Tomislav Strinić, Jadranka Tocilj, Davor Eterović
Pulomonary ventilatory function in patients with genital descensus


Since abnormalities in connective tissue were found in female patients with genital prolapse we assumed that the impairment in pulmonary function could be associated. Therefore, in the sample of 80 inpatients, that were planned for surgical correction of prolapse, the pulmonary ventilatory function was evaluated and compared to 40 matched volunteers without prolapse. All examinees were nonsmokers, aged from 40 to 60 years and without clinical signs or history of the diseases that are known to affect the pulmonary function. Small but statistically significant reductions in vital capacity and forced expiratory volume at 1st second were observed. However, the initial expiratory flows were greatly reduced, mostly the peak expiratory flow (for about 40%). The degree of deterioration of spirometric parameters showed positive correlation with the duration of menopausis. These findings are consistent with reduced strenght of expiratory muscles and point towards possible association of sex hormones and respiration in patients with genital prolapse. Key words: genital descensus, respiration, spirometry, respiratory muscles.