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Erschienen in: International Urogynecology Journal 2/2011

01.02.2011 | Review Article

Pelvic organ prolapse and incontinence in developing countries: review of prevalence and risk factors

verfasst von: Godfrey J. A. Walker, Prasanna Gunasekera

Erschienen in: International Urogynecology Journal | Ausgabe 2/2011

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Abstract

Introduction and hypothesis

Information on the prevalence, risk factors and social consequences of pelvic floor dysfunction (PFD) affecting women in 16 low-income and lower middle-income countries is reviewed.

Methods

Medline searches were performed for articles dealing with prevalence of PFD.

Results

Thirty studies were identified. The mean prevalence for pelvic organ prolapse was 19.7% (range 3.4–56.4%), urinary incontinence (UI) was 28.7% (range 5.2–70.8%) and faecal incontinence (FI) was 6.9% (range 5.3–41.0%). Risk factors for PFD are similar to those in more affluent countries particularly increased age and parity, but additionally, PFD is associated with other factors including poor nutrition and heavy work. The social consequences of PFD conditions can be devastating.

Conclusions

Pelvic organ prolapse and urinary and faecal incontinence are significant problems in developing countries. Access to health care to manage these conditions is often limited, and women usually have to live with the consequences for the rest of their lives.
Literatur
1.
Zurück zum Zitat Ahmed S, Holtz SA (2007) Social and economic consequences of obstetric fistula: life changed for ever. Int J Gynaecol Obstet 99:S10–S15CrossRefPubMed Ahmed S, Holtz SA (2007) Social and economic consequences of obstetric fistula: life changed for ever. Int J Gynaecol Obstet 99:S10–S15CrossRefPubMed
2.
Zurück zum Zitat Patel DA, Xu X, Thomason AD, Ransom SB, Ivy JS, De Lancey JOL (2006) Childbirth and pelvic floor dysfunction: an epidemiologic approach to the assessment of prevention opportunities at delivery. Am J Obstet Gynecol 195:23–28CrossRefPubMed Patel DA, Xu X, Thomason AD, Ransom SB, Ivy JS, De Lancey JOL (2006) Childbirth and pelvic floor dysfunction: an epidemiologic approach to the assessment of prevention opportunities at delivery. Am J Obstet Gynecol 195:23–28CrossRefPubMed
3.
Zurück zum Zitat Swift S, Woodman P, O'Boyle A, Kahn M, Valley M, Bland D et al (2005) Pelvic Organ Support Study (POSST): the distribution, clinical definition, and epidemiologic condition of pelvic organ support defects. Am J Obstet Gynecol 192:795–806CrossRefPubMed Swift S, Woodman P, O'Boyle A, Kahn M, Valley M, Bland D et al (2005) Pelvic Organ Support Study (POSST): the distribution, clinical definition, and epidemiologic condition of pelvic organ support defects. Am J Obstet Gynecol 192:795–806CrossRefPubMed
4.
Zurück zum Zitat Subramanian D, Szwarcensztein K, Mauskopf JA, Slack MC (2009) Rate, type, and cost of pelvic organ prolapse surgery in Germany, France, and England. Eur J Obstet Gynecol Reprod Biol 144:177–181CrossRefPubMed Subramanian D, Szwarcensztein K, Mauskopf JA, Slack MC (2009) Rate, type, and cost of pelvic organ prolapse surgery in Germany, France, and England. Eur J Obstet Gynecol Reprod Biol 144:177–181CrossRefPubMed
5.
6.
