Table 2.
Impact of levator ani muscle trauma, and pelvic floor contraction on outcome variables. Adjusted odds ratio (aOR) are given with a 95% confidence interval after adjusting for age, body mass index, parity, POP stage at baseline, previous POP surgery and previous hysterectomy
| Levator trauma | aOR | Pelvic floor contraction | aOR | |||
|---|---|---|---|---|---|---|
| Yes, (n = 92) | No, (n = 91) | Absent to weak (n = 76) | Normal to strong (n = 106) | |||
| Anatomy, n = 183 | ||||||
| Any POP ≥ 2 | 46 | 30 | 2.1 (1.1–4.1), p =0.022* | 35 | 41 | 1.5 (0.8–2.9), p = 0.233‡‡ |
| Recurrence in same compartment | 33 | 23 | 1.7 (0.9–3.4), p = 0.127** | 24 | 32 | 1.0 (0.5–2.0), p = 0.985§ |
| POP in new compartment | 7 | 2 | 4.0 (0.8–20.7), p = 0.094 | 6 | 3 | 3.1 (0.7–13.2), p = 0.134 |
| Symptoms, n = 179 | ||||||
| Bulge sensation | 19 | 16 | 1.1 (0.5–2.4), p = 0.809 | 9 | 26 | 0.4 (0.2–0.9), p = 0.031§§ |
| Composite n = 179 | ||||||
| Bulge sensation + any POP ≥ 2 | 14 | 11 | 1.3 (0.5–3.1), p = 0.612† | 6 | 19 | 0.4 (0.1–1.0), p = 0.058± |
POP pelvic organ prolapse, aOR adjusted odds ratio
*Preoperative POP ≥ 3: aOR 2.4 (1.2–4.8), p = 0.010
**Preoperative POP ≥ 3: aOR 2.2 (1.04–4.66), p = 0.038
†Preoperative POP ≥ 3: aOR 3.1 (1.1–9.0), p = 0.039
‡‡Preoperative POP ≥ 3: aOR 2.6 (1.3–5.1), p = 0.005
§Preoperative POP ≥ 3: aOR 2.3 (1.1–4.8), p = 0.030; age: aOR 1.05 (1.01–1.09), p = 0.009
§§Previous POP surgery: aOR 3.7 (1.2–11.9), p = 0.028
±Preoperative POP ≥ 3: aOR 3.1 (1.1–8.9), p = 0.041