Prevalence of symptomatic pelvic organ prolapse in a Swedish population

Tegerstedt, Gunilla; Mæhle-Schmidt, Marianne; Nyrén, Olof; Hammarström, Margareta

doi:10.1007/s00192-005-1326-1

Cited by 169 publications

(104 citation statements)

References 25 publications

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“…When the present study was initiated, there was no validated tool for assessing POP and the related symptoms among Japanese women. The questionnaire was constructed with expert's group works and was modeled on the lot of previously validated questionnaires [18,22,25,27,28] and tools that are used to evaluate outpatients during gynecological visits in Japan. Based on these findings, we developed a nine-question self-reported questionnaire to identify patients with symptomatic POP (Table 1).…”

Section: Methodsmentioning

confidence: 99%

“…There is little epidemiological data regarding POP in Japan, despite it being recognized as a disease can be treated in the outpatient or inpatient settings. Moreover, only a few studies have evaluated the distributions of POP according to racial, geographical, and socioeconomic status in the American [7,10,22], British [17], Italian [23], French [24], Turkish [25], Australian [26], and Swedish populations [27]. Therefore, this study aimed to identify the risk factors and prevalence of symptomatic POP among Japanese women.…”

Section: Introductionmentioning

confidence: 99%

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Prevalence of Symptomatic Pelvic Floor Disorders among Japanese Women

Hasuda¹,

Ueda²,

Wei³

2017

J Women's Health Care

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Objective: There is little epidemiological data regarding pelvic organ prolapse (POP) in Japan, despite it being recognized as a disease can be treated in the outpatient or inpatient settings. Our aim was to estimate the prevalence of symptomatic POP among Japanese women. Methods:This cross-sectional study evaluated 8,407 randomly selected women (20-90 years old) who were employed at the Japanese Agriculture Group. Trained research assistants distributed a Japanese self-administered questionnaire that was specifically designed for this study. The participants were asked to provide information regarding their demographic characteristics and symptoms of POP or urinary incontinence (UI). The potential risk factors included age, body mass index, self-reported conditions or comorbid diseases, parity, heavy lifting at work, perceived health status, and occupation. Results:The weighted prevalence of POP was 5.64% (95% Cl: 5.15-6.13%), the prevalence of UI was 44.25% (95% CI: 43.19-45.31%), and at least one pelvic floor disorder was reported by 46.15% of the women (95% Cl: 45.09-47.22%). The proportion of women who reported having symptomatic POP generally increased with age and peaked at the age of 70-79 years (20-29 years old: 0.86%, 30-39 years old: 3.45%, 40-49 years old: 3.59%, 50-59 years old: 5.79%, 60-69 years old: 6.12%, 70-79 years old: 6.27%, and ≥80 years old: 5.37%; p<0.001). Conclusion:The present study provided the first population-based estimate of the prevalence of POP among Japanese women. The prevalence of symptomatic POP increased with age and peaked at 70-79 years. Approximately half of adult Japanese women reported experiencing symptoms of at least one pelvic floor disorder (POP and/or UI).

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Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Prevalence of Symptomatic Pelvic Floor Disorders among Japanese Women

Hasuda¹,

Ueda²,

Wei³

2017

J Women's Health Care

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“…The origin for all intrauterine devices is probably the use of oval stones inserted into the uterus in saddle camels to prevent conception during long desert journeys. [5][6][7][8] The use of pessaries is common; more than 85% of gynecologists 9 and nearly 98% of urogynecologists prescribe them. 10 They provide anatomic support and can be used as a treatment of choice or in those who decline surgery (e.g., women who plan future childbearing, require temporary relief of prolapse while waiting for surgery or during pregnancy, or do not want surgical repair 11,12 ).…”

Section: Introductionmentioning

confidence: 99%

An integrative review and severity classification of complications related to pessary use in the treatment of female pelvic organ prolapse

