Pelvic Organ Support and Prevalence by Pelvic Organ Prolapse-Quantification (POP-Q) in Korean Women

Seo, Ju Tae; Kim, Joo Myung

doi:10.1016/s0022-5347(05)00993-6

Cited by 25 publications

(16 citation statements)

References 17 publications

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“…In the current study, as in others, 3,14,22,23 increasing age was found to be an independent risk factor for prolapse. This may be caused by progressive deterioration of the connective tissue-to-muscle ratio, denaturation of collagen biochemistry, and gradual denervation of pelvic floor muscles with advancing age.…”

Section: Discussionsupporting

confidence: 87%

Prevalence, risk factors, and predictors of pelvic organ prolapse

et al. 2012

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Our findings suggest that cost-efficient interventions to reduce the burden of POP in this and similar remote communities include the following: family planning awareness campaigns focusing on the risks of grand multiparity; nutritional education and weight management programs to help reduce the progression of POP before the age of menopause; and consideration of symptom-based screening to identify affected women who might benefit from a referral to specialty care at a tertiary care center.

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Section: Discussionsupporting

confidence: 87%

Prevalence, risk factors, and predictors of pelvic organ prolapse

et al. 2012

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“…The prevalence rate (54%) in our study is similar to those in the last two studies, likely because the demographic characteristics and the socioeconomic status of those women are more similar to those of our study cohort. Additionally, the relative frequency of the different stages in our cohort mirrored those observed in other studies, where the majority of women with prolapse had stage 1 or stage 2 disease (12,14). However, ours was a facility-based study of women who presented themselves at the seven BHUs, thus, limiting generalization to the whole population of Afghan refugees in the Haripur area.…”

Section: Discussionsupporting

confidence: 87%

“…Over half of the study women had some degree of genital prolapse. There have been few studies on the prevalence of prolapse among women in lowresource settings, with rates ranging from 31.7% in Korea (12) to 46% in rural Western Gambia (13) and 53% in Iran (14). The prevalence rate (54%) in our study is similar to those in the last two studies, likely because the demographic characteristics and the socioeconomic status of those women are more similar to those of our study cohort.…”

Section: Discussionmentioning

confidence: 99%

Reproductive Tract Disorders among Afghan Refugee Women Attending Health Clinics in Haripur, Pakistan

Balsara

Marsh

et al. 2010

J Health Popul Nutr

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Afghans comprise one of the largest groups of refugees in the world, with the majority living in Pakistan. The objective of this study was to identify commonly-occurring reproductive tract infections (RTIs), describe knowledge of women about RTIs, and assess physical and behavioural factors contributing to the development of RTIs. Afghan women presenting at Basic Health Units in refugee camps in Haripur, Pakistan, with reproductive health-related complaints, were included in the study (n=634). Data collection included implementation of an interviewer-administered questionnaire, along with a physical examination and laboratory tests. A descriptive analysis was conducted first. Qualitative data were coded and analyzed using predetermined themes. Chi-square test was used for determining the possible relationships between a binary outcome and categorical risk factors. Over three-fourths (76.7%) of those who reported to the health clinics with reproductive complaints had an RTI. Nearly half (49.5%) of these women were diagnosed with some form of vaginitis, and 14.7% were diagnosed with clinical suspicion of pelvic inflammatory disease (PID). Women with cervical prolapse (p=0.033) or who cleansed after intercourse (p=0.002) were more likely to have vaginitis. There was a significant difference (p=0.017) in the prevalence of suspected PID among women who used mud only (11.1%), any water (18.8%), and an old cloth or toilet paper (9.8%) for cleansing after defaecation. Specific physical and behavioural contributors to the high prevalence of RTIs in this population were identified, and recommendations to ameliorate these factors are offered.

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“…In contrast, we did not observe significant associations of age(1,2,6-8,10), race(2,6), hysterectomy(6), estrogen use(2), and body mass index (2,7,8), with pelvic organ descent. It is possible that factors not measured in the study or factors beyond those currently identified (e.g.…”

Section: Commentcontrasting

confidence: 74%

Distribution of pelvic organ support measures in a population-based sample of middle-aged, community-dwelling African American and white women in southeastern Michigan

Trowbridge

Fultz

Patel

et al. 2008

American Journal of Obstetrics and Gynecology

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Objective-To report the distribution of pelvic support among a population-based sample of middle-aged, community-dwelling women, as defined by pelvic organ prolapse quantification (POP-Q), and study factors that might influence POP-Q measurements.Study Design-Secondary analysis of population-based study of community-dwelling, African American and Caucasian women aged 35 to 64 years from southeastern Michigan. 394 women consented to physical examination using the POP-Q. Statistical analysis included descriptive statistics and multivariable regression. Estimates were weighted to reflect probability and nonresponse characteristics of the sample to increase generalizability of the findings.Results-Mean values for POP-Q points were: Aa and Ba = -1.2 cm, C = -6.5 cm (intact uterus), C = -6.9 cm (prior hysterectomy), and Ap and Bp = -1.8 cm. The POP-Q stages: stage 0, 8.8%; stage I, 21.4%; stage II, 67.7%; stage III, 2.1%. Increasing vaginal parity was associated with increasing descent of the anterior, apical and posterior vaginal wall (p< .001).Conclusion-In this population-based study of women from Southeastern Michigan, 90% of women had anterior and posterior vaginal wall support that was above or extended to the hymen. Increasing vaginal parity was associated with increasing descent of the anterior, posterior and vaginal apex. Keywordsepidemiology; pelvic organ support; pelvic organ prolapse quantification system (POP-Q)

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Pelvic Organ Support and Prevalence by Pelvic Organ Prolapse-Quantification (POP-Q) in Korean Women

Abstract: Vaginal size in Korean women differs from that in Western women. The prevalence of any degree of prolapse was approximately 31.7%. Korean women were at relatively higher risk for anterior and posterior vaginal prolapse than for uterine prolapse.

Cited by 25 publications

References 17 publications

Prevalence, risk factors, and predictors of pelvic organ prolapse

Prevalence, risk factors, and predictors of pelvic organ prolapse

Reproductive Tract Disorders among Afghan Refugee Women Attending Health Clinics in Haripur, Pakistan

Distribution of pelvic organ support measures in a population-based sample of middle-aged, community-dwelling African American and white women in southeastern Michigan

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