Original Article

What is the correlation between Pelvic Organ Prolapse and Quality of Life? Clinical validation of the Pelvic Organ Prolapse Quantification Index (POP-Q-I)

  • NUCELIO LUIZ DE BARROS MOREIRA LEMOS
  • ANA LUIZA ANTUNES FARIA
  • JACQUELINE LEME LUNARDELLI
  • SILVIA DA SILVA CARRAMÂO
  • GIL KAMERGORODSKY
  • JEFFREY E. KORTE

Pelviperineology 2010;29(1):7-10

INTRODUCTION:

This study sought to assess the correlation between the Pelvic Organ Prolapse Index (POP-Q-I)10 and the Prolapse Quality of Life Questionnaire (P-QOL).

SUBJECTS AND METHODS:

Seventy-one consecutive patients were examined by a member of the urogynecology faculty blinded to P-QOL. Pearson’s test was used to assess the correlation between the average POP-Q-I and P-QOL scores. Patients were then divided in four groups by prolapse intensity to assess the dose-response correlation.

RESULTS:

Significant, but low correlation was found for each point, the overall POP-Q-I and global POP-Q-I (table 2). After dividing the sample, we observed a significant dose-response correlation for both Overall (p=.005) and Global (p=.008) POPQ-I (table 4).

CONCLUSION:

These results clinically validate the POPQ-I and suggest that comparing anatomical outcomes alone is not enough when comparing different treatments, meaning assessment of clinical success should take into account patient expectations and post-intervention quality of life.

Keywords: Pelvic Organ Prolapse; Classification; POP-Q; POP-Q-I; Quality of Life.