Lower abdominal and pelvic pain with advanced pelvic organ prolapse: a case-control study.

Conference Paper

OBJECTIVE: The objective of the study was to compare the relative frequencies of pain in women with and without pelvic organ prolapse (POP). STUDY DESIGN: This was an ancillary analysis of a case-control study investigating functional bowel disorders in women with and without POP. Cases were defined as subjects with stage 3 or 4 POP and controls were subjects with normal pelvic support. RESULTS: Women with POP were more likely to experience lower abdominal or pelvic pain that was significantly bothersome and interfered with daily activities (odds ratio [OR], 9.7; 95% confidence interval [CI], 4.7-20.4). After controlling for confounders, women with prolapse were more likely to report pressure in the lower abdomen (OR, 2.3; 95% CI, 1.6-3.2), heaviness in the pelvic region (OR, 3.3; 95% CI, 2.3-4.3), and pain in the lower abdomen (OR, 2.6; 95% CI, 1.8-4.1). CONCLUSION: Women with prolapse are more likely to report pain, pressure, or heaviness in the lower abdomen or pelvis compared with women with normal support.

Full Text

Duke Authors

Cited Authors

  • Reddy, J; Barber, MD; Walters, MD; Paraiso, MFR; Jelovsek, JE

Published Date

  • June 2011

Published In

Volume / Issue

  • 204 / 6

Start / End Page

  • 537.e1 - 537.e5

PubMed ID

  • 21345412

Electronic International Standard Serial Number (EISSN)

  • 1097-6868

Digital Object Identifier (DOI)

  • 10.1016/j.ajog.2011.01.015

Conference Location

  • United States