Introduction: Pelvic organ prolapse (POP) is a common condition that negatively impacts the quality of life of millions of women. Recent results indicate that a burst of elastic fiber assembly and cross-linking occurs in the vaginal wall postpartum and that synthesis and assembly of elastic fibers are crucial for the recovery of pelvic organ support after vaginal delivery.
Methods: A total of 39 primigravida women with gestational age > 36 weeks who underwent vaginal delivery were included in this study. Blood and urine samples were taken for laboratory assessment including carboxyl-terminal telopeptide of the type I collagen (ICTP), procollagen type I N-propeptide (PINP), procollagen type-III N-propeptide (PIIINP), desmosine, tropoelastin, and matrix metalloproteinase-9 (MMP-9). At 24 ˗ 48 hours after labor, the subject was observed in the treatment room and a second blood sample was taken for the examination. At 6 weeks post-partum, a third blood sample was taken for examination.
Results: There was a significant relationship between serum MMP-9 levels six weeks post-partum in the pelvic floor dysfunction group and the control group (p = 0.025). In addition, a significant difference was also found in the different levels of MMP-9 (p = 0.041) and tropoelastin (p = 0.041) during delivery and 6 weeks after delivery. There was a significant difference between serum ICTP levels at delivery in the cystocele and control groups (p = 0.042), ICTP (p = 0.019) and tropoelastin (p = 0.046) levels also differ significantly during delivery and 6 weeks after delivery.
Conclusion: ICTP, MMP-9, and tropoelastin are potential biomarkers in association with pelvic organ prolapse.