Zurück zum Zitat Gunasekera P, Sazaki J, Walker G (2007) Pelvic organ prolapse: don't forget developing countries. Lancet 369:1789–1790CrossRefPubMed Gunasekera P, Sazaki J, Walker G (2007) Pelvic organ prolapse: don't forget developing countries. Lancet 369:1789–1790CrossRefPubMed
8.
Zurück zum Zitat Bonetti TR, Erpelding A, Pathak LR (2004) Listening to “felt needs”: investigating genital prolapse in Western Nepal. Reprod Health Matters 12:166–175CrossRefPubMed Bonetti TR, Erpelding A, Pathak LR (2004) Listening to “felt needs”: investigating genital prolapse in Western Nepal. Reprod Health Matters 12:166–175CrossRefPubMed
9.
Zurück zum Zitat Ministry of Health and Population, Nepal, New Era and Macro International Inc. (2007) Nepal Demographic and Health Survey 2006. New Era and Macro International Inc., Kathmandu, Nepal: Ministry of Health and Population Ministry of Health and Population, Nepal, New Era and Macro International Inc. (2007) Nepal Demographic and Health Survey 2006. New Era and Macro International Inc., Kathmandu, Nepal: Ministry of Health and Population
10.
Zurück zum Zitat Wusu-Ansah OK, Opare-Addo HS (2008) Pelvic organ prolapse in rural Ghana. Int J Gynaecol Obstet 103:121–124CrossRefPubMed Wusu-Ansah OK, Opare-Addo HS (2008) Pelvic organ prolapse in rural Ghana. Int J Gynaecol Obstet 103:121–124CrossRefPubMed
11.
Zurück zum Zitat Sajan F, Fikree FF (2002) Does early age at marriage influence gynaecological morbidities among Pakistani women? J Biosoc Sci 34:407–417CrossRefPubMed Sajan F, Fikree FF (2002) Does early age at marriage influence gynaecological morbidities among Pakistani women? J Biosoc Sci 34:407–417CrossRefPubMed
12.
Zurück zum Zitat Younis N, Khattab H, Zurayk H, el-Mouelhy M, Amin MF, Farag AM (1993) A community study of gynaecological and related morbidities in rural Egypt. Stud Fam Plann 24:175–185CrossRefPubMed Younis N, Khattab H, Zurayk H, el-Mouelhy M, Amin MF, Farag AM (1993) A community study of gynaecological and related morbidities in rural Egypt. Stud Fam Plann 24:175–185CrossRefPubMed
13.
Zurück zum Zitat Bhatia JC, Cleland J, Bhagavan L, Rao NSN (1997) Levels and determinants of gynecological morbidity in a district of south India. Stud Fam Plann 28:95–103CrossRefPubMed Bhatia JC, Cleland J, Bhagavan L, Rao NSN (1997) Levels and determinants of gynecological morbidity in a district of south India. Stud Fam Plann 28:95–103CrossRefPubMed
14.
Zurück zum Zitat Kumari S, Walia I, Singh A (2000) Self-reported prolapse in a resettlement colony of north India. J Midwifery Women's Health 45:343–350CrossRef Kumari S, Walia I, Singh A (2000) Self-reported prolapse in a resettlement colony of north India. J Midwifery Women's Health 45:343–350CrossRef
15.
Zurück zum Zitat Garshasbi A, Faghih-Zadeh S, Falah N (2006) The status of pelvic supporting organs in a population of Iranian women 18–68 years of age and possible related factors. Arch Iran Med 9:124–128PubMed Garshasbi A, Faghih-Zadeh S, Falah N (2006) The status of pelvic supporting organs in a population of Iranian women 18–68 years of age and possible related factors. Arch Iran Med 9:124–128PubMed
16.
