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Erschienen in: International Urogynecology Journal 9/2020

07.12.2019 | Original Article

Prevalence of symptomatic urinary incontinence and pelvic organ prolapse among women in rural Nepal

verfasst von: Chi Chiung Grace Chen, Andrea M. Avondstondt, Subarna K. Khatry, Meeta Singh, Elizabeth M. Klasen, Steven C. LeClerq, Joanne Katz, James M. Tielsch, Luke C. Mullany

Erschienen in: International Urogynecology Journal | Ausgabe 9/2020

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Abstract

Introduction and hypothesis

Although pelvic floor disorders (PFDs) are a significant public health issue in higher income countries, less is known about these disorders and associated risk factors in low income countries. We aimed to determine prevalence and associated risk factors for stress urinary incontinence (SUI), urge urinary incontinence (UUI), and pelvic organ prolapse (POP) in reproductive age women in Sarlahi District in rural Nepal.

Methods

We conducted a community-based cross-sectional survey of parous, reproductive age women in rural Nepal and screened for pelvic floor disorders using validated screening questions for PFDs. Overall frequency of self-reported symptoms for SUI, UUI, and POP was estimated and compared across demographic and pregnancy history information.

Results

Of 14,469 women available for analysis, the mean (SD, range) age was 33.5 (8.2, 13–52) years, and median (range) number of pregnancies was 4 (1–15). The prevalence of SUI was 24.1% (95% CI: 23.3–24.8), of UUI was 13.5% (95% CI: 13.0–14.1), and of POP was 8.0% (95% CI: 7.5–8.4). Bivariate analysis identified the risk of PFD increased incrementally with age and number of vaginal deliveries; these covariates were highly correlated. Multivariable logistic regression revealed age, vaginal deliveries, and previous pelvic surgeries were independently associated with PFD.

Conclusions

PFDs are common in a community of parous, reproductive age women in rural Nepal. Risk factors for these conditions are similar to risk factors found in higher income countries.
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Metadaten
Titel
Prevalence of symptomatic urinary incontinence and pelvic organ prolapse among women in rural Nepal
verfasst von
Chi Chiung Grace Chen
Andrea M. Avondstondt
Subarna K. Khatry
Meeta Singh
Elizabeth M. Klasen
Steven C. LeClerq
Joanne Katz
James M. Tielsch
Luke C. Mullany
Publikationsdatum
07.12.2019
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/s00192-019-04129-y

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