ prolapse in older women: prevalence and risk factors. Obstet Gynecol. 2004;104:489–497
  19. Fornell EU, Wingren G, Kjolhede P. Factors associated with pelvic floor dysfunction with emphasis on urinary and fecal incontinence and genital prolapse: an epidemiological study. Acta Obstet Gynecol Scand. 2004;83:383–389
  20. Bradley CS, Zimmerman MB, Wang Q, Nygaard IE. Vaginal descent and pelvic floor symptoms in postmenopausal women: a longitudinal study. Obstet Gynecol. 2008;111:1148–1153

 Cite this article as: Washington BB, Erekson EA, Kassis NC, et al. The association between obesity and stage II or greater prolapse. Am J Obstet Gynecol 2010;202:503.e1-4.

 Reprints not available from the authors.

PII: S0002-9378(10)00027-X

doi: 10.1016/j.ajog.2010.01.016

American Journal of Obstetrics & Gynecology
Volume 202, Issue 5 , Pages 503.e1-503.e4 , May 2010