Zurück zum Zitat Adanu RM, De Lancey JO, Miller JM, Asante A (2006) The physical finding of stress urinary incontinence among African women in Ghana. Int Urogynecol J Pelvic Floor Dysfunct 17:581–585CrossRefPubMed Adanu RM, De Lancey JO, Miller JM, Asante A (2006) The physical finding of stress urinary incontinence among African women in Ghana. Int Urogynecol J Pelvic Floor Dysfunct 17:581–585CrossRefPubMed
17.
Zurück zum Zitat Andrades M, Paul R, Ambreen A, Dodani S, Dhanani RH, Qidwai W (2004) Distribution of lower urinary tract symptoms (LUTS) in adult women. J Coll Physicians Surg Pak 14:132–135PubMed Andrades M, Paul R, Ambreen A, Dodani S, Dhanani RH, Qidwai W (2004) Distribution of lower urinary tract symptoms (LUTS) in adult women. J Coll Physicians Surg Pak 14:132–135PubMed
18.
Zurück zum Zitat Rizvi RM, Nazim MH (2005) The frequency of urinary symptoms in women attending gynaecology clinics at the Aga Khan University Hospital Karachi, Pakistan. J Pak Med Assoc 55:489–492PubMed Rizvi RM, Nazim MH (2005) The frequency of urinary symptoms in women attending gynaecology clinics at the Aga Khan University Hospital Karachi, Pakistan. J Pak Med Assoc 55:489–492PubMed
19.
Zurück zum Zitat Song YF, Zhang WJ, Song J, Xu B (2005) Prevalence and risk factors of urinary incontinence in Fuzhou Chinese women. Chin Med J (Engl) 118:887–892 Song YF, Zhang WJ, Song J, Xu B (2005) Prevalence and risk factors of urinary incontinence in Fuzhou Chinese women. Chin Med J (Engl) 118:887–892
20.
Zurück zum Zitat Zhang W, Song Y, He X, Xu B, Huang H, He C et al (2005) Prevalence and risk factors of lower urinary tract symptoms in Fuzhou Chinese women. Eur Urol 48:309–313CrossRefPubMed Zhang W, Song Y, He X, Xu B, Huang H, He C et al (2005) Prevalence and risk factors of lower urinary tract symptoms in Fuzhou Chinese women. Eur Urol 48:309–313CrossRefPubMed
21.
Zurück zum Zitat Zhu L, Lang J, Wang H, Han S, Huang J (2008) The prevalence of and potential risk factors for female urinary incontinence in Beijing, China. Menopause 15:566–569CrossRefPubMed Zhu L, Lang J, Wang H, Han S, Huang J (2008) The prevalence of and potential risk factors for female urinary incontinence in Beijing, China. Menopause 15:566–569CrossRefPubMed
22.
Zurück zum Zitat Zhu L, Li L, Lang J, Xu T, Wong F (2010) Epidemiology of mixed urinary incontinence in China. Int J Gynecol Obstet 109:55–58CrossRef Zhu L, Li L, Lang J, Xu T, Wong F (2010) Epidemiology of mixed urinary incontinence in China. Int J Gynecol Obstet 109:55–58CrossRef
23.
Zurück zum Zitat Zhu L, Lang J, Liu C, Han S, Huang J, Li X (2009) The epidemiological study of women with urinary incontinence and risk factors for stress incontinence in China. Menopause 15:566–569CrossRef Zhu L, Lang J, Liu C, Han S, Huang J, Li X (2009) The epidemiological study of women with urinary incontinence and risk factors for stress incontinence in China. Menopause 15:566–569CrossRef
24.
Zurück zum Zitat Zhu L, Lang J, Liu C, Xu T, Liu X, Li L et al (2010) Epidemiological study of urge urinary incontinence and risk factors in China. Int Urogynecol J 21:589–593CrossRef Zhu L, Lang J, Liu C, Xu T, Liu X, Li L et al (2010) Epidemiological study of urge urinary incontinence and risk factors in China. Int Urogynecol J 21:589–593CrossRef
25.
