Patients With Pelvic Organs Prolapse Clinical Trial
Official title:
Rating the Degree of Pelvic Organs Prolapse in Women According to the POPQ Method Before and After Emptying the Urinary Bladder
Pelvic organ prolapse is a common disorder that affects 3-9% of adult women. Treatment of
this disorder varies and includes conservative and interventional treatment.
Pelvic organs prolapse grading has an important roll in determining the appropriate
treatment. Developments in this field has led to the development of an agreed method to rate
the degree of pelvic organs prolapse (POPQ).
The roll of Urodynamic test is to assess whether there is urinary incontinence and
underlying cause.
In Richard C. et al publication, that presented the Pelvic Organ Prolapse Quantification
(POPQ) method for the first time, there was no reference to the urinary bladder state (full
or empty) during the examination, hence the investigators are asking to conduct a
prospective study in order to evaluate the degree of pelvic organs prolapse according to
POPQ method during urodynamic examination, with a full and empty urinary bladder.
Pelvic organ prolapse is a common disorder that affects 3-9% of adult women. Treatment of
this disorder varies and includes behavioral therapy, pelvic floor muscles rehabilitation
exercises, medication therapy, devices that are tailored to the patient in order to improve
pelvic organ support and various surgical procedures. Developments in this field and the
need to tailor the appropriate treatment to the type and degree of pelvic organ prolapse
resulted in the development of an agreed method to rate the degree of pelvic organs
prolapse.
Pelvic organs prolapse grading has an important roll in determining the appropriate
treatment. A big proportion of women who suffer from pelvic organ prolapse suffer from
urinary system disorders as well, such as difficulty in urinating, urinary incontinence, and
urgency and frequency.
At the pelvic floor reconstruction clinic, women who suffer from pelvic organs prolapse,
undergo a preliminary workup that includes a medical questionnaire, physical examination to
evaluate the degree of pelvic organ prolapse according to the Pelvic Organ Prolapse
Quantification method (POPQ), and a urodynamic test.
The impression of differences in the degree of prolapse according to POPQ method, before and
after urination, has led to the hypothesis that the degree of pelvic organs prolapse varies
according to the degree of fullness of the bladder
Urodynamic test is a test performed during patient evaluation at the pelvic floor
reconstruction clinic. During this test the woman is asked to empty her bladder and then two
transducers are inserted, one into the bladder and the other into the rectum. During the
test the bladder is filled with physiological solution and then the patient is asked to
urinate. During bladder emptying urinary flow velocity is measured and the pressure in the
abdomen and bladder recorded for later evaluation.
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Intervention Model: Single Group Assignment, Masking: Open Label, Primary Purpose: Diagnostic