Symptomatic pelvic organ prolapse and possible risk factors in a general population - 12/08/11
, Annelies L. Pool-Goudzwaard, PhD b, e, Marinus J.C. Eijkemans, PhD c, Regine P.M. Steegers-Theunissen, PhD a, d, Curt W. Burger, MD, PhD a, Mark E. Vierhout, MD, PhD f
Reprints: Marijke C. Ph. Slieker-ten Hove, MA, PT, Softwareweg 5, 3821 BN Amersfoort, the NetherlandsRésumé |
Objective |
We sought to examine the prevalence of pelvic organ prolapse (POP) symptoms and risk factors in a general white population.
Study Design |
This was a cross-sectional study. All female residents aged 45-85 years in a small Dutch city received validated questionnaires. Women were classified as symptomatic if they reported feeling and/or seeing vaginal bulge.
Results |
Response rate was 62.7% (1869/2979). Prevalence of POP was 11.4%. Multivariate analysis revealed POP symptoms during pregnancy, a maternal history of POP, and heavy physical work, with a total population-attributable risk of 46%.
Conclusion |
There is high prevalence of symptomatic POP in a general white population of which independent risk factors are POP symptoms during pregnancy, a maternal history of POP, and heavy physical work. Clinicians should focus on risk factors in counseling of (pregnant) women to inform women to be aware of further exposures for themselves and their daughters.
Le texte complet de cet article est disponible en PDF.Key words : pelvic organ prolapse, pelvic organ prolapse quantification, pelvic organ prolapse questionnaire, pelvic organ prolapse risk factor, pelvic organ prolapse symptoms
Plan
| The study was supported by an unrestricted Grant from NV Organon, Oss, the Netherlands. |
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| Cite this article as: Slieker-ten Hove MCPh, Pool-Goudzwaard AL, Eijkemans MJC, et al. Symptomatic pelvic organ prolapse and possible risk factors in a general population. Am J Obstet Gynecol 2009;200:184.e1-184.e7. |
Vol 200 - N° 2
P. 184.e1-184.e7 - février 2009 Retour au numéro
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