Work

Analysis of differences in Pelvic Organ Prolapse Quantification scores at different anatomical sites before and after anesthesia for guiding surgical planning in female patients with pelvic organ prolapse

Year: 2025

Type: article

Abstract: This study aimed to analyze the differences of Pelvic Organ Prolapse Quantitation (POP-Q) scores before and after anesthesia in patients with pelvic organ prolapse (POP) at different sites and explore the influence of POP-Q scores on surgical decision making. A prospective observational study was conducted involving 60 female patients with POP who underwent surgical treatment at the Chongqing Health Center for Women and Children between January 2023 and June 2023. The cohort included 26 patients with uterine prolapse and 34 patients with cystocele. POP-Q scores and other relevant data were compared under two conditions: before anesthesia (with Valsalva maneuver) and after anesthesia (with cervical traction). There were no statistical differences in the mean age, menopause, mean body mass index, pregnancy, or related primary disease between the two groups (p>0. 05). The minimum tractive force required for cervical traction after anesthesia was 4.81 N. In both groups, the POP-Q scores for points C, D, and Bp were significantly higher after anesthesia than before anesthesia ( p <0.05). In the uterine prolapse group, there were no significant changes in the scores for points Aa, Ba, and Ap before or after anesthesia ( p >0.05). However, in the cystocele group, the score for point Aa decreased significantly after anesthesia compared to before anesthesia ( p <0.05). The increased scores of C, D and Bp after anesthesia suggests that the evaluations of uterine prolapse should be based on post-anesthesia measurements. Conversely, evaluations of cystocele should rely on pre-anesthesia measurements due to the decrease in Aa scores observed after anesthesia.

Source: Asian journal of urology

DOI: 10.1016/j.ajur.2025.02.001