POP was strongly associated with obstructive bowel disorders. Therefore, preventive strategies should be developed.
In selected populations, pelvic organ prolapse (POP) was associated with bladder/bowel symptoms, but data on the general female population are lacking. Our aim was to obtain normative data on the prevalence of POP and pelvic floor dysfunction (PFD) symptoms and signs and to identify associations.
Validated questionnaires on POP and PFD (urogenital distress inventory, (UDI) and defaecation distress inventory (DDI)) were sent to a general population of 2,979 women (aged 45–85 years). Data were analysed using the Kruskal–Wallis test, chi square test and Spearman’s rank correlation coefficient.
Response rate was 62.7%. Associations between POP stage and parity (0.002) and vaginal bulging (<0.001) are significant. Anatomical locations of POP and PFD symptoms correlated significantly with incontinence of flatus, feeling anal prolapse, manual evacuation of stool, vaginal bulging, constipation and pain during faecal urge (p ≤ 0.005).
Strategies should be developed to alleviate obstructive bowel disorders associated with POP.
Richter HE, Nygaard I, Burgio KL, Handa VL, Fitzgerald MP, Wren P et al (2007) Lower urinary tract symptoms, quality of life and pelvic organ prolapse: irritative bladder and obstructive voiding symptoms in women planning to undergo abdominal sacrocolpopexy for advanced pelvic organ prolapse. J Urol 178:965–969 discussion 969 PubMedCrossRef
Handa VL, Cundiff G, Chang HH, Helzlouer KJ (2008) Female sexual function and pelvic floor disorders. Obstet Gynecol 111:1045–1052 PubMed
Rogers GR, Villarreal A, Kammerer-Doak D, Qualls C (2001) Sexual function in women with and without urinary incontinence and/or pelvic organ prolapse. Int Urogynecol J Pelvic Floor Dysfunction 12:361–365 CrossRef
Maclennan AH, Taylor AW, Wilson DH, Wilson D (2000) The prevalence of pelvic floor disorders and their relationship to gender, age, parity and mode of delivery. Bjog 107:1460–1470 PubMed
Swithinbank LV, Donovan JL, Du Heaume JC, Rogers CA, James MC, Yang Q et al (1999) Urinary symptoms and incontinence in women: relationships between occurrence, age, and perceived impact. Br J Gen Pract 49:897–900 PubMed
Burrows LJ, Meyn LA, Walters MD, Weber AM (2004) Pelvic symptoms in women with pelvic organ prolapse. Obstet Gynecol 104:982–988 PubMed
Bradley CS, Zimmerman MB, Wang Q, Nygaard IE (2008) Vaginal descent and pelvic floor symptoms in postmenopausal women: a longitudinal study. Obstet Gynecol 111:1148–1153 PubMed
Van Der Vaart CH, De Leeuw JR, Roovers JP, Heintz AP (2002) [The influence of urinary incontinence on quality of life of community-dwelling, 45–70 year old Dutch women] De invloed van urine-incontinentie op de kwaliteit van leven bij thuiswonende Nederlandse vrouwen van 45–70 jaar. Ned Tijdschr Geneeskd 144:894–7
Swift S (2002) Current opinion on the classification and definition of genital tract prolapse. Curr Opin Obstet Gynecol Oct 14(5):503–507 CrossRef
Khullar V, Damiano R, Toozs-Hobson P, Cardozo L (1998) Prevalence of faecal incontinence among women with urinary incontinence. Br J Obstet Gynaecol 105:1211–1213 PubMed
Digesu GA, Chaliha C, Salvatore S, Hutchings A, Khullar V (2005) The relationship of vaginal prolapse severity to symptoms and quality of life. Bjog 112:971–976 PubMed
Nygaard I, Bradley C, Brandt D (2004) Pelvic organ prolapse in older women: prevalence and risk factors. Obstet Gynecol 104:489–497 PubMed
O'Boyle AL, Woodman PJ, O'Boyle JD, Davis GD, Swift SE (2002) Pelvic organ support in nulliparous pregnant and nonpregnant women: a case control study. Am J Obstet Gynecol 187:199–102 CrossRef
Mant J, Painter R, Vessey M (1997) Epidemiology of genital prolapse: observations from the Oxford Family Planning Association Study. Br J Obstet Gynaecol 104:579–585 PubMed
- The prevalence of pelvic organ prolapse symptoms and signs and their relation with bladder and bowel disorders in a general female population
Marijke C. Ph. Slieker-ten Hove
Annelies L. Pool-Goudzwaard
Marinus J. C. Eijkemans
Regine P. M. Steegers-Theunissen
Curt W. Burger
Mark E. Vierhout
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