Abdulaziz

Stothers

Lazare³

et al. 2015

CUAJ

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Introduction: Pessary use is the preferred non-surgical treatment option for female pelvic organ prolapse. As pessaries can be used chronically to alter pelvic floor anatomy, consideration of shortand long-term complications is important in patient management. We systematically reviewed articles describing the complications of pessary use to determine frequency and severity. Methods: A systematic search via MEDLINE and PubMed using the key terms "complications," "pessary," "pelvic organ prolapse," "side effects" was conducted for the years 1952 to 2014 inclusively. Selected articles cited in the publications identified were also considered. Only full-text material published in English was reviewed. All pessary-related complications described were collated; overall frequency within case reports and case series were calculated and severity was graded using the Clavien-Dindo classification. Results: In total, 61 articles met the inclusion criteria. The most common complications reported were vaginal discharge/vaginitis, erosion, and bleeding. Complications were related to pessary shape and material, and duration in situ. Clavien-Dindo classification of complication severity found that all 5 grade levels were attributed to pessary use; serious grade 4 and 5 complications included cancer, adjacent organ fistula and death. Conclusion: There are few detailed reports of complications of pessary use relative to the estimated frequency of pessary use worldwide. Prospective studies documenting complications by shape, material, and size, and objectively classifying complication severity are required. As serious grade 4 and 5 complications of pessary use occur, further development of clinical follow-up guidelines for long-term pessary users is justified.

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“…Community- and hospital-based studies indicated that OAB symptoms were more prevalent in patients with POP than in those without [7,8,9,10,15,16]. Although few studies have correlated urgency and DO with POP, they have seldom or never specified whether prolapse was anterior or posterior or provided detailed information on clinical presentations, prevalence symptoms, choice of surgery and outcomes after surgical repair [1].…”

Section: Discussionmentioning

confidence: 99%

Urgency, Detrusor Overactivity and Posterior Vault Prolapse in Women Who Underwent Pelvic Organ Prolapse Repair

Costantini¹,

Lazzeri²,

Zucchi³

et al. 2013

Urol Int

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Introduction: We investigated the relationship between posterior vault prolapse and overactive bladder (OAB) symptoms or detrusor overactivity (DO) and their changes after surgical repair. Methods: Forty-three patients with vault prolapse and prevalent posterior compartment prolapse -underwent pelvic organ prolapse repair surgery: 28 received colposacropexy and 15 were treated by the vaginal approach. Subjective success was lack of prolapse-related symptoms or urgency. OAB symptoms, voiding symptoms and constipation were evaluated. Patient satisfaction was defined by a visual analog scale score (range 0-10). Objective anatomical success was defined as no vaginal prolapse of stage ≥2 at any vaginal site. Results: The median follow-up was 75 months (range 24-143). Preoperatively, 33/43 patients (76.74%) reported urgency. DO was found in 11/43 patients (25.6%), and 22/43 patients reported constipation. The anatomical outcome showed 2 persistent stage II rectoceles (6.9%). After surgery, OAB symptoms disappeared in 25/33 (75.88%) and persisted in 8 patients (24.2%); there was no de novo urgency. DO disappeared in 8/11 subjects (72.7%). Preoperative constipation was present in 17/33 patients with OAB symptoms (51.5%) and disappeared postoperatively in 13/17 patients (76.4%) (p < 0.013). De novo constipation appeared in 3 patients (associated with OAB in 2 patients). Conclusions: Prevalent posterior compartment pelvic organ prolapse and OAB/DO were often associated. After surgery, OAB symptoms and DO were significantly reduced.

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Prevalence of symptomatic pelvic organ prolapse in a Swedish population

Cited by 169 publications

References 25 publications

Prevalence of Symptomatic Pelvic Floor Disorders among Japanese Women

Prevalence of Symptomatic Pelvic Floor Disorders among Japanese Women

An integrative review and severity classification of complications related to pessary use in the treatment of female pelvic organ prolapse

Urgency, Detrusor Overactivity and Posterior Vault Prolapse in Women Who Underwent Pelvic Organ Prolapse Repair

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