Skip to main content
main-content
Erschienen in: International Urogynecology Journal 5/2017

20.10.2016 | Original Article

The relationship between age and pelvic organ prolapse bother

verfasst von: Casey L. Kinman, Courtney A. Lemieux, Anubhav Agrawal, Jeremy T. Gaskins, Kate V. Meriwether, Sean L. Francis

Erschienen in: International Urogynecology Journal | Ausgabe 5/2017

Einloggen, um Zugang zu erhalten

Abstract

Introduction and hypothesis

A variety of factors affect the amount of bother experienced by different women with equivalent pelvic organ prolapse (POP). The goal of this study was to describe the relationship between age and bother experienced from objectively equivalent stages of POP.

Methods

Records of all patients presenting to a pelvic floor subspecialty clinic between January 2014 and March 2015 were reviewed. Women with POP stage ≥ 2 were included. The level of bother experienced from prolapse symptoms was defined as the score on the validated Pelvic Organ Prolapse Distress Inventory (POPDI). Multiple linear regression was performed to examine the relationship between age and the POPDI score. A sample size of 150 patients was determined to have 80 % power to detect an effect of age equivalent to an increase in R2 of 0.05.

Results

A total of 229 charts were reviewed and 165 patients were included in the final analysis. The effect of age on prolapse bother in the entire population was quadratic (p = 0.0497). Women at both ends of the spectrum were less bothered by prolapse, whereas women in the 6th and 7th decades of life demonstrated the highest level of bother, irrespective of stage. This same quadratic relationship remained in women with stage 2 prolapse (p = 0.019).

Conclusions

Women in the 6th and 7th decades of life experience higher levels of bother from POP than older or younger women with the same stage of prolapse. This suggests that women in these decades of life might be at a higher risk for impairment of quality of life from POP.
Literatur
1.
Zurück zum Zitat Barber M, Maher C. Epidemiology and outcome assessment of pelvic organ prolapse. Int Urogynecol J. 2013;24(11):1783–90. CrossRefPubMed Barber M, Maher C. Epidemiology and outcome assessment of pelvic organ prolapse. Int Urogynecol J. 2013;24(11):1783–90. CrossRefPubMed
2.
Zurück zum Zitat Ghetti C, Skoczylas LC. The emotional burden of pelvic organ prolapse in women seeking treatment: a qualitative study. Female Pelvic Med Reconstr Surg. 2015;21(6):332–8. CrossRefPubMedPubMedCentral Ghetti C, Skoczylas LC. The emotional burden of pelvic organ prolapse in women seeking treatment: a qualitative study. Female Pelvic Med Reconstr Surg. 2015;21(6):332–8. CrossRefPubMedPubMedCentral
3.
Zurück zum Zitat Jelovsek JE, Barber MD. Women seeking treatment for advanced