The prevalence of pelvic organ prolapse symptoms and signs and their relation with bladder and bowel disorders in a general female populationReport as inadecuate




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International Urogynecology Journal

, Volume 20, Issue 9, pp 1037–1045

First Online: 15 May 2009Received: 24 November 2008Accepted: 21 April 2009

Abstract

Introduction and hypothesisIn selected populations, pelvic organ prolapse POP was associated with bladder-bowel symptoms, but data on the general female population are lacking. Our aim was to obtain normative data on the prevalence of POP and pelvic floor dysfunction PFD symptoms and signs and to identify associations.

MethodsValidated questionnaires on POP and PFD urogenital distress inventory, UDI and defaecation distress inventory DDI were sent to a general population of 2,979 women aged 45–85 years. Data were analysed using the Kruskal–Wallis test, chi square test and Spearman’s rank correlation coefficient.

ResultsResponse rate was 62.7%. Associations between POP stage and parity 0.002 and vaginal bulging <0.001 are significant. Anatomical locations of POP and PFD symptoms correlated significantly with incontinence of flatus, feeling anal prolapse, manual evacuation of stool, vaginal bulging, constipation and pain during faecal urge p ≤ 0.005.

ConclusionsStrategies should be developed to alleviate obstructive bowel disorders associated with POP.

KeywordsPrevalence Incontinence Bladder Bowel Pelvic floor disorders POPQ SummaryPOP was strongly associated with obstructive bowel disorders. Therefore, preventive strategies should be developed.

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Author: Marijke C. Ph. Slieker-ten Hove - Annelies L. Pool-Goudzwaard - Marinus J. C. Eijkemans - Regine P. M. Steegers-Theunis

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