The Association between women`s pelvic organ prolapse and joint hypermobility. | [Journal of Pakistan Medical Association • 2013]

Author(s):

1. Leili Hafizi: Department of Obstetrics and Gynecology, Mashhad, Iran

2. Zahra Mirfeizi: Department of Rheumatology, Mashhad, Iran

3. Nastaran Razmjoo: Faculty of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran

4. Maliheh Keshvari: Department of Urology, Fellowship of Urogynecology, Iran

5. Atefeh Jabbari: Faculty of Nursing, and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran

6. Hami Ashraf: Women Health Research Center, Imam Reza Hospital, Faculty of Medicine, Iran

7. Fatemeh Yousefi: Women Health Research Center, Imam Reza Hospital, Faculty of Medicine, Iran

Abstract:

Objective: To determine whether joint hypermobility is associated with pelvic organ prolapse. Methods: The case-control study was conducted from January to April 2011 and comprised 30 women with pelvic organ prolapse, stage > II and 30 controls with stages 0 and I with similar age and parity. They were recruited from the gynaecology clinic at Imam Reza Hospital in Mashhad, Iran. The condition was evaluated by a quantification system and, for the purposes of this study, pelvic organ prolapse was defined as stage > II. All the subjects were examined in the dorsal lithotomic position with an empty bladder. A separate investigator evaluated each subject for joint hypermobility by using Beighton score which was calculated by doing five simple manoeuvres. SPSS 11.5 was used for data analysis. Results: The mean age of the 30 cases was 35.40±6.39 years, while for the controls it was 35.36±5.9 years. Overall clinical joint hypermobility was found in 24 of the 60 (40%) subjects. There were no significant difference in the prevalence of joint hypermobility between the two groups. The prevalence of hypermobility in the cases was 36.7% (n=11) versus 43.3% (n=13) in the controls (p= 0.59). The prevalence of cystocele in subjects with joint hypermobility was 41.7% (n=10) versus 38.9% (n=14), (p

Page(s): 1152-1156

DOI: DOI not available

Published: Journal: Journal of Pakistan Medical Association, Volume: 63, Issue: 9, Year: 2013

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