Pelvic relaxation and associated risk factors, The results of logistic regression analysis

Gürel, Hulusi; Gürel, Sebahat Atar

doi:10.1034/j.1600-0412.1999.780403.x

Cited by 34 publications

(15 citation statements)

References 18 publications

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“…Increasing age is often cited as a risk factor for the development of POP, with multiple authors suggesting a correlation between age and pelvic floor relaxation [3,4,8,9]. However, data to support this association unquestionably are lacking, as much of the data pertaining to the epidemiology of POP are cross-sectional and focused primarily upon (100) a Data are shown as number of women (%).…”

Section: Discussionmentioning

confidence: 99%

The age distribution, rates, and types of surgery for pelvic organ prolapse in the USA

et al. 2007

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The objective of this study was to describe the distribution of pelvic organ prolapse (POP) surgery across age groups in the USA in 2003. Patients were grouped into four age categories: Reproductive age, perimenopausal, postmenopausal, and elderly. Data from the 2003 National Hospital Discharge Survey and National Census were used to estimate surgical rates by age group. In 2003, 199,698 women underwent a total of 311,587 surgical procedures for POP. Prolapse surgical rates (per 10,000 women) were 7, 24, 31, and 17 in reproductive age, perimenopausal, postmenopausal, and elderly age groups, respectively. Surgical complications occurred in 28.8, 19.6, 18.6, and 22.1% of women in these age groups, respectively. Mortality was uncommon. Although often considered a condition of the elderly, this study suggests that pelvic organ prolapse is a condition affecting women across the reproductive life cycle and for which women of all ages seek surgical treatment.

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Section: Discussionmentioning

confidence: 99%

The age distribution, rates, and types of surgery for pelvic organ prolapse in the USA

et al. 2007

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“…Nearly all subjects in group OB were multiparous (92%), versus only 23% in group C (a statistically significant difference). Age and parity play relevant roles in the etiology of anatomical dysfunction and nerve injury of pelvic structures, and particularly of the pelvic floor 11,23 . Therefore, in the present study, women in group C were less likely to have sustained pelvic floor muscle injury.…”

Section: Discussionmentioning

confidence: 99%

Avaliação manométrica anorretal de mulheres adultas com diagnóstico clínico e urodinâmico de bexiga hiperativa

Gonçalves

Fernandes

Almeida

et al. 2013

ABCD, arq. bras. cir. dig.

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-Background: Anorectal manometry is a diagnostic method often used in clinical practice for assessing functional anorectal disorders and pelvic floor. The dysfunctional voiding, anorectal and pelvic floor has been considered as contributing factors of the symptoms of overactive bladder. Aim: To evaluate the results with anorectal manometry in adult women with clinical and urodynamic diagnostics of overactive bladder. Methods: Twenty-five adult women (mean age 45.5±11.9 years) with clinical and urodynamic diagnostic of overactive bladder underwent anorectal manometry and the results of this assessment were compared to a control group of eighteen women (mean age 33.9±10.7 years) with no urinary or intestinal disorders and without clinical criteria for diagnosis of overactive bladder. Results: Paradoxical puborectalis contraction occurred in six patients in the overactive bladder group and none of the controls. There were no significant between group differences in the following manometric parameters: rectoanal inhibitory reflex, rectal sensitivity, maximum tolerable volume, resting pressure, and hypertonia at rest. Mean squeeze pressure was 182.2 mmHg in the overactive bladder group versus 148.1 mmHg in the control group. Conclusion: Women with overactive bladder had increased incidence of paradoxical puborectalis contraction than women in the control group. RESUMO -Racional:A manometria anorretal é método diagnóstico empregado na prática clínica para avaliação de distúrbios funcionais anorretais e do assoalho pélvico. As disfunções miccionais, anorretais e do assoalho pélvico tem sido consideradas como fatores contribuintes dos sintomas de bexiga hiperativa. Objetivo: Avaliar os resultados obtidos com manometria anorretal em mulheres adultas com diagnóstico clínico e urodinâmico de bexiga hiperativa. Métodos: Vinte e cinco mulheres adultas (média de idade de 45.5±11.9 anos) com diagnóstico clínico e urodinâmico de bexiga hiperativa submeteram-se à manometria anorretal e os resultados obtidos nesta avaliação foram comparados aos de um grupo controle de 18 mulheres (média de idade de 33.9 ±10.7 anos) assintomáticas do ponto de vista urinário e sem critérios clínicos para diagnóstico de bexiga hiperativa. O grupo de mulheres com bexiga hiperativa foi denominado BH e controle C. Resultado: Ocorreram seis (24%) casos de contração paradoxal do puborretal no grupo BH e nenhuma no Grupo C. Houve 13 (52%) ocorrências de hipertonia de repouso isolada ou associada à hipertonia de contração no Grupo BH e sete (39%) no Grupo C. A média de pressão de repouso foi de 80.1 mmHg no Grupo BH e 67.6 mmHg no Grupo C. O total de ocorrência de hipertonia de contração no Grupo BH foi de 7(28%) e 11(61%) no Grupo C. A média de pressão de contração foi de 182.2 mmHg no Grupo BH e 148.1 mmHg no Grupo. Com relação ao reflexo inibitório retoanal, a sensibilidade e a capacidade retal máxima não houve diferença estatisticamente significante entre os dois grupos. Conclusão: As mulheres com bexiga hiperativa apresentaram maior ocorrênci...

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“…В той час як одні з дослідників вважають основною причиною пролапсів травму промежини в пологах [3,14,27,28], інші вважають пологи без розсікання промежини обставиною, яка по-гіршує подальшу функціональну повноцінність тазового дна [10]. Водночас будь-які вагінальні пологи можуть бути фактором, що травмує тазове дно.…”

Section: вдосконалення ведення післяопераційного періоду у жінок із пunclassified

Improvement of postoperative care in women with genital prolapse

Семеніна

2015

Reproductive Endocrinology

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Pelvic relaxation and associated risk factors, The results of logistic regression analysis

Abstract: Good family planning programs to reduce grandmultiparity and unnecessary curettage for undesired pregnancies, preventing harmful home deliveries by inexperienced people, and fearless usage of episiotomy in difficult deliveries are necessary to prevent pelvic relaxation.

Cited by 34 publications

References 18 publications

The age distribution, rates, and types of surgery for pelvic organ prolapse in the USA

The age distribution, rates, and types of surgery for pelvic organ prolapse in the USA

Avaliação manométrica anorretal de mulheres adultas com diagnóstico clínico e urodinâmico de bexiga hiperativa

Improvement of postoperative care in women with genital prolapse

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