Pelvic organ prolapse Urogenitale prolaps (Nederlands)
Conditions
Interventions
Women with POP-Q stages I and II not beyond the hymen will either receive PMT or watchful waiting.
Women with POP-Q stages II beyond the hymen and III will either receive PMT or pessary treatment.
Sponsors
University Medical Center Groningen (UMCG), departments of general practice and epidemiology
Eligibility
Inclusion criteria
Inclusion criteria: 1. Women older than 54 years; 2. Symptomatic stage I, II or III POP (pelvic organ prolapse quantification (POP-Q) ); 3. Informed consent.
Exclusion criteria
Exclusion criteria: 1. Cognitive impairment (eg dementia); 2. Poor physical condition (according to their GP); 3. Urogynecological malignancy; 4. Treatment of POP within the last 12 months; 5. Not being able to visit the general practitioner's of physiotherapist's office due to impaired mobility.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Pelvic Floor Distress Inventory (PFDI-20) score after 3, 12 and 24 months. | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Global perception of improvement and VAS score of improvement of the symptoms after 3, 12 and 24 months; 2. Pelvic Floor Impact Questionnaire (PFIQ-7) score, Pelvic organ prolapse / urinary incontinence sexual questionnaire (PISQ-12) score, MOS SF-12 score, EQ-5D score, after 3, 12 and 24 months; 3. POP stage (POP-Q) after 3, 12 and 24 months; 4. Costs of treatment; 5. Number of women succesfully treated with a pessary; 6. Number of women referred to a gynaecologist. | — |
Contacts
Public ContactM. Wiegersma
UMCG, Afdeling Huisartsgeneeskunde
Outcome results
None listed