Zurück zum Zitat El-Azab AS, Mohamed EM, Sabra HI (2007) The prevalence and risk factors of urinary incontinence and its influence on the quality of life among Egyptian women. Neurourol Urodyn 26:783–788CrossRefPubMed El-Azab AS, Mohamed EM, Sabra HI (2007) The prevalence and risk factors of urinary incontinence and its influence on the quality of life among Egyptian women. Neurourol Urodyn 26:783–788CrossRefPubMed
26.
Zurück zum Zitat Sobhgol SS, Charandabee SM (2008) Related factors of urge, stress, mixed urinary incontinence and overactive bladder in reproductive age women in Tabriz, Iran: a cross-sectional study. Int Urogynecol J Pelvic Floor Dysfunct 19:367–373CrossRefPubMed Sobhgol SS, Charandabee SM (2008) Related factors of urge, stress, mixed urinary incontinence and overactive bladder in reproductive age women in Tabriz, Iran: a cross-sectional study. Int Urogynecol J Pelvic Floor Dysfunct 19:367–373CrossRefPubMed
27.
Zurück zum Zitat Shakhatreh FM (2005) Epidemiology of urinary incontinence in Jordanian women. Saudi Med J 26:830–835PubMed Shakhatreh FM (2005) Epidemiology of urinary incontinence in Jordanian women. Saudi Med J 26:830–835PubMed
28.
Zurück zum Zitat Shakhatreh FMH, Mas'ad D (2006) Menopausal symptoms and health problems of women aged 50–65 years in Southern Jordan. Climacteric 9:305–311CrossRefPubMed Shakhatreh FMH, Mas'ad D (2006) Menopausal symptoms and health problems of women aged 50–65 years in Southern Jordan. Climacteric 9:305–311CrossRefPubMed
29.
Zurück zum Zitat Mikou F, Abbassi O, Benjelloun A, Matar N, el Mansouri A (2001) Prevalence of urinary incontinence in Moroccan women. Report of 1, 000 cases. Ann Urol (Paris) 35:280–289 Mikou F, Abbassi O, Benjelloun A, Matar N, el Mansouri A (2001) Prevalence of urinary incontinence in Moroccan women. Report of 1, 000 cases. Ann Urol (Paris) 35:280–289
30.
Zurück zum Zitat Sakondhavat C, Choosuwan C, Kaewrudee S, Soontrapa S, Louanka K (2007) Prevalence and risk factors of urinary incontinence in Khon Kaen menopausal women. J Med Assoc Thai 90:2553–2558PubMed Sakondhavat C, Choosuwan C, Kaewrudee S, Soontrapa S, Louanka K (2007) Prevalence and risk factors of urinary incontinence in Khon Kaen menopausal women. J Med Assoc Thai 90:2553–2558PubMed
31.
Zurück zum Zitat Manonai J, Poowapirom A, Kittipiboon S, Patrachai S, Udomsubpayakul U, Chittacharoen A (2006) Female urinary incontinence: a cross-sectional study from a Thai rural area. Int Urogynecol J Pelvic Floor Dysfunct 17:321–325CrossRefPubMed Manonai J, Poowapirom A, Kittipiboon S, Patrachai S, Udomsubpayakul U, Chittacharoen A (2006) Female urinary incontinence: a cross-sectional study from a Thai rural area. Int Urogynecol J Pelvic Floor Dysfunct 17:321–325CrossRefPubMed
32.
Zurück zum Zitat Manonai J, Chittacharoen A, Sarit-apirak S, Udomsubpayakul U, Khanacharoen A, Theppisai U (2004) Lower urinary tract symptoms in Thai women attending the menopause clinic: prevalence and associated factors. J Med Assoc Thai 87:1265–1269PubMed Manonai J, Chittacharoen A, Sarit-apirak S, Udomsubpayakul U, Khanacharoen A, Theppisai U (2004) Lower urinary tract symptoms in Thai women attending the menopause clinic: prevalence and associated factors. J Med Assoc Thai 87:1265–1269PubMed
33.
Zurück zum Zitat Keskes J, Khairi H, Ben Said A, Hidar M, Pigné A (1988) Stress urinary incontinence in women. Epidemiologic inquiry. Apropos of 500 cases. J Gynecol Obstet Biol Reprod (Paris) 17:453–460 Keskes J, Khairi H, Ben Said A, Hidar M, Pigné A (1988) Stress urinary incontinence in women. Epidemiologic inquiry. Apropos of 500 cases. J Gynecol Obstet Biol Reprod (Paris) 17:453–460
