Advances in Clinical and Experimental Medicine

Title abbreviation: Adv Clin Exp Med
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Advances in Clinical and Experimental Medicine

2018, vol. 27, nr 2, February, p. 179–184

doi: 10.17219/acem/68994

Publication type: original article

Language: English

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Analysis of prevalence of selected anamnestic factors among women with pelvic organ prolapse

Jakub Śliwa1,A,B,C,D,E,F, Anna Rosner-Tenerowicz1,C,D,F, Anna Kryza-Ottou1,B,C,D,F, Sylvester Ottou1,C,D,F, Artur Wiatrowski1,C,D,F, Michał Pomorski1,C,D,F, Lesław Sozański1,C,E,F, Mariusz Zimmer1,D,E,F

1 2nd Clinic of Gynecology and Obstetrics, Wroclaw Medical University, Poland

Abstract

Background. Pelvic organ prolapse is the most frequent medical condition in women in the postmenopausal age. The pathophysiology is multifactorial.
Objectives. The purpose of this paper was to analyze the prevalence of selected anamnestic factors in the population of women treated due to pelvic organ prolapse in the 2nd Department and Clinic of Obstetrics and Gynecology Wroclaw Medical University (Poland).
Material and Methods. A total of 104 medical histories of women treated in the 2nd Department and Clinic of Obstetrics and Gynecology in the years 2012–2013 due to pelvic organ prolapse were analyzed.
Results. The most frequent type of defect was the complex defect concerning both cystocele and rectocele. Intensity of dysfunctions was determined by age, obstetric history (parity, newborn’s body mass and process of labor), and woman’s constitutional characteristic (her BMI and height). A comparison based on the type of defect revealed no differences between the groups except for BMI, which was the highest in the rectocele group (31.15 ±5.84; p = 0.0069).
Conclusion. The multifactorial ethology and differential clinical presentation including several types of this defect make this disorder difficult to prevent and treat. The obtained results confirm that there exists a relation between the data from the medical history and the prevalence of pelvic organ prolapse. Anamnesis can be useful when predicting prevalence and, in the future, may even help to decrease the prevalence of this type of disorder.

Key words

risk factors, epidemiology, pelvic organ prolapse

References (24)

  1. Bozkurt M, Yumru AE, Sahin L. Pelvic floor dysfunction, and effects of pregnancy and mode of delivery on pelvic floor. Taiwan J Obstet Gynecol. 2014;53:452–458.
  2. Khan AA, Eilber KS, Clemens JQ, Wu N, Pashos CL, Anger JT. Trends in management of pelvic organ prolapse among female medicare beneficiaries. Am J Obstet Gynecol. 2015;212:463.e1–8.
  3. Choi KH, Hong JY. Management of pelvic organ prolapse. Korean J Urol. 2014;55:693–702.
  4. Ghetti C, Gregory WT, Clark AL. Risk factors for surgically managed pelvic organ prolapse and urinary incontinence. Int J Gynaecol Obstet. 2007;98:63–64.
  5. MacLennan AH, Taylor AW, Wilson DH, Wilson D. The prevalence of pelvic floor disorders and their relationship to gender, age, parity and mode of delivery. BJOG. 2000;107:1460–1470.
  6. Cooper J, Annappa M, Dracocardos D, Cooper W, Muller S, Mallen CH. Prevalence of genital prolapsed symptoms in primary care: A cross-sectional survey. Int Urogynecol J. 2015;26:505–510.
  7. Athanasiou S, Hill S, Gleeson C, Anders K, Cardozo L. Validation of the ICS prolapsed pelvic organ prolapsed descriptive system. Neurourol Urodynam. 1995:14:414–415.
  8. Manonai J, Mouritsen L, Palma P, Contreras-Ortiz O, Korte JE, Swift S. The inter-system association between the simplified pelvic organ prolapsed quantification system (S-POP) and the standard pelvic organ prolapsed quantification system (POPQ) in describing pelvic organ prolapsed. Int Urogynecolo J. 2011;22:347–352.
  9. Snooks SJ, Swash M, Setchel M, Henry MM. Injury to innervation of pelvic floor sphincter musculature in childbirth. Lancet. 1984;2: 546–550.
  10. Snooks SJ, Swash M, Henry MM, Setchel M. Risk factors in childbirth causing damage to the pelvic floor innervation. Int J Colorectal Dis. 1986;1:20–24.
  11. Chiaffarino F, Chatenoud L, Dindelli M, et al. Reproductive factors, family history, occupation and risk urogenital prolapse. Eur J Obstet Gynecol Reprod Biol. 1999;82:63–67.
  12. Lawrence JM, Lukacz ES, Amy Liu IL, Nager ChW, Luber KM. Pelvic floor disorders, diabetes, and obesity in women: Findings from the Kaiser Permanente Continence Associated Risk Epidemiology Study. Diabetes Care. 2007;30:2536–2541.
  13. Ghetti C, Gregory WT, Clark AL. Risk factors for surgically managed pelvic organ prolapse and urinary incontinence. Int J Gynaecol Obstet. 2007;98:63–64.
  14. Hendrix SL, Clark A, Nygaard I, Aragaki A, Barnabei V, McTiernan A. Pelvic organ prolapse in the woman’s health initiative: Gravity and gravidity Am J Obstet Gynecol. 2002;186:1160–1166.
  15. Lonnee-Hoffmann RA, Salvesen O, Morkved S, Schei B. Self-reported pelvic organ prolapse surgery, prevalence, and nonobstetric risk factors: Findings from the Nord Trondelag Health Study. Int Urogynecol J. 2015;26:407–414.
  16. Uustal Fornell E, Wingren G, Kjolhede P. Factors associated with pelvic floor dysfunction with emphasis on urinary and fecal incontinence and genital prolapse: An epidemiological study. Acta Obstet Gynecol Scand. 2004;83:383–389.
  17. Glazener C, Elders A, MacArthur C, et al. Childbirth and prolapse: Long term associations with the symptoms and objective measurement of pelvic organ prolapse. BJOG. 2013;120:161–168.
  18. Wilson D, Dornan J, Milsom I, Freeman R. UR-CHOICE: Can we provide mothers-to-be with information about the risk of future pelvic floor dysfunction. Int Urogybecol J. 2014;25:1449–1152.
  19. Giarenis I, Robinson D. Prevention and management of pelvic organ prolapsed. F1000 Prime Reports. 2014;6:77.
  20. Smith ARB, Hosker GL, Warrel DW. The role of partial denervation of pelvic floor in the aetiology of genitourinary prolapsed and stress incontinence of urine: A neurophisiological study. Br J Obstet Gynaecol. 1989;96:24–28.
  21. Gilpin SA, Gosling JA, Smith ARB, Warrel DW. The pathogenesis of genitourinary prolapsed and stress incontinence of urine: A histological and histochemical study. Br J Obstet Gynaecol. 1989;96:15–23.
  22. Erata YE, Kilic B, Guciu S, Saygili U, Uslu T. Risk factors for pelvic surgery. Arch Gynecol Obstet. 2002; 267:14–18.
  23. DeLancey JO. Anatomic aspects of vaginal eversion after hysterectomy. Am J Obstet Gynecol. 1992;166(6 Pt 1):1717–1724.
  24. Jurić M, Postruznik S, Jurić-Vitanović A. Prevention of vaginal prolapsus after abdominal hysterectomies. Jugosl Ginekol Opstet. 1981;21: 91–93. [in Yugoslavian].
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