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Erschienen in: International Urogynecology Journal 9/2020

18.12.2019 | Original Article

Pelvic organ prolapse in Northwest Ethiopia: a population-based study

verfasst von: Tadesse Belayneh, Abebaw Gebeyehu, Mulat Adefris, Guri Rortveit, Tadesse Awoke

Erschienen in: International Urogynecology Journal | Ausgabe 9/2020

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Abstract

Introduction and hypothesis

Epidemiological studies aimed at pelvic organ prolapse and its risk factors can help to identify women at a higher risk and therefore promote prevention strategies. We aimed to assess the prevalence of and factors associated with symptomatic prolapse.

Methods

A community-based study was conducted in Dabat district, Northwest Ethiopia. Initially, women were interviewed on their prolapse symptoms using validated questionnaires at their home. Subsequently, they were invited for pelvic examination and examined by gynecologists using the simplified pelvic organ prolapse quantification. Symptomatic prolapse was assessed by pelvic examination findings and patient-reported symptoms. Multivariate logistic regression was used to assess the factors associated with symptomatic prolapse.

Results

A total of 880 women were interviewed and invited for pelvic examination, of whom 824 (93.6%) showed up for examination. Of the 824 women examined, 464 (56.3%) had POP stages II–IV and 145 (17.6%) had POP stages III–IV. The overall prevalence of symptomatic prolapse was 46.7% (217 out of 464). Of these, 41.0%, 42.8%, and 3.2% accounted for stage II, III, and IV respectively. Increasing age, multiparity, and heavy lifting/carrying significantly increased the odds of developing symptomatic prolapse.

Conclusions

Symptomatic prolapse affects a substantial proportion of women in the study area and increased with age. Multiparity and carrying heavy objects are associated with prolapse, all of which have the potential to be modified. More attention is needed to improve prevention, diagnosis, and treatment services to mitigate the health burden of these at-risk women.
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Metadaten
Titel
Pelvic organ prolapse in Northwest Ethiopia: a population-based study
verfasst von
Tadesse Belayneh
Abebaw Gebeyehu
Mulat Adefris
Guri Rortveit
Tadesse Awoke
Publikationsdatum
18.12.2019
Verlag
Springer International Publishing
Erschienen in
International Urogynecology Journal / Ausgabe 9/2020
Print ISSN: 0937-3462
Elektronische ISSN: 1433-3023
DOI
https://doi.org/10.1007/s00192-019-04196-1

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