Relationship between pelvic floor complaints and multicompartment prolapsus

Abstract

Aims: The aim of this study is to investigate the frequency and characteristics of multi-compartment prolapse in women evaluated with pelvic floor complaints. Methods: The data of 259 patients who applied to our hospital with pelvic floor complaints between May 2022 and March 2023 were evaluated retrospectively, and after the exclusion criteria were applied, the remaining 69 patients were included. Patients were grouped according to their primary complaints as those presenting with anterior compartment symptoms (ACS), those presenting with middle compartment symptoms (MCS), those presenting with posterior compartment symptoms (PCS), those presenting with proctological symptoms (PS) and those presenting with chronic pelvic pain (CPP). Results: A total of 69 patients were included in the study. The mean age was 49.8±13.1 years and the median symptom duration was 60 months. When patients are evaluated in terms of main complaint; The primary complaint was ACS in 16 patients, MCS in 4 patients, PCS in 26 patients, PS in 20 patients, and CPP in 3 patients. According to MRI defecography findings, ACS was detected in 1 patients, MCS in 1 patients, PCS in 13 patients and multicompartment prolapse in 54 patients. In patients with a history of vaginal delivery, in patients with a history of previous pelvic surgery and as the number of vaginal delivery increases multi-compartment prolapse rate was significantly increased. Conclusion: Regardless of the underlying primary complaint, the presence of multicompartment prolapse should be investigated through examination and tests in pelvic floor diseases. History and number of vaginal deliveries, previous pelvic surgery history carry a higher risk for multi-compartment prolapse.