Pelvic floor dysfunction distress is correlated with quality of life, but not with muscle function

Fontenele, Marta Quézia Silva; Moreira, Mayle Andrade; Moura, Anna Caroline Ribeiro de; Figueirêdo, Vilena Barros de; Driusso, Patrícia; Nascimento, Simony Lira do

doi:10.1007/s00404-020-05770-5

Cited by 20 publications

(12 citation statements)

References 28 publications

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“…This may be because, as the duration of the disease increased, there was progressive disability. In addition, as the duration of the prolapse increased, there were leads advanced stages of prolapse caused a symptomatic prolapse that worsens women's health conditions (Fontenele et al, 2021).…”

Section: Discussionmentioning

confidence: 99%

Quality of life and its associated factors among women diagnosed with pelvic organ prolapse in Gynecology outpatient department Southern Nations, Nationalities, and Peoples region public referral hospitals, Ethiopia 2022

Tefera

2023

Preprint

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Background Pelvic organ prolapse is an important public health issue influences millions of adult women’s lives; through limitations on physical, social, and sexual activities as well as psychological distress. However, there were no reports on the quality of life for women with pelvic organ prolapse in Ethiopia. Therefore this study amid to assess the magnitude of quality of life and its associated factors among women diagnosed with pelvic organ prolapse in Gynecology outpatient department Southern Nations, Nationalities, and Peoples region public referral hospitals; Ethiopia. Method An institutional-based cross-sectional study was conducted in Southern Nations, Nationalities, and Peoples region of public referral hospitals from May1-July 4, 2022 among 419 diagnosed women with pelvic organ prolapse. A validated tool was used to collect the data. The collected data were entered into EPI data version 3.1 and analyzed using the Statistical Package for Social Sciences. Bivariable and multivariable logistic regression was computed. The p-value of < 0.05 was used to declare the final statistical significance. Result A total of 409 women with pelvic organ prolapse were included in the study, giving a response rate of 97.6%. The overall poor quality of life was 57.5%. Regarding the quality of life domains; personal relationships (73.6%), were highly affected, and sleep/energy (24.2%) was the least affected domain. Stage III/IV prolapse (AOR = 4.61, 95% CI: 2.51, 8.48), menopause (AOR = 3.59, 95% CI: 1.85, 6.97), unmarried women(widowed, divorced) (AOR = 3.81, 95% CI: 2.02, 7.19), low-income level (AOR = 7.48, 95% CI: 3.67, 15.24), and longer duration of prolapse (AOR = 8.8, 95% CI: 4.81, 16.11), were significantly associated with poor quality of life. Conclusion More than half of women with pelvic organ prolapse had a poor quality of life. Stage III/IV prolapse, longer duration of prolapse, low-income level, menopause women, and unmarried women are statistically significant factors for the quality of life of women with POP. Therefore, Ethiopian Ministry of health with their stakeholders should develop an early detection and treatment strategy, and financial support for women with pelvic organ prolapse.

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Section: Discussionmentioning

confidence: 99%

Quality of life and its associated factors among women diagnosed with pelvic organ prolapse in Gynecology outpatient department Southern Nations, Nationalities, and Peoples region public referral hospitals, Ethiopia 2022

Tefera

2023

Preprint

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“…A longitudinal study of PFDs after childbirth showed that the rates of cases of PFDs after 9 years of follow-up were 11.4% for stress urinary incontinence (SUI), 13.8% for AI and 12.8% for POP [4]. Greater discomfort due to PFD symptoms is correlated with a worse quality of life (QoL) [5]. Perinatal women have limited knowledge of PFD, and we need to identify high-risk women to develop prevention strategies [6].…”

Section: Introductionmentioning

confidence: 99%

Three-year follow-up of a self-administered Australian pelvic floor questionnaire validated in Chinese pregnant and postpartum women

