Signs of genital prolapse in a Swedish population of women 20 to 59 years of age and possible related factors

Samuelsson, Eva; Victor, F.T. Arne; Tibblin, Gösta; Svärdsudd, Kurt

doi:10.1016/s0002-9378(99)70203-6

Cited by 601 publications

(364 citation statements)

References 19 publications

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“…In regard to POP-Q stages, 63.9% of the women in XIP were stage II, a finding that corroborates the literature 7,17,19 . Some considerations should be made on this POP-Q stage.…”

Section: Chart 1: Pop-q Staging Distribution In 377 Women Evaluated Isupporting

confidence: 88%

“…They were much younger (mean age of 31 years) than those women studied in most studies based on POP-Q staging system 7,17 . Only a single study carried out in 40 villages in Gambia, Africa, included women at similar age (mean 32.6 years old).…”

Section: Chart 1: Pop-q Staging Distribution In 377 Women Evaluated Imentioning

confidence: 85%

“…Obstetric characteristics of 377 indigenous women studied in XIP POP diagnosis and quantification were made based on the Pelvic Organ Prolapse Quantification system (POP-Q) 3 . Measurements were taken using a 1-cm graded wooden spatula following an accepted technique 7 .…”

Section: Methodsmentioning

confidence: 99%

“…Multiple factors can originate POP: pregnancy, vaginal delivery, advanced age, race and iatrogenic factors (especially hysterectomy) 5,6,7 .…”

Section: Introductionmentioning

confidence: 99%

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Learning with the Amerindians: the evaluation of pelvic floor disorders among indigenous women who live in the Xingu Indian Park,Brazil

et al. 2008

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Summary: Objective: to evaluate the pelvic floor muscles and the incidence of pelvic organ prolapse among indigenous women who lives in Xingu Indian Park, Mato Grosso, Brazil. Methods: observational study with 377 indigenous women, mean age 31±15 years, mean gravity 5±4, mean parity 4±3 and mean body mass index 23,3±4 Kg/m 2 . The Pelvic Organ Prolapse Quantification (POP-Q) was the system used to quantification the staging of pelvic support and the pelvic floor muscle strength was assessed by a perineometer. Logistic regression was used to determine odds ratios and 95% CI for factors that were associated with prolapse. Results: The overall distribution of POP-Q stage system was the following: 15,6% stage 0, 19,4% stage I, 63,9% stage II and 0,8% stage III. Parity (OR=9.40, 95% CI 2.81-31,42) and age (OR=1,03, 95% IC 1,01-1,05) were the most important risk factors for pelvic organ prolapse. The high resting pressure was considered as a protector factor (OR=0,96, 95% IC 0,98). Conclusions: Like non indigenous community, age and the parity were the most important risk factors to the genital prolapse; however the pelvic floor muscles strength were intact, maybe due to the indigenous lifestyle.

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“…In regard to POP-Q stages, 63.9% of the women in XIP were stage II, a finding that corroborates the literature 7,17,19 . Some considerations should be made on this POP-Q stage.…”

Section: Chart 1: Pop-q Staging Distribution In 377 Women Evaluated Isupporting

confidence: 88%

Section: Chart 1: Pop-q Staging Distribution In 377 Women Evaluated Imentioning

confidence: 85%

Section: Methodsmentioning

confidence: 99%

“…Multiple factors can originate POP: pregnancy, vaginal delivery, advanced age, race and iatrogenic factors (especially hysterectomy) 5,6,7 .…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Learning with the Amerindians: the evaluation of pelvic floor disorders among indigenous women who live in the Xingu Indian Park,Brazil

et al. 2008

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“…Pelvic organ prolapses (POP) are prevalent conditions and affect 30% of childbearing women (1)(2)(3)(4). The causes of POP are not clear, but normal delivery seems to be the primary etiologic factor.…”

Section: Introductionmentioning

confidence: 99%

Treatment of anterior vaginal wall prolapse with and without polypropylene mesh: a prospective, randomized and controlled trial - Part I

Tamanini

Castro

et al. 2013

Int. braz j urol.

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Objective: To compare the use of polypropylene mesh (PM) and the traditional anterior vaginal wall colporraphy in women with anterior vaginal wall prolapse (AVWP) using objective and subjective tests and evaluation of quality of life (QoL). Materials and Methods: One hundred women were randomly distributed in two preoperatory groups. The first group (mesh) (n = 45) received a PM implant and the control group (n = 55) was submitted to traditional colporraphy. Postoperatory follow-up was done after 12 months. The primary objective was the correction of the Ba point ≤ -2 POP-Q (Pelvic Organ Prolapse Quantification System) and the secondary objective was the improvement of vaginal symptoms and QoL through ICIQ-VS (International Consultation on Incontinence Questionnaire -Vaginal Symptoms). Complications related to the use of PM or not were also described.Results: There was a significant difference between all POP-Q measures of pre-and postoperatory periods of each group in particular. There was a significant difference of the Ba point of the postoperatory period between the Mesh and Control group. The mean of Ba point in the Mesh group was statistically lower than of the Control group, depicting the better anatomical result of the first group. Both techniques improved vaginal symptoms and QoL. The most frequent complication of the Mesh group was prepubic hematoma in the perioperative period. In 9.3% of the cases treated with mesh it was observed PM exposition at the anterior vaginal wall after 12 months, being most of them treated clinically. Conclusion: The treatment of AVWP significantly improved the Ba point in the Mesh group in comparison to the Control group. There were no differences of the vaginal symptoms and QoL between the two groups after 12 months. There were few and low grade complications on both groups.

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Pelvic Organ Prolapse

Brincat

2019

JAMA

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Signs of genital prolapse in a Swedish population of women 20 to 59 years of age and possible related factors

Cited by 601 publications

References 19 publications

Learning with the Amerindians: the evaluation of pelvic floor disorders among indigenous women who live in the Xingu Indian Park,Brazil

Learning with the Amerindians: the evaluation of pelvic floor disorders among indigenous women who live in the Xingu Indian Park,Brazil

Treatment of anterior vaginal wall prolapse with and without polypropylene mesh: a prospective, randomized and controlled trial - Part I

Pelvic Organ Prolapse

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