Distribusi Staging dan Faktor Resiko Prolapsus Organ Pelvis di Poliklinik Ginekologi Rsup H.Adam Malik- Rsu Dr. Pirngadi Berdasar Sistem Popq (Pelvic Organ Prolapse Quantification Sistem)

Abstract

Objective: The main purpose of this study was to describe the distribution of pelvic organ support stages in a population of women seen at outpatient gynecology clinics for routine gynecologic health care and to observe trends of some historically quoted etiologic factors toward stages of pelvic prolapse. Study Design: This was an observational study. Women seen for routine gynecologic health care at outpatient gynecology clinics at two general hospital in Medan, North Sumatra , Indonesia, between January 2007 – March 2007 (3 months) were recruited to participate. After informed consent was obtained , these women underwent a pelvic examination and subsequently after that, general biographic data were collected regarding obstetric history, medical history, and surgical history. Pelvic organ support was measured and described according to the pelvic organ prolapse quantification system. Stages of support were evaluated by variable for trends with Pearson 2 statistics. Results: Within 3 months period , a total of 112 women were examined. All of these women were of Asian race. The median age was 42 years, with a range of 18 to 80 years. The overall distribution of pelvic organ prolapse quantification system stages was as follows: stage 0, 23.2 %; stage 1, 31.3 %; stage 2, 34.8%; and stage 3,10.7%. No subjects examined had pelvic organ prolapse quantification system stage 4 prolapse. Variables with a statistically significant trend toward increased pelvic organ prolapse quantification system stage were advancing age, increasing parity, increasing number of vaginal births, birth weight of largest baby delivered, laceration of genital tract, menopause status . Conclusion: The distribution of the pelvic organ prolapse quantification system stages in the population resembles a bell-shaped curve, with most subjects having stage 1 or 2 support (66,1%). 23.3% subjects were in stage 0 (excellent support) and only few(10.7%) were in stage 3 (moderate to severe pelvic support defects) results. There was a statistically significant trend toward increased pelvic organ prolapse quantification system stage of support among women with many of the historically quoted etiologic factors for the development of pelvic organ prolapse.