Is a "dragging sensation" a symptom of female pelvic organ prolapse?
Identifieur interne : 000948 ( PubMed/Corpus ); précédent : 000947; suivant : 000949Is a "dragging sensation" a symptom of female pelvic organ prolapse?
Auteurs : Hans Peter Dietz ; Candice Chatel ; Ixora Kamisan AtanSource :
- International urogynecology journal [ 1433-3023 ] ; 2017.
Abstract
Pelvic organ prolapse (POP) commonly presents with a "vaginal lump or bulge" and/or a "dragging sensation." The first symptom correlates strongly with clinical and imaging data. However, a "dragging sensation" may be less specific. Hence, we investigated the predictive value of both symptoms for POP.
DOI: 10.1007/s00192-017-3410-8
PubMed: 28733790
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Is a "dragging sensation" a symptom of female pelvic organ prolapse?</title><author><name sortKey="Dietz, Hans Peter" sort="Dietz, Hans Peter" uniqKey="Dietz H" first="Hans Peter" last="Dietz">Hans Peter Dietz</name><affiliation><nlm:affiliation>Department of Obstetrics, Gynecology and Neonatology, Sydney Medical School Nepean, Nepean Hospital, University of Sydney, Penrith, NSW, 2750, Australia. hpdietz@bigpond.com.</nlm:affiliation></affiliation></author><author><name sortKey="Chatel, Candice" sort="Chatel, Candice" uniqKey="Chatel C" first="Candice" last="Chatel">Candice Chatel</name><affiliation><nlm:affiliation>Department of Obstetrics, Gynecology and Neonatology, Sydney Medical School Nepean, Nepean Hospital, University of Sydney, Penrith, NSW, 2750, Australia.</nlm:affiliation></affiliation></author><author><name sortKey="Atan, Ixora Kamisan" sort="Atan, Ixora Kamisan" uniqKey="Atan I" first="Ixora Kamisan" last="Atan">Ixora Kamisan Atan</name><affiliation><nlm:affiliation>Department of Obstetrics, Gynecology and Neonatology, Sydney Medical School Nepean, Nepean Hospital, University of Sydney, Penrith, NSW, 2750, Australia.</nlm:affiliation></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2017">2017</date><idno type="RBID">pubmed:28733790</idno><idno type="pmid">28733790</idno><idno type="doi">10.1007/s00192-017-3410-8</idno><idno type="wicri:Area/PubMed/Corpus">000948</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">000948</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Is a "dragging sensation" a symptom of female pelvic organ prolapse?</title><author><name sortKey="Dietz, Hans Peter" sort="Dietz, Hans Peter" uniqKey="Dietz H" first="Hans Peter" last="Dietz">Hans Peter Dietz</name><affiliation><nlm:affiliation>Department of Obstetrics, Gynecology and Neonatology, Sydney Medical School Nepean, Nepean Hospital, University of Sydney, Penrith, NSW, 2750, Australia. hpdietz@bigpond.com.</nlm:affiliation></affiliation></author><author><name sortKey="Chatel, Candice" sort="Chatel, Candice" uniqKey="Chatel C" first="Candice" last="Chatel">Candice Chatel</name><affiliation><nlm:affiliation>Department of Obstetrics, Gynecology and Neonatology, Sydney Medical School Nepean, Nepean Hospital, University of Sydney, Penrith, NSW, 2750, Australia.</nlm:affiliation></affiliation></author><author><name sortKey="Atan, Ixora Kamisan" sort="Atan, Ixora Kamisan" uniqKey="Atan I" first="Ixora Kamisan" last="Atan">Ixora Kamisan Atan</name><affiliation><nlm:affiliation>Department of Obstetrics, Gynecology and Neonatology, Sydney Medical School Nepean, Nepean Hospital, University of Sydney, Penrith, NSW, 2750, Australia.</nlm:affiliation></affiliation></author></analytic><series><title level="j">International urogynecology journal</title><idno type="eISSN">1433-3023</idno><imprint><date when="2017" type="published">2017</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Pelvic organ prolapse (POP) commonly presents with a "vaginal lump or bulge" and/or a "dragging sensation." The first symptom correlates strongly with clinical and imaging data. However, a "dragging sensation" may be less specific. Hence, we investigated the predictive value of both symptoms for POP.</div></front></TEI><pubmed><MedlineCitation Status="Publisher" Owner="NLM"><PMID Version="1">28733790</PMID><DateCreated><Year>2017</Year><Month>07</Month><Day>22</Day></DateCreated><DateRevised><Year>2017</Year><Month>07</Month><Day>22</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1433-3023</ISSN><JournalIssue CitedMedium="Internet"><PubDate><Year>2017</Year><Month>Jul</Month><Day>21</Day></PubDate></JournalIssue><Title>International urogynecology journal</Title><ISOAbbreviation>Int Urogynecol J</ISOAbbreviation></Journal><ArticleTitle>Is a "dragging sensation" a symptom of female pelvic organ prolapse?