Hou

Tong

2022

Int Urogynecol J

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Introduction and hypothesis The aim of this study was to verify whether the Chinese version of the self-administered Australian Pelvic Floor Questionnaire (APFQ) can assess the changes in symptoms over a long time period (responsiveness) and to verify the reliability and validity of the questionnaire after 3 years of follow-up. Methods The questionnaire was completed by 146 women using the WeChat platform after 3 years of follow-up. Reliability was assessed through internal consistency (Cronbach’s alpha). Construct validity was evaluated by significantly distinguished differences in symptom scores between women who did and did not subjectively suffer bothersome symptoms. Responsiveness was evaluated in 146 women. The effect size (ES) and standardized response mean (SRM) were used to assess the degree of responsiveness. Results Of the 146 women, all completed the questionnaire through the WeChat platform without missing any items. Reliability, Cronbach’s alpha for the four domains and total APFQ were: bladder function 0.78, bowel function 0.71, pelvic organ prolapse 0.78, sexual function 0.68 and total APFQ 0.84. Concerning construct validity, the APFQ significantly distinguished the symptom scores between women who did and did not subjectively suffer from bothersome symptoms, and the score difference was 1.1–1.6 points, 1.2 points, 2.0–3.7 points and 1.4 points, respectively. For responsiveness, three domains showed slight (bowel domain) to moderate (bladder domain, sex domain) sensitivity to change. ES and SRM ranged from 0.21 to 0.75 and 0.16 to 0.60, respectively. Conclusions The Chinese version of the self-administered APFQ is reliable and valid and can monitor the changes in symptoms over time.

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“…Laxity of the pelvic floor muscle can cause the bladder neck to droop and leak urine when abdominal pressure increases, resulting in SUI. Therefore, restoring pelvic floor muscle function and enhancing detrusor group stability are the main measures to treat SUI (24)(25)(26). Moreover, the IC-IQ-SF score of the experimental group after treatment and the amount of urine leakage in the 1 h pad test were smaller than those of the control group before treatment and after treatment, suggesting that floating needle therapy combined with acupuncture point embedding therapy can effectively reduce the degree of urinary incontinence and have a significant effect on SUI.…”

Section: Discussionmentioning

confidence: 99%

Study on the therapeutic effect of floating needle therapy combined with pressing acupoint embedding for female stress urinary incontinence after childbirth: a randomized trial

Chen

Zhou

Wu³

et al. 2021

Ann Palliat Med

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Background: Stress urinary incontinence is a common and widespread problem among women that can significantly reduce the quality of life of those affected and potentially result in limitations to the lives and activities of their friends and family members. We aimed to observe the effect of floating needle therapy combined with acupuncture point embedding in the treatment of female stress urinary incontinence after childbirth.Methods: A total of 64 postpartum female stress urinary incontinence patients who were treated and hospitalized in the Urology Clinic of the Ningbo Traditional Chinese Medicine Hospital of the Zhejiang Province from September 2020 to August 2021 were randomly allocated to the experimental group and the control group, each with 32 cases. The control group was treated with the drug midodrine combined with Kegel training, and the experimental group was treated with floating needle therapy combined with acupoint embedding. After 8 weeks of continuous treatment, the pelvic floor muscle strength, urinary incontinence score, and the improvement of urine leakage in the 1 h pad test were observed. We then evaluated the clinical efficacy of the 2 groups and the state of urinary incontinence at 3 months and 6 months as assessed by telephone follow-up.Results: After treatment, the pelvic floor muscle strength of the 2 groups had significantly increased, and both the urinary incontinence score and the urine leakage volume of the 1 h pad test were significantly reduced. The pelvic floor muscle strength of the experimental group was significantly higher than that of the control group after treatment, the urinary incontinence score and the amount of urine leakage of the 1 h pad test were significantly lower than those of the control group. The total effective rate of the experimental group was 90.63% (27/32), which was higher than that of the control group (71.88%, 23/32).Conclusions: With the benefits of being both convenient and efficient, floating needle therapy combined with press-needle acupoint embedding is effective in treating female stress urinary incontinence after childbirth.

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Pelvic floor dysfunction distress is correlated with quality of life, but not with muscle function

Cited by 20 publications

References 28 publications

Quality of life and its associated factors among women diagnosed with pelvic organ prolapse in Gynecology outpatient department Southern Nations, Nationalities, and Peoples region public referral hospitals, Ethiopia 2022

Quality of life and its associated factors among women diagnosed with pelvic organ prolapse in Gynecology outpatient department Southern Nations, Nationalities, and Peoples region public referral hospitals, Ethiopia 2022

Three-year follow-up of a self-administered Australian pelvic floor questionnaire validated in Chinese pregnant and postpartum women

Study on the therapeutic effect of floating needle therapy combined with pressing acupoint embedding for female stress urinary incontinence after childbirth: a randomized trial

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