Evaluation of the severity of striae gravidarum in women with pelvic organ prolapse.
OBJECTIVE
To evaluate the severity of abdominal striae in women presenting with pelvic organ prolapse.


STUDY DESIGN
A cross sectional study conducted in the outpatient clinics of obstetrics and gynecology department, Suez Canal University hospitals. We recruited patients over a six months period from January 2019 to June 2019 presenting with symptomatic pelvic organ prolapse (96) and abdominal striae. A control group with no evidence of striae and presenting with symptomatic organ prolapse were recruited also. The degree of prolapse was evaluated using the pelvic organ prolapse quantification system. The evaluation of striae was done using the Davey's scale.


RESULTS
Mild, moderate and severe striae affected 20 (20.8 %), 34 (35.4 %), and 42 (43.8 %) women, respectively. Severe striae were noted in women with increased parity (5 ± 2.03). Apical prolapse was more prominent in women with severe striae [42 (100 %)]. Advanced grades of prolapse (grade 3 and 4) were noted in women with severe striae [25 (59.5 %) and 9 (21.5 %) respectively]. Using simple linear regression analysis, abdominal striae was considered a risk factor for the development of POP (P value <0.001); however, when combined with other risk factors in a multivariate model, it had no effect on the development of POP.


CONCLUSION
Women with severe abdominal striae were found to have advanced degrees of POP with the apical compartment affected obviously.
['Ahmed|Amal A|AA|', 'Taha|Omima Tharwat|OT|', 'Elprince|Mohamed|M|']
D003430:Cross-Sectional Studies D005260:Female D006801:Humans D010298:Parity D056887:Pelvic Organ Prolapse D011247:Pregnancy D012307:Risk Factors D057896:Striae Distensae
Severity of striae Pelvic organ prolapse Abdominal striae Davey's score