Prevalence of pelvic organ prolapse in women, associated factors and impact on quality of life in rural Pakistan: population-based study

Jokhio, Abdul Hakeem; Rizvi, Raheela Mohsin; MacArthur, Christine

doi:10.1186/s12905-020-00934-6

Cited by 34 publications

(34 citation statements)

References 20 publications

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“… 49 The prevalence of POP was higher in our study population than in Swedish (7.3%–9.1%), 50 Australian (8%), 51 and Pakistani (10.3%) women. 52 Nonetheless, it was lower than that reported in studies conducted in the UAE (29.6%), 53 India (41%), 54 and Tanzania (64.6%). 55 …”

Section: Discussionmentioning

confidence: 56%

Prevalence of pelvic floor dysfunction in women in Riyadh, Kingdom of Saudi Arabia: A cross-sectional study

Malaekah

Medbel

Mowallad

et al. 2022

Womens Health (Lond Engl)

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Objective: Pelvic floor dysfunction has a high prevalence among women worldwide. However, in the Kingdom of Saudi Arabia, it is underreported. Thus, we aimed to estimate the prevalence and risk factors of pelvic floor dysfunction in women in the Kingdom of Saudi Arabia. Methods: We conducted a cross-sectional study on literate non-pregnant women aged ⩾18 years who agreed to participate in our survey. We used the validated and translated Australian pelvic floor questionnaire and conducted a multivariate logistic regression analysis to assess the risk factors of pelvic floor dysfunction. Results: A total of 824 participants completed the questionnaire. While 60.2% of the participants had pelvic floor dysfunction, 67.7% reported signs of bowel dysfunction. Urinary dysfunction, prolapse, and sexual dysfunction were present in 44.1%, 67.7%, and 55.4% of the participants, respectively. Age, high body mass index, chronic medical illness, heavy weight lifting, and multiparity were found as the risk factors of bladder function problems. Meanwhile, chronic medical illness, heavy weight lifting, and multiparity were found as the risk factors of bowel dysfunction and prolapse. Age group and marital status were the independent factors associated with sexual dysfunction. Conclusion: We noted a high rate of pelvic floor dysfunction in the Kingdom of Saudi Arabia, which calls for the need to provide holistic approaches for the prevention and management of pelvic floor dysfunction among women.

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Section: Discussionmentioning

confidence: 56%

Prevalence of pelvic floor dysfunction in women in Riyadh, Kingdom of Saudi Arabia: A cross-sectional study

Malaekah

Medbel

Mowallad

et al. 2022

Womens Health (Lond Engl)

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“…It is a well-known condition including in low-middle income countries. 12 - 15 This research explored experienced gynaecologists’ opinions and acceptability of LSCP as the standard option in the management of post-hysterectomy VVP. Published research and studies in the literature largely focus on outcomes and modalities rather than examining surgeons’ perspectives.…”

Section: Discussionmentioning

confidence: 99%

Gynaecologists’ views on the management of Vaginal Vault Prolapse: A qualitative study

Al-Baghdadi¹,

Barnick²,

Srivastava³

et al. 2022

Pak J Med Sci

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Objective: This study examined gynaecologists’ experience and views on the management of vaginal vault prolapse (VVP) using laproscopic sarcocolpopexy (LSCP) versus open sarcocolpopexy (OSCP). Methods: In a qualitative study conducted at the University of Surrey and Homerton University Hospital, UK, from 2016 to 2017, semi-structured interviews were conducted with 15 consultants experienced in minimal access surgery or urogynecology. Interviews were recorded and transcripts were analyzed using the qualitative description (QD) approach. Results: Eight broad themes emerged: VVP management, LSCP for management of VVP, OSCP and vaginal surgery with or without mesh use in VVP management, laparoscopic training and support as well as surgeons’ attitude towards LSCP. All participants acknowledged the importance of LSCP in the management of post-hysterectomy VVP as benefits outweighed risks in their view. OSCP was considered suitable in very specific circumstances. Vaginal surgery could be an excellent alternative to OSCP bearing in mind long-term efficacy and sexual activity in young women. Most participants agreed with national recommendations to avoid use of mesh in vaginal surgery for VVP and expressed the view that it should be done in specialised centres by trained surgeons who do such operations. Conclusions: This study showed that the acceptability of LSCP was dependent on participants’ experience and consideration of the balance between patient’s goals and potential risks. It provides useful guidance for future large-scale projects. doi: https://doi.org/10.12669/pjms.38.3.5215 How to cite this:Al-Baghdadi O, Barnick C, Srivastava G, Elbiss HM. Gynaecologists’ views on the management of Vaginal Vault Prolapse: A qualitative study. Pak J Med Sci. 2022;38(3):---------. doi: https://doi.org/10.12669/pjms.38.3.5215 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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“…Nearly 50% of their study cohort had a duration of POP for more than 5 years. [ 11 ]…”

Section: Discussionmentioning

confidence: 99%

Women's experiences and perception of symptomatic pelvis organ prolapse

Prateek

Mundhra

Bahadur

et al. 2021

Journal of Family Medicine and Primary Care

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Background: Pelvic Organ Prolapse (POP) negatively affects the health of a woman in terms of physical, social and emotional wellbeing. Objective: The aim of this study was to elucidate the experience of living with prolapse and its impact on daily life. Methods: Women undergoing surgery for pelvic organ prolapse were interviewed to evaluate their sociodemographic profile with subsequent impact on their daily life. Results: Among the 45 cases with POP, 80% belonged to rural areas. Mean age of study group was 53.68 years. Young age at marriage (mean age 17.31), early first child birth (mean age being 20.5 years) and increased parity (86.66% had parity 3 and above) with majority of children born at home under supervision of untrained dais (77.78%) could probably attribute to their prolapse. Approximately 51% thought that prolapse occurs as a result of hard manual work and 64% cases considered it non treatable. POP was associated with poor quality of life in terms of physical, social and sexual life. Decreased sexual frequency was seen in 86.67% cases. 50% cases reported bladder problems. Sense of incomplete evacuation was seen in nearly 35% and constipation was reported by 37%. Conclusion: Though there exists a social stigma associated with pelvic organ prolapse, this study showed that in majority, it was the woman herself who delayed medical help. Health care providers should take initiative in educating women regarding prolapse and to make them aware that it is a treatable condition which can improve their quality of life.

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Prevalence of pelvic organ prolapse in women, associated factors and impact on quality of life in rural Pakistan: population-based study

Cited by 34 publications

References 20 publications

Prevalence of pelvic floor dysfunction in women in Riyadh, Kingdom of Saudi Arabia: A cross-sectional study

Prevalence of pelvic floor dysfunction in women in Riyadh, Kingdom of Saudi Arabia: A cross-sectional study

Gynaecologists’ views on the management of Vaginal Vault Prolapse: A qualitative study

Women's experiences and perception of symptomatic pelvis organ prolapse

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