Association between stage 2 or higher pelvic organ prolapse and bone mineral density in postmenopausal women Postmenapozal dönemdeki kadinlarda 2. derece ve üstü pelvik organ prolapsusu ile kemik mineral yoğunluğu arasindaki iliŞki

Töz E., KURT S., Canda M. T., Şahin Ç., Ertaş İ. E.

Turk Geriatri Dergisi, cilt.18, sa.1, ss.30-35, 2015 (SCI-Expanded) identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 18 Sayı: 1
  • Basım Tarihi: 2015
  • Dergi Adı: Turk Geriatri Dergisi
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Social Sciences Citation Index (SSCI), Scopus, TR DİZİN (ULAKBİM)
  • Sayfa Sayıları: ss.30-35
  • Anahtar Kelimeler: Bone density, Osteopenia, Osteoporosis, Pelvic organ Prolapse
  • Dokuz Eylül Üniversitesi Adresli: Evet

Özet

© 2015, Geriatrics Society. All rights reserved.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 orgapn rolapse 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.