An epidemiologic study of pelvic organ prolapse in rural Chinese women: a population-based sample in China

Li, Zhiyi; Xu, Tao; Li, Zhaoai; Gong, Jian; Liu, Qing; Zhu, Lan

doi:10.1007/s00192-018-03859-9

Cited by 29 publications

(27 citation statements)

References 22 publications

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“…The significant difference between different parity groups, however, was found only between nulliparous and patients who had previous 3 or more deliveries. The role of multiparity as a risk factor for POP was already described [16,26]. On one hand, the damage of the levator ani muscles and the external anal sphincter, as studied sonographically, occurs during the first vaginal delivery, with no additional harm in subsequent deliveries [27,28].…”

Section: Discussionmentioning

confidence: 94%

“…There is a real challenge in the epidemiological research of PFD. Only a few studies described its prevalence in the general population [16,[19][20][21], but most of them were limited by measurement issues: the use of objective tools for PFD measurement, or the use of direct (face to face) questions for evaluating symptoms -with the inherent limitation of patients' embarrassment. Most data reported in other studies usually reflected the minority of the patients who refer to specialist centers [21].…”

Section: Discussionmentioning

confidence: 99%

“…A similar finding was reported by a Czech study [30] used the PFDI-20 for primiparous 5-10 years after delivery. However, a recent meta-analysis [31] analyzed subjective reports for POP, and a recent Chinese study [16], used the PFDI-20, reported a higher risk for POP among patients who delivered vaginally. The ICS committee found a mode of delivery as a debatable risk factor for POP, and argue that the pelvic floor damage may be the result of previous pregnancies rather than previous deliveries [21].…”

Section: Discussionmentioning

confidence: 99%

“…Nevertheless, Pelvic dysfunction QOL questionnaires are commonly used for comparison of patients' status before and after specific therapy and not as an epidemiological tool. Some previous studies investigated the prevalence of PFD using validated questionnaires, for the characterization of specific populations [13][14][15][16], but data is limited.…”

Section: Introductionmentioning

confidence: 99%

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Epidemiology Analysis of Pelvic Floor Medicine Center in Southern Israel Using PFDI-20 and PISQ-12 Quality of Life Questionnaires

Levy

Zines

Paz-Levy

et al. 2020

Asp Biomed Clin Case Rep

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Aim: In the process of opening a new Pelvic Floor Medicine Unit, we aimed to map the pelvic floor dysfunction and sexual issues using validated quality of life (QOL) questionnaires. Material and Methods: All the patients who attended the Pelvic Floor Medicine Unit clinic in Assuta University Medical Center in Ashdod, Israel, were given a validated Pelvic Floor Distress Inventory 20 (PFDI-20) and Prolapse Urinary Incontinence Sexual Questionnaire 12 (PISQ-12) questionnaires prior to meeting the physician. The patient’s age, parity, and route of delivery were collected from the medical record. All data has been statistically analyzed using Kruskal Wallis Test and Mann-Whitney U Test. Results: 647 patients were included in the study, of them 462 filled out the PFDI-20 questionnaires and 221 completed the PISQ-12 questionnaire filling. In the PFDI-20 results, POPDI-6 higher scores were found to be associated with higher parity (p=0.043) and with higher age (p=0.03). CARD-8 scores were found to be significantly associated with cesarean delivery only in patients’ history (p=0.023) and with higher age (p=0.05). UDI-6 scores were found significantly associated with older age (p<0.01). PISQ-12 scores were found associated with age (p=0.002), but not with either parity or route of delivery. Conclusions: Using validates questionnaires, we could demonstrate a correlation between parity and age, an association between aging and higher rates of bowel and sexual dysfunction, an association between higher parity and pelvic organ prolapse complaints, and an association between previous cesarean deliveries only and higher rates of bowel disfunction. The use of validated QoL questionnaires for describing the population suffering from PFDs presents an important tool in understanding the epidemiology of PFD in different communities.

