Slieker-ten Hove et al developed a score for evaluating a woman with pelvic organ prolapse (POP). The authors are from Erasmus and Radboud Universities in The Netherlands.
Patient selection: women 45 to 85 years of age
Parameters:
(1) age of the patient
(2) history of pelvic organ prolapse in the patient's mother
(3) seeing or feeling a vaginal bulge
(4) number of children
(5) smoking
(6) incontinence surgery
(7) current heavy work
(8) pelvic organ prolapse symptoms during a pregnancy
|
Parameter |
Finding |
Points |
|
age of the patient |
45 to 49 years |
0 |
|
|
50 to 54 years |
3 |
|
|
55 to 59 years |
6 |
|
|
60 to 64 years |
9 |
|
|
65 to 69 years |
13 |
|
|
70 to 74 years |
16 |
|
|
75 to 79 years |
19 |
|
|
80 to 84 years |
22 |
|
|
85 years |
25 |
|
history of POP in mother |
no |
0 |
|
|
yes |
12 |
|
seeing or feeling a vaginal bulge |
no |
0 |
|
|
yes |
24 |
|
number of children |
0 |
0 |
|
|
1 |
3 |
|
|
2 |
19 |
|
|
3 or more |
17 |
|
smoking |
no |
8 |
|
|
yes |
0 |
|
incontinence surgery |
no |
0 |
|
|
yes |
14 |
|
current heavy work |
no |
0 |
|
|
yes |
8 |
|
POP symptoms during pregnancy |
no |
0 |
|
|
yes |
6 |
POP index =
= SUM(points for all 8 parameters)
Interpretation:
• minimum score: 0
• maximum score: 116
• The higher the score the greater the likelihood of POP.
Specialty: Obstetrics & Gynecology
ICD-10: ,