34.
Zurück zum Zitat Scherf C, Morison L, Fiander A, Ekpo G, Walraven G (2002) Epidemiology of pelvic organ prolapse in rural Gambia, West Africa. BJOG 109:431–436CrossRefPubMed Scherf C, Morison L, Fiander A, Ekpo G, Walraven G (2002) Epidemiology of pelvic organ prolapse in rural Gambia, West Africa. BJOG 109:431–436CrossRefPubMed
35.
Zurück zum Zitat Sadeghi-Hassanabadi A, Keshavarz H, Setoudeh-Maram SZ (1998) Prevalence of reproductive morbidity among women of the Qashaq'I tribe, Islamic Republic of Iran. East Mediterr Health J 4:312–318 Sadeghi-Hassanabadi A, Keshavarz H, Setoudeh-Maram SZ (1998) Prevalence of reproductive morbidity among women of the Qashaq'I tribe, Islamic Republic of Iran. East Mediterr Health J 4:312–318
36.
Zurück zum Zitat Al-Qutob R (2001) Menopause-associated problems: types and magnitude. A study in the Ain Al-Basha area, Jordan. J Adv Nurs 33:613–620CrossRefPubMed Al-Qutob R (2001) Menopause-associated problems: types and magnitude. A study in the Ain Al-Basha area, Jordan. J Adv Nurs 33:613–620CrossRefPubMed
37.
Zurück zum Zitat Mawajdeh SM, Al-Qutob R, Schmidt A (2003) Measuring reproductive morbidity: a community-based approach, Jordan. Health Care Women Int 24:635–649CrossRefPubMed Mawajdeh SM, Al-Qutob R, Schmidt A (2003) Measuring reproductive morbidity: a community-based approach, Jordan. Health Care Women Int 24:635–649CrossRefPubMed
38.
Zurück zum Zitat National Statistics Office (NSO) [Philippines] and Macro International Inc. (MI) (1994) National Demographic Survey 1993. NSO and MI, Calverton, Maryland National Statistics Office (NSO) [Philippines] and Macro International Inc. (MI) (1994) National Demographic Survey 1993. NSO and MI, Calverton, Maryland
39.
Zurück zum Zitat Okonkwo JE, Obionu CO, Obiechina NJ (2001) Factors contributing to urinary incontinence and pelvic prolapse in Nigeria. Int J Gynaecol Obstet 74:301–303CrossRefPubMed Okonkwo JE, Obionu CO, Obiechina NJ (2001) Factors contributing to urinary incontinence and pelvic prolapse in Nigeria. Int J Gynaecol Obstet 74:301–303CrossRefPubMed
40.
Zurück zum Zitat Okonkwo JE, Obionu CN, Okonkwo CV, Obiechina NJ (2002) Anal incontinence among Igbo (Nigerian) women. Int J Clin Pract 56:178–180PubMed Okonkwo JE, Obionu CN, Okonkwo CV, Obiechina NJ (2002) Anal incontinence among Igbo (Nigerian) women. Int J Clin Pract 56:178–180PubMed
41.
Zurück zum Zitat Ozel B, Borchelt AM, Cimino FM, Cremer M (2007) Prevalence and risk factors for pelvic floor symptoms in women in rural El Salvador. Int Urogynecol J Pelvic Floor Dysfunct 18:1065–1069CrossRefPubMed Ozel B, Borchelt AM, Cimino FM, Cremer M (2007) Prevalence and risk factors for pelvic floor symptoms in women in rural El Salvador. Int Urogynecol J Pelvic Floor Dysfunct 18:1065–1069CrossRefPubMed
42.
Zurück zum Zitat Premachandra ND, Kotalawala SW, Cooray R, Samarasekera DN (2008) Anal incontinence in the aging Sri Lankan population: the results of a pilot study. Ceylon Med J 53:154PubMed Premachandra ND, Kotalawala SW, Cooray R, Samarasekera DN (2008) Anal incontinence in the aging Sri Lankan population: the results of a pilot study. Ceylon Med J 53:154PubMed