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Section: Discussionmentioning

confidence: 94%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Epidemiology Analysis of Pelvic Floor Medicine Center in Southern Israel Using PFDI-20 and PISQ-12 Quality of Life Questionnaires

Levy

Zines

Paz-Levy

et al. 2020

Asp Biomed Clin Case Rep

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“…More than 80% of cases had NVD, and our data indicated that NVD was a predisposing factor of POP. [14][15][16][17][18][19] POP causes Obstructed Defecatory Syndrome (ODS). 20,21 In our study, the mean ODS score was statistically significant between pre-operation and 3 months post-operation, also 3 months post-operation and at the time of data gathering, but there was no significant difference between pre-operation and at the time of data gathering, in mean follow up of 1 year.…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic pelvic organ suspension with mesh: a modified technique and primary results

Khodaei

Ghahramani

Khazraei

et al. 2019

Journal of Coloproctology

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Background Pelvic organ prolapse recurrence rate is an important issue which impacts the patient's quality of life and results in a new surgical procedure. We use a new technique of laparoscopic pelvic organ suspension (rectal suspension) for pelvic organ prolapse treatment in our center. We evaluated the results of this technique, three months after surgery and at the time of study reporting. Methods All patients with pelvic organ prolapse for whom laparoscopic pelvic organ prolapse had been done were evaluated. Data were collected from the patient's charts and their short term follow up 3 months after the surgery and their last follow up visit. Demographic, history, physical examination, Wexner's fecal incontinence score and Altomare's Obstructed Defecation Syndrome score, post-operation complications and patient's satisfaction were analyzed, retrospectively. Results All patients were female with a mean age of 57 ± 11.43 years (range 32–86 years). Mean BMI was 26.1 ± 3.73. Nine patients had rectal bleeding (31%), 18 had prolonged or difficult defecation (62%), 16 had rectal prolapse (55.2%), 11 had gas incontinence (37.9%), 9 had liquid stool incontinence (31%), 5 had stool incontinence (17.2%), 9 had vaginal prolapse (31%), 23 had constipation (79.3%), 9 complaint of pelvic pain (31%), 9 had urge or stress urinary incontinence (31%) and 13 had dyspareunia (44.8%). Conclusions In conclusion, we believe this procedure has good results in short term follow up (3 months after surgery), but a high recurrence rate in the middle term follow up. Therefore, this procedure is no longer recommended.

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Results of sacrospinous ligament fixation using conventional instruments for symptomatic stage 2 and 3 apical prolapse over 3 years

Ren

Zhang

Tian

et al. 2023

Intl J Gynecology & Obste

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Objective To evaluate the long‐term efficacy and quality of life concerning sacrospinous ligament fixation (SSLF) using conventional instruments for Chinese women with symptomatic stage 2 and 3 apical prolapse. Methods This single‐arm prospective cohort study was conducted at our hospital between October 2011 and December 2018. Eligible participants were followed up over 3 years after surgery. The primary surgical outcome was composite surgical failure. Secondary outcomes included rate of satisfaction, quality of life (QoL) scores, and long‐term complications. Results Fifty‐nine patients were enrolled (mean age 57.1 years), of whom 55 (93.22%) completed the 3‐year follow up. At year 3, the composite failure rate was 21.34% (95% confidence interval [CI] 9.30%–31.79%), and satisfaction rate was 81.40% (95% CI 66.09%–91.08%). Right thigh pain and de novo dyspareunia occurred in 1.8% and 14.6% patients after year 1, respectively, but at year 3 there were no complications. Lower urinary tract symptoms were present in 5.5% of patients. Improvement was found in urinary symptoms and prolapse symptoms, but sexual function showed no significant change. Conclusions Compared with results at year 1, complication rates of SSLF decreased at year 3. The composite failure rate was relatively low and satisfaction rate was relatively high at year 3. Prolapse and urinary symptoms improved significantly after surgery.

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An epidemiologic study of pelvic organ prolapse in rural Chinese women: a population-based sample in China

Cited by 29 publications

References 22 publications

Epidemiology Analysis of Pelvic Floor Medicine Center in Southern Israel Using PFDI-20 and PISQ-12 Quality of Life Questionnaires

Epidemiology Analysis of Pelvic Floor Medicine Center in Southern Israel Using PFDI-20 and PISQ-12 Quality of Life Questionnaires

Laparoscopic pelvic organ suspension with mesh: a modified technique and primary results

Results of sacrospinous ligament fixation using conventional instruments for symptomatic stage 2 and 3 apical prolapse over 3 years

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