Prevalence of pelvic organ prolapse and related factors in a general female population

Aytan, Hakan; Ertunç, Devrim; Tok, Ekrem C.; Yaşa, Osman; Nazık, Hakan

doi:10.4274/tjod.90582

Cited by 33 publications

(24 citation statements)

References 21 publications

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“…The prevalence of POP varies widely from population to population depending on the level of exposure to the risk, level of awareness about POP, and level of the socio-economic status. Universally, the prevalence of this problem is about 3.5% to 15% when it is studied by defining symptoms and it reaches up to 64.6% when studied based on objective findings, which are directly measured by the experts [ 3 – 8 ].…”

Section: Introductionmentioning

confidence: 99%

Factors associated with delay in seeking treatment among women with pelvic organ prolapse at selected general and referral hospitals of Southern Ethiopia, 2020

et al. 2021

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Background Pelvic organ prolapse (POP) is the descent of the vaginal wall, cervix, uterus, bladder, and rectum downward into the vaginal canal. Its prevalence is higher among women in developing countries because women are more prone to risk factors. In Ethiopia, women with prolapse seek treatments at advanced stages of prolapse; hence, surgical management has been widely practicing. Therefore, it was found to be very important to conduct research that assesses factors hindering early treatments in Southern Ethiopia. This study aimed to find out factors associated with the delay in seeking treatment of pelvic organ prolapse among patients at selected general and referral hospitals of Southern Ethiopia. Methods Cross-sectional study design was employed in 123 participants of seven randomly selected General and Referral Hospitals of Southern Ethiopia from February 01 to April 30, 2020, by using a structured questionnaire. Pre-trained two midwives in each center were deployed to collect data. Physicians performed diagnosis and physical examination. Data were entered and coded using EPI INFO version 7 and exported into SPSS version 25 for analysis. Bivariate and multivariable logistic regression analyses were performed. The goodness of fit was assessed by using the Hosmer and Lemeshow goodness test. Results In this study, out of 123 clinically diagnosed POP cases, nearly half of them were stage III, and over one-third were stage IV. Therefore, 84.6% (104 participants) of the respondents were delayed for the treatment of POP. The mean length of delay for POP treatments was 36.41 ± 3.95 months. After adjusting for covariates, lack of supports [AOR (Adjusted Odds Ratio) = 5.2 (95% CI 1.4–19.5)], low-income [AOR = 5.8 (95% CI 1.1–19.66)], and fear of social stigma [AOR = 4.7 (95% CI 1.2–18.59)] were significant factors for delayed treatments. Conclusions Most of the POP patients were delayed for POP treatments. Factors like lack of support, low-income, and fear of losing social value/stigma were associated with treatment delay. Screening for the POP cases, educating (making awareness) the community about this devastating disease to facilitate early treatment and to avoid social stigma, and raising access to treatment by making the nearby hospitals equipped with facilities to treat POP are recommended.

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Section: Introductionmentioning

confidence: 99%

Factors associated with delay in seeking treatment among women with pelvic organ prolapse at selected general and referral hospitals of Southern Ethiopia, 2020

et al. 2021

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“…One of the frequent complications of POP is decubitus ulcer [ 5 - 6 ]. Its incidence ranges from 3% to 50% [ 7 - 8 ]. It is a feature of old, long-standing prolapse.…”

Section: Introductionmentioning

confidence: 99%

Study of the Relationship Between Pelvic Organ Prolapse Quantification (POP-Q) Staging and Decubitus Ulcer in Pelvic Organ Prolapse

Samantray¹,

Mohapatra

2021

Cureus

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Introduction The protrusion of pelvic organs and their associated vaginal segments into or through the vagina is called pelvic organ prolapse (POP). One of the worrisome complications of POP is decubitus ulcer.It is a feature of old, long-standing prolapse. The standardized pelvic organ prolapse quantification (POP-Q) system of classification was proposed by the International Incontinence Society (ICS) for staging pelvic organ prolapse in 1996. This system is a clear and reproducible quantification method and has more inter-observer and intra-observer reliability. This study was designed to determine the relationship of the POP-Q stage with the presence and size of decubitus ulcer. Methods A total of 92 cases with pelvic organ prolapse were included in the study. We examined our patients by the POP-Q method and measured the dimension of the decubitus ulcer if present. Results Out of the 92 patients included in the study, 32 cases had a decubitus ulcer. As the POP-Q stage increased, the number of patients with a decubitus ulcer also increased. We also observed that larger dimension (>6 cm 2 ) decubitus ulcers are present in stage 3 and stage 4 POP. A statistically significant correlation was observed between the POP-Q stage and the size of the decubitus ulcer, r s =0.607, p<0.001. Conclusion A decubitus ulcer becomes more common as the POP-Q stage increases. The size of the ulcer also increases with the advancing stage of POP-Q.

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“…The prevalence of POP at MRRH compares with that in a hospital based study at Mersin teaching hospital, Turkey among women attending gynecology clinic which was 27.1% (10). This study included both asymptomatic and symptomatic Pelvic Organ Prolapse patients similar to what was done in our setting.…”

Section: Discussionmentioning

confidence: 96%

Prevalence and factors associated with pelvic organ prolapse among women attending the gynecology outpatient clinic at a tertiary hospital in southwestern Uganda

Tugume

Lugobe

Kato

et al. 2021

Preprint

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PurposeTo determine the prevalence, clinical stage at presentation and factors associated with pelvic organ prolapse (POP) among women attending the gynecology outpatient clinic at Mbarara Regional Referral Hospital (MRRH), Uganda. MethodsWe conducted a cross sectional study at the gynecology outpatient clinic of MRRH from September 2019 to January 2020. Multiple logistic regression analysis was done to determine factors associated with pelvic organ prolapse. Results Of 338 participants enrolled, the prevalence of POP was 27.5% (n=93). POP stages were: stage I 11.8% (n=11), stage II 63.4% (n=59), stage III 16.1% (n=15) and stage IV 8.9% (n=8). Grand-multiparity (aOR 17.1, 95% CI: 1.1 – 66.6), birth weight more than 3.5kg (aOR 3.7, 95% CI: 1.1 – 12.6), perineal tears (aOR 6.5, 95% CI: 2.1 – 20.2), peasant farmer (aOR 6.9, 95% CI: 1.6 – 29.9) and duration of labour in the first delivery > 24 hours (aOR 5.7, 95% CI: 1.2 – 29) were significantly associated with POP. ConclusionPOP is common among women attending the gynecology clinic at MRRH with most of them presenting with stage II. There should be routine screening for POP to enable early identification and management especially in those who are grand multiparous, peasant farmers and history of perineal tears.

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Prevalence of pelvic organ prolapse and related factors in a general female population

Cited by 33 publications

References 21 publications

Factors associated with delay in seeking treatment among women with pelvic organ prolapse at selected general and referral hospitals of Southern Ethiopia, 2020

Factors associated with delay in seeking treatment among women with pelvic organ prolapse at selected general and referral hospitals of Southern Ethiopia, 2020

Study of the Relationship Between Pelvic Organ Prolapse Quantification (POP-Q) Staging and Decubitus Ulcer in Pelvic Organ Prolapse

Prevalence and factors associated with pelvic organ prolapse among women attending the gynecology outpatient clinic at a tertiary hospital in southwestern Uganda

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