Age as the Risk Factor that Affected the Increased Degree of Uterine Prolapse

Abstract

Introduction: Uterine prolapse is a gynecological problem that women often experience with a prevalence of 50% and is predicted that the next 30 years will increase by 45% as life expectancy increases. Increased degrees of uterine prolapse have an impact on the deterioration of women's quality of life. The uterine prolapse is influenced by several mutually supportive factors. The purpose of this study was to analyze the relationship between these factors to the degree of uterine prolapse.Methods: This research is an observational analytic research with cross sectional approach. The number of samples were 65 patients with uterine prolapse at Policlinic Gynecology RSUD Dr. Soetomo Surabaya from 2015-2017. Sampling was done by consecutive sampling. To find out the significant level, the collected data will be tested with Fisher Exact Test statistic at significance level α = 0,05.Results: The result showed that there was significant difference between degree of uterine prolapse with age factor (p = 0,016) and obesity (p = 0,041). As for the parity factor (p = 0.508) there was no significant difference between the parity factor and the degree of uterine prolapse.Discussion: Age is a major factor affecting the degree of uterine prolapse, weakening of pelvic floor tissue and muscle in elderly women is the main cause. While on the obesity factor, there is no data to support that obesity is related to the degree of uterine prolapse because the trend indicates that the majority of patients are not obese. In contrast the parity factor, although according to the statistical test there is no difference to the degree of uterine prolapse, the trend shows that parity leads to increased incidence of uterine prolapse itself.Conclusion: Age is a factor that affects the degree of uterine prolapse.

Uterine Prolapse in Postmenopausal Women in the Coastal Areas

“…These results were similar to another study which found that older age and menopause are risk factors for uterine prolapse. 12,13 This study found that the majority of uterine prolapse occurred in grande-multiparous. This condition is closely related to pregnancy and childbirth.…”

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“…Selain itu, di Poliklinik Ginekologi RSUD Dr. Soetomo dari tahun 2007 -2011 , angka kejadian prolapsus uteri cukup tinggi dan merupakan kasus POP terbanyak yaitu 66,30%. 16 Diperkirakan selama 30 tahun ke depan, permintaan pengobatan POP akan meningkat 45%, sejalan dengan peningkatan populasi wanita berusia di atas 50 tahun. 6…”

“…5 Shervil dalam studinya menyimpulkan bahwa usia merupakan faktor risiko utama yang memengaruhi derajat prolaps uteri yang dikarenakan melemahnya jaringan dasar panggul dan otot pada wanita yang telah lanjut usia. 16…”

Apa itu Turun Peranakan

“…Menurut penelitian oleh The Women's Health Initiative(WHI), kejadian POP di Amerika Serikat adalah 41% wanita berusia 50-79 tahun dan prolapsus uteri menempati urutan ketiga (14% pasien dengan POP). 16 Prolaps organ panggul hampir ditemukan pada semua wanita yang telah melahirkan, tapi hanya 5-20% yang bergejala. 14 Chang dan Sultana dalam studinya menyebutkan bahwa wanita Asia memiliki tingkat prolaps organ panggul yang lebih tinggi daripada wanita dalam kelompok ras lain yatu 67%.…”