</ArticleTitle><ELocationID EIdType="doi" ValidYN="Y">10.1007/s00192-017-3410-8</ELocationID><Abstract><AbstractText Label="INTRODUCTION AND HYPOTHESIS" NlmCategory="OBJECTIVE">Pelvic organ prolapse (POP) commonly presents with a "vaginal lump or bulge" and/or a "dragging sensation." The first symptom correlates strongly with clinical and imaging data. However, a "dragging sensation" may be less specific. Hence, we investigated the predictive value of both symptoms for POP.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">This was a retrospective study involving archived data sets of women seen between November 2013 and May 2014. All underwent a clinical interview, POPQ examination, and 4D translabial ultrasound (TLUS). The main outcome measure was organ descent on clinical examination and TLUS. Offline analysis for organ descent was undertaken blinded against all other data.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">A total of 224 women were assessed. Mean age was 57 (23-84) years. Median parity was 3 (0-7). Ninety-three percent (n=208) were vaginally parous. Fifty-eight percent (n=129) complained of symptoms of prolapse: 49% (n=110) of a vaginal lump, 27% (n=61) of a dragging sensation. Clinically, mean point B anterior (Ba) was -0.86 (-3 to +7.5) cm, mean cervical station (C) was -4.1 (-9 to +8) cm, mean point B posterior (Bp) was -1.1 (-3 to +5) cm. On imaging, mean bladder, uterine, and rectal descent were -8.3 (-68.0 to 34) mm, +18.6 (-56.4 to 46.3) mm, and -5.3 (-39.8 to 36) mm respectively. On univariate analysis, both symptoms were strongly associated with objective prolapse clinically and on TLUS, with "vaginal lump" consistently the stronger predictor.</AbstractText><AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">The symptom of a "vaginal lump or bulge" was consistently a stronger predictor of objective POP than "dragging sensation." This finding was insensitive to adjustments for potential confounders. However, a "dragging sensation" is clearly a symptom of prolapse.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Dietz</LastName><ForeName>Hans Peter</ForeName><Initials>HP</Initials><AffiliationInfo><Affiliation>Department of Obstetrics, Gynecology and Neonatology, Sydney Medical School Nepean, Nepean Hospital, University of Sydney, Penrith, NSW, 2750, Australia. hpdietz@bigpond.com.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Chatel</LastName><ForeName>Candice</ForeName><Initials>C</Initials><AffiliationInfo><Affiliation>Department of Obstetrics, Gynecology and Neonatology, Sydney Medical School Nepean, Nepean Hospital, University of Sydney, Penrith, NSW, 2750, Australia.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Department of Obstetrics and Gynaecology, University of Poitiers, Poitiers, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Atan</LastName><ForeName>Ixora Kamisan</ForeName><Initials>IK</Initials><AffiliationInfo><Affiliation>Department of Obstetrics, Gynecology and Neonatology, Sydney Medical School Nepean, Nepean Hospital, University of Sydney, Penrith, NSW, 2750, Australia.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Department of Obstetrics and Gynecology, Universiti Kebangsaan Malaysia Medical Centre, Kuala Lumpur, Malaysia.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2017</Year><Month>07</Month><Day>21</Day></ArticleDate></Article><MedlineJournalInfo><Country>England</Country><MedlineTA>Int Urogynecol J</MedlineTA><NlmUniqueID>101567041</NlmUniqueID><ISSNLinking>0937-3462</ISSNLinking></MedlineJournalInfo><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">Pelvic organ prolapse</Keyword><Keyword MajorTopicYN="N">Symptoms</Keyword><Keyword MajorTopicYN="N">Transperineal ultrasound</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2017</Year><Month>04</Month><Day>11</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2017</Year><Month>06</Month><Day>19</Day></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2017</Year><Month>7</Month><Day>23</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2017</Year><Month>7</Month><Day>25</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2017</Year><Month>7</Month><Day>25</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>aheadofprint</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">28733790</ArticleId><ArticleId IdType="doi">10.1007/s00192-017-3410-8</ArticleId><ArticleId IdType="pii">10.1007/s00192-017-3410-8</ArticleId></ArticleIdList></PubmedData></pubmed></record>Pour manipuler ce document sous Unix (Dilib)
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