Symptomatic Pelvic Organ Prolapse at Midlife, Quality of Life, and Risk Factors

Fritel, Xavier; Varnoux, Noëlle; Zins, Marie; Breart, Gérard; Ringa, Virginie

doi:10.1097/aog.0b013e3181985312

Cited by 159 publications

(118 citation statements)

References 35 publications

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“…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%

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: 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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“…14,15 This information is relevant to GPs, since the vast majority of pelvic floor symptoms are treated in general practice. The aim of this study was to investigate whether pelvic floor symptoms, pelvic organ prolapse, and other patient characteristics are predictors of sexual inactivity in all women, and of sexual functioning in those women who are sexually active.…”

Section: Introductionmentioning

confidence: 99%

Sexual function in older women with pelvic floor symptoms: a cross-sectional study in general practice

et al. 2014

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BackgroundPelvic floor symptoms are common and are negatively associated with sexual function which, in turn, is an important aspect of quality of life. The majority of older women with pelvic floor symptoms are treated in general practice but evidence from studies in general practice on the sexual functioning of these women is scarce. AimThis study examined predictors of sexual inactivity in older women with pelvic floor symptoms in general practice and of sexual functioning in those women who are sexually active. Design and settingCross-sectional study in women (aged ≥55 years) from 20 general practices who screened positive on a pelvic floor symptom questionnaire. MethodLogistic and linear regression analyses were used to determine predictors of sexual inactivity and sexual functioning (PISQ-12) by assessing their association with patient characteristics, symptoms (PFDI-20) and degree of prolapse (POP-Q). ResultsA total of 639 women were included (sexually active n = 393, sexually inactive n = 246). Predictors of sexual inactivity were increasing age (odds ratio [OR] = 1.13; 95% confidence interval [CI] = 1.10 to 1.17) and lower education (OR = 2.31; 95% CI = 1.50 to 3.54; Nagelkerke R 2 = 0.208). In sexually active women, sexual functioning was associated with pelvic floor symptom distress (P<0.001) and pelvic floor surgery (P = 0.018; R 2 = 0.138). ConclusionIn older women with pelvic floor symptoms, increasing age and lower educational level are predictors of sexual inactivity. Many of these older women are sexually active and pelvic floor symptom distress is negatively associated with sexual functioning. These results may encourage GPs to ask about sexual problems in women with pelvic floor symptoms.

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“…[3] The multifactorial pathophysiology may be the cause of associated symptoms such as bladder, bowel, sexual, and even pain symptoms. [4] The symptoms may lead to physical, social, psychological, domestic, and/or sexual limitations in the patient's activities of daily living. [5] A survey done by Muller [6] in the USA found that women with POP experienced compromised bladder and bowel control as most limiting their QOL.…”

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confidence: 99%

Validation of the prolapse quality of life questionnaire (P-QOL): an Afrikaans version in a South African population.

Brandt

Rooyen

Cronjé³

2016

S Afr J OG

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Background. The prolapse quality-of-life questionnaire (P-QOL) has been validated and translated into eight languages. The lack of an Afrikaans version of the P-QOL limits studies in Afrikaans-speaking patients with pelvic organ prolapse (POP). Objective. To validate an Afrikaans version of the P-QOL in a South African population. Methods. The P-QOL was translated into Afrikaans by a medical translator and three gynaecologists. This descriptive study determined construct validity comparing 25 symptomatic (64.1%, n=39) and 14 asymptomatic (35.9%, n=39) participants' median domain scores. The POP stage was determined according to the POP quantification (POP-Q) scale and compared with their domain scores by means of percentages. A second P-QOL was completed and the stability determined by the test-retest method. The Cronbach alpha was used to determine internal consistency and the kappa value to determine measure of agreement. Results. Symptomatic participants had higher median domain scores than asymptomatic participants. All asymptomatic participants had stage 0 POP and 33.3% of symptomatic participants had stage III POP. Stability was good, with an average of above 50%. The mean Cronbach alpha value was 0.94 and the kappa value indicated moderate to good strength of agreement between items (к=0.41 -0.80). Conclusion. The Afrikaans P-QOL was found to be valid and reliable to determine quality of life in women with POP, correlating with the findings of other validation studies and supporting the evidence that the P-QOL is a high-quality disease-specific quality-of-life questionnaire.

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Symptomatic Pelvic Organ Prolapse at Midlife, Quality of Life, and Risk Factors

Abstract: In our population of women in their 50s, POP symptoms are associated with impaired quality of life, and the number of vaginal deliveries is a risk factor for past or present symptomatic POP.

Cited by 159 publications

References 35 publications

Prevalence of Symptomatic Pelvic Floor Disorders among Japanese Women

Prevalence of Symptomatic Pelvic Floor Disorders among Japanese Women

Sexual function in older women with pelvic floor symptoms: a cross-sectional study in general practice

Validation of the prolapse quality of life questionnaire (P-QOL): an Afrikaans version in a South African population.

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