2İzmir Dokuz Eylül Üniversity, Faculty of Medicine, Department of Obstetrics and Gynecology, İZMİR
3Ä°zmir Kent Hospital, Obstetrics and Gynecology Clinic, Ä°ZMÄ°R Introduction: Because of the similarities in the pathophysiology of pelvic organ prolapse and osteopenia, we aimed to investigate the existence of a relationship between stage 2 or higher pelvic organ prolapse and bone mineral density.
Materials and Method: The hospital database between July 2011 and July 2012 was searched for women who underwent surgery for stage 2 or higher pelvic organ prolapse (study group). An additional search was conducted for women who underwent surgery for other benign gynaecological indications with stage 0 or stage 1 pelvic organ prolapse (control group).In total, 1652 women aged 40–68 years with adequate medical data were identified. Two hundred and sixteen patients with stage 0 or stage 1 pelvic organ prolapse and stage 2 or higher pelvic organ prolapse were compared in terms of bone mineral density.
Results: The difference between the two groups was not statistically significant for osteoporosis (p=0.347) but osteopenia was significantly more prevalent in the study group compared with the control group (p=0.012). In addition, women with stage 2 or higher pelvic organ prolapse had significantly lower femoral trochanteric and lumbar spine T and Z scores than those with absent prolapse.
Conclusion: This study found that the prevalence of osteopenia was higher among women with stage 2 or higher pelvic organ prolapse compared with those with stage 0 or stage 1 pelvic organ prolapse. In particular, the presence of stage 2 or higher rectocele or cystorectocele was associated with an increased risk of osteopenia.
Keywords : Pelvic Organ Prolapse; Osteoporosis; Bone Density; Osteopenia