Prevalence, risk factors, and predictors of pelvic organ prolapse

Awwad, Johnny; Sayegh, Raja; Yérétzian, Joumana; Deeb, Mary

doi:10.1097/gme.0b013e31826d2d94

Cited by 59 publications

(58 citation statements)

References 19 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…27 There is also a strong association between obesity and endometrial cancer, 47 and an association between obesity and pelvic organ prolapse. 48 …”

Section: Discussionmentioning

confidence: 99%

Age at menopause and determinants of hysterectomy and menopause in a multi-ethnic community: The Hilo Women's Health Study

et al. 2013

View full text Add to dashboard Cite

Objectives A lifespan approach was used to evaluate age at menopause, and determinants of surgical and natural menopause, in the multi-ethnic community of Hilo, Hawaii. Study design Participants aged 40–60 years (n=898) were drawn from a larger, randomly-generated sample recruited by postal questionnaires. Median age at natural menopause was computed by probit analysis. Logistic regression analysis was applied to examine determinants of hysterectomy, and Cox regression analysis was used to examine risk factors for an earlier age at menopause. Main outcome measures History of hysterectomy, Age at menopause Results Frequency of hysterectomy was 19.2% at a mean age of 40.5 years. The likelihood of hysterectomy increased with older ages, lower education, mixed ancestry, having been overweight at age 30, and married 20 years prior to survey. Median age at natural menopause was 53.0 years. Smoking and not being married 10 years before survey were associated with an earlier age at menopause. Conclusions Median age at menopause was later than the national average. Ethnicity and education were determinants of hysterectomy, but not associated with age at natural menopause. Events later in the lifespan (e.g., smoking and not being married 10 years prior to the survey) were more important than earlier events (e.g., childhood residence) in relation to age at menopause. The timing of weight gain and marital status appear to be important in relation to surgical menopause, and the timing of marital status appears to be important in relation to the timing of natural menopause.

show abstract

“…27 There is also a strong association between obesity and endometrial cancer, 47 and an association between obesity and pelvic organ prolapse. 48 …”

Section: Discussionmentioning

confidence: 99%

Age at menopause and determinants of hysterectomy and menopause in a multi-ethnic community: The Hilo Women's Health Study

et al. 2013

View full text Add to dashboard Cite

show abstract

“…In the study by Awwad et al, 9 it was observed that POP prevalence was 20.4% for women aged 20 to 29 years, 50.3% for women aged 30 to 39 years, 77.2% for women aged 40 to 49 years, and 74.6% for women aged 50 to 59 years. The incidence of POP roughly doubled with each decade in women aged 20 to 59 years in the pelvic organ support study (POSST).…”

Section: Discussionmentioning

confidence: 90%

Accuracy of Clinical Evaluation of Patients with Site-specific Vaginal Wall Prolapse and Its Corelation to Surgical Diagnosis

Sharma¹,

Parulekar²

2018

Journal of South Asian Federation of Obstetrics and Gynaecology

View full text Add to dashboard Cite

Introduction: Pelvic organ prolapse (POP) is a defect of a specific vaginal segment characterized by descent of the vagina and associated pelvic organ. An understanding of normal pelvic support structures provides the basis for the identification of the defect and anatomic approach to repair. Aims and objectives:• To clinically evaluate the patients of uterovaginal prolapse for site-specific defects and levels of damage. • To corelate the clinical evaluation with evaluation during surgery. • To perform the site-specific repair of the defects. Materials and methods:A prospective observational study was conducted on 45 women admitted to the gynecological ward of King Edward Memorial (KEM) Hospital, Mumbai, India with symptoms of POP during a period of 13 months after seeking ethical clearance. After obtaining written informed consent, patients were subjected to detailed clinical evaluation for the type of prolapse, degree, and the site-specific defect. Patients were taken for surgery. Identification of the site-specific defect followed by restoration of the anatomic relationships by either repairing connective tissue supports or by creating a compensatory support mechanism was done.Results: On analysis of our study, it was observed that there is mild agreement (0.4-0.6) between the clinical and operative diagnosis of transverse defect and unilateral paravaginal defect of anterior compartment. However, there is good agreement (0.6-0.8) between the clinical and operative diagnosis of bilateral paravaginal defects of anterior compartment. The clinical diagnosis for transverse defect of posterior compartment has accuracy of 88.2%. Conclusion:The intraoperative diagnosis of site-specific defects remains the gold standard for detection of these defects.

show abstract

“…POP is the descent of pelvic organs into the vaginal canal and occurs with advanced age and vaginal parity [11][12][13]. It is associated with pelvic floor dysfunction and constitutes a major health problem, especially for women above 50 years old [14].…”

Section: Commentmentioning

confidence: 99%