General Obstetrics and Gynecology: GynecologyPelvic Organ Support Study (POSST): The distribution, clinical definition, and epidemiologic condition of pelvic organ support defects
Section snippets
Material and methods
This was a multicenter, cross-sectional, observational study. Six centers around the United States that served diverse patient populations participated. The centers included 2 centers in Texas and 1 center each in Washington, North Carolina, South Carolina, and Minnesota. These 6 centers were chosen through self-selection as part of a call for multicenter research sponsored by the American Urogynecologic Society. The study was approved by the Institutional Review Board at each center, and each
Results
One thousand four women participated in the study over an 18-month period from September 1999 through March 2002. The centers served various populations: 2 centers served a primarily private gynecologic practice; 1 center combined private practice and house-staff resident clinic populations; 1 center served mainly resident house-staff clinic populations; 1 center served a military population (which included active duty and military dependents), and 1 center served as a gynecology clinic for
Comment
The current state of research regarding pelvic support defects has been hampered by the lack of a sound definition of the disease of pelvic organ prolapse. Until the disease can be defined, it cannot be recognized; until it can be recognized, little progress can made into describing its epidemiologic condition. This study was designed to document the distribution of pelvic organ support in a geographically and racially diverse group of women, to develop a meaningful definition of pelvic organ
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