Pelvic-floor muscle function in women with pelvic organ prolapse

Diane F. Borello-France, Victoria L. Handa, Morton B. Brown, Patricia Goode, Karl Kreder, Laura L. Scheufele, Anne M. Weber

Research output: Contribution to journalArticlepeer-review

26 Scopus citations


Background and Purpose: The purpose of this study was to determine whether pelvic organ prolapse severity, pelvic symptoms, quality of life, and sexual function differ based on pelvic-floor muscle function in women planning to have prolapse surgery. Subjects and Methods: Three hundred seventeen women without urinary stress incontinence who were enrolled in a multicenter surgical trial were examined to determine pelvic-floor muscle function (by Brink scale score). The subjects were 61.6±10.2 (X-±SD) years of age. Thirteen percent of the subjects had stage II (to the hymen) pelvic organ prolapse, 68% had stage III (beyond the hymen) prolapse, and 19% had stage IV (complete vaginal eversion) prolapse. Subjects with lowest (3-6) and highest (10-12) Brink scale scores were compared on prolapse severity, pelvic symptoms and bother, quality of life, and sexual function. Results: Subjects with the highest Brink scores (n=75) had less advanced prolapse, smaller genital hiatus measurements, and less urinary symptom burden compared with those with the lowest Brink scores (n=56). The results indicated that pelvic-floor muscle function was not associated with condition-specific quality of life or sexual function. Discussion and Conclusion: Although modestly clinically significant, better pelvic-floor muscle function was associated with less severe prolapse and urinary symptoms.

Original languageEnglish (US)
Pages (from-to)399-407
Number of pages9
JournalPhysical therapy
Issue number4
StatePublished - Apr 2007

ASJC Scopus subject areas

  • Physical Therapy, Sports Therapy and Rehabilitation


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