43.
Zurück zum Zitat Bodner-Adler B, Shrivastava C, Bodner K (2007) Risk factors for uterine prolapse in Nepal. Int Urogynecol J Pelvic Floor Dysfunct 18:1343–1346CrossRefPubMed Bodner-Adler B, Shrivastava C, Bodner K (2007) Risk factors for uterine prolapse in Nepal. Int Urogynecol J Pelvic Floor Dysfunct 18:1343–1346CrossRefPubMed
44.
Zurück zum Zitat Ravindran TK, Savitri R, Bhavani A (1999) Women's experiences of utero-vaginal prolapse: a qualitative study from Tamil Nadu, India. In: Berer M, Sundari TK (eds) Safe motherhood initiatives: critical issues. Blackwell Science, Oxford, pp 166–172 Ravindran TK, Savitri R, Bhavani A (1999) Women's experiences of utero-vaginal prolapse: a qualitative study from Tamil Nadu, India. In: Berer M, Sundari TK (eds) Safe motherhood initiatives: critical issues. Blackwell Science, Oxford, pp 166–172
45.
Zurück zum Zitat Zhu L, Bian XM, Long Y, Lang JH (2008) Role of different childbirth strategies on pelvic organ prolapse and stress urinary incontinence: a prospective study. Chin Med J (Engl) 121:213–215 Zhu L, Bian XM, Long Y, Lang JH (2008) Role of different childbirth strategies on pelvic organ prolapse and stress urinary incontinence: a prospective study. Chin Med J (Engl) 121:213–215
46.
Zurück zum Zitat Lukman Y (1995) Utero-vaginal prolapse: a rural disability of the young. East Afr Med J 72:2–9PubMed Lukman Y (1995) Utero-vaginal prolapse: a rural disability of the young. East Afr Med J 72:2–9PubMed
47.
Zurück zum Zitat Komorowski L, Chen B (2006) Female urinary incontinence in China: experiences and perspectives. Health Care Women Int 27:169–181CrossRefPubMed Komorowski L, Chen B (2006) Female urinary incontinence in China: experiences and perspectives. Health Care Women Int 27:169–181CrossRefPubMed
48.
Zurück zum Zitat Fernando RJ, Thakar R, Sultan AH, Shah SM, Jones PW (2006) Effect of vaginal pessaries on symptoms associated with pelvic organ prolapse. Obstet Gynecol 108:93–99CrossRefPubMed Fernando RJ, Thakar R, Sultan AH, Shah SM, Jones PW (2006) Effect of vaginal pessaries on symptoms associated with pelvic organ prolapse. Obstet Gynecol 108:93–99CrossRefPubMed
49.
Zurück zum Zitat Cundiff GW, Weidner AC, Visco AG, Bump RC, Addison WA (2000) A survey of pessary use by members of the American Urogynecologic Society. Obstet Gynecol 95:931–935CrossRefPubMed Cundiff GW, Weidner AC, Visco AG, Bump RC, Addison WA (2000) A survey of pessary use by members of the American Urogynecologic Society. Obstet Gynecol 95:931–935CrossRefPubMed
50.
Zurück zum Zitat Richardson K, Hagen S, Glazener C, Stark D (2009) The role of nurses in the management of women with pelvic organ prolapse. Br J Nurs 18:294–300PubMed Richardson K, Hagen S, Glazener C, Stark D (2009) The role of nurses in the management of women with pelvic organ prolapse. Br J Nurs 18:294–300PubMed
51.
Zurück zum Zitat Schaaf JM, Dongol A, van der Leeuw-Harmsen (2008) Follow-up of prolapse surgery in rural Nepal. Int Urogynecol J Pelvic Floor Dysfunct 19:851–855CrossRefPubMed Schaaf JM, Dongol A, van der Leeuw-Harmsen (2008) Follow-up of prolapse surgery in rural Nepal. Int Urogynecol J Pelvic Floor Dysfunct 19:851–855CrossRefPubMed
52.
Zurück zum Zitat Bhatia MR, Yesudian CAK, Gorter A, Thankappan (2006) Demand side financing for reproductive and child health services in India. Econ Polit Wkly 41:279–284 Bhatia MR, Yesudian CAK, Gorter A, Thankappan (2006) Demand side financing for reproductive and child health services in India. Econ Polit Wkly 41:279–284
53.
Zurück zum Zitat Zurayk H, Khattab H, Younis N, Kamal O, El-Helw M (1995) Comparing women's reports with medical diagnoses of reproductive morbidity conditions in rural Egypt. Stud Fam Plann 26:14–21CrossRefPubMed Zurayk H, Khattab H, Younis N, Kamal O, El-Helw M (1995) Comparing women's reports with medical diagnoses of reproductive morbidity conditions in rural Egypt. Stud Fam Plann 26:14–21CrossRefPubMed
54.
Zurück zum Zitat Minassian VA, Drutz HP, Al-Badr A (2003) Urinary incontinence as a worldwide problem. Int J Gynaecol Obstet 82:327–338CrossRefPubMed Minassian VA, Drutz HP, Al-Badr A (2003) Urinary incontinence as a worldwide problem. Int J Gynaecol Obstet 82:327–338CrossRefPubMed
55.
Zurück zum Zitat Kenton K, Mueller ER (2006) The global burden of female pelvic floor disorders. BJU Int 98(Suppl 1):1–5CrossRefPubMed Kenton K, Mueller ER (2006) The global burden of female pelvic floor disorders. BJU Int 98(Suppl 1):1–5CrossRefPubMed
56.
Zurück zum Zitat Haylen BT, de Ridder D, Freeman RM, Swift SE, Berghmans B, Lee J, Monga A, Petri E et al (2010) International Urogynecological Association; International Continence Society. An International Urogynecological Association (IUGA)/International Continence Society (ICS) joint report on the terminology for female pelvic floor dysfunction. Neurourol Urodyn 29:4–20PubMed Haylen BT, de Ridder D, Freeman RM, Swift SE, Berghmans B, Lee J, Monga A, Petri E et al (2010) International Urogynecological Association; International Continence Society. An International Urogynecological Association (IUGA)/International Continence Society (ICS) joint report on the terminology for female pelvic floor dysfunction. Neurourol Urodyn 29:4–20PubMed
57.
Zurück zum Zitat Treszezamsky AD, Rascoff L, Shahryarinejad A, Vardy MD (2010) Use of pelvic organ prolapse staging systems in published articles of selected specialized journals. Int Urogynecol J Pelvic Floor Dysfunct 21:359–363CrossRefPubMed Treszezamsky AD, Rascoff L, Shahryarinejad A, Vardy MD (2010) Use of pelvic organ prolapse staging systems in published articles of selected specialized journals. Int Urogynecol J Pelvic Floor Dysfunct 21:359–363CrossRefPubMed
58.
Zurück zum Zitat Rizk DE (2009) Minimizing the risk of childbirth-induced pelvic floor dysfunctions in the developing word: “preventive” urogynecology. Int Urogynecol J Pelvic Floor Dysfunct 20:615–617CrossRefPubMed Rizk DE (2009) Minimizing the risk of childbirth-induced pelvic floor dysfunctions in the developing word: “preventive” urogynecology. Int Urogynecol J Pelvic Floor Dysfunct 20:615–617CrossRefPubMed
Metadaten
Titel
Pelvic organ prolapse and incontinence in developing countries: review of prevalence and risk factors
verfasst von
Godfrey J. A. Walker
Prasanna Gunasekera
Publikationsdatum
01.02.2011
Verlag
Springer-Verlag
Erschienen in
International Urogynecology Journal / Ausgabe 2/2011
Print ISSN: 0937-3462
Elektronische ISSN: 1433-3023
DOI
https://doi.org/10.1007/s00192-010-1215-0

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