The prevalence of pelvic organ prolapse symptoms and signs and their relation with bladder and bowel disorders in a general female population |
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| Authors: | Marijke C Ph Slieker-ten Hove Annelies L Pool-Goudzwaard Marinus J C Eijkemans Regine P M Steegers-Theunissen Curt W Burger Mark E Vierhout |
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| Institution: | (1) Cobra Research Institute, Pelvic floor research, Amersfoort, The Netherlands;(2) Department of Obstetrics and Gynaecology, Erasmus MC, University Medical Centre, Rotterdam, The Netherlands;(3) Department of Neuroscience, Erasmus MC, University Medical Centre, Rotterdam, The Netherlands;(4) Department of Public Health, Erasmus MC, University Medical Centre, Rotterdam, The Netherlands;(5) Division of Gynaecologic Oncology, Erasmus MC, University Medical Centre, Rotterdam, The Netherlands;(6) Department of Epidemiology, Erasmus University Medical Centre, Rotterdam, The Netherlands;(7) Department of Paediatrics/Paediatric Cardiology, Erasmus MC, University Medical Centre, Rotterdam, The Netherlands;(8) Department of Clinical Genetics, Erasmus MC, University Medical Centre, Rotterdam, The Netherlands;(9) Department of Obstetrics and Gynaecology, Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands |
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| Abstract: | Introduction and hypothesis In selected populations, pelvic organ prolapse (POP) was associated with bladder/bowel symptoms, but data on the general female
population are lacking. Our aim was to obtain normative data on the prevalence of POP and pelvic floor dysfunction (PFD) symptoms
and signs and to identify associations.
Methods Validated questionnaires on POP and PFD (urogenital distress inventory, (UDI) and defaecation distress inventory (DDI)) were
sent to a general population of 2,979 women (aged 45–85 years). Data were analysed using the Kruskal–Wallis test, chi square
test and Spearman’s rank correlation coefficient.
Results Response rate was 62.7%. Associations between POP stage and parity (0.002) and vaginal bulging (<0.001) are significant. Anatomical
locations of POP and PFD symptoms correlated significantly with incontinence of flatus, feeling anal prolapse, manual evacuation
of stool, vaginal bulging, constipation and pain during faecal urge (p ≤ 0.005).
Conclusions Strategies should be developed to alleviate obstructive bowel disorders associated with POP.
Summary POP was strongly associated with obstructive bowel disorders. Therefore, preventive strategies should be developed. |
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| Keywords: | Prevalence Incontinence Bladder Bowel Pelvic floor disorders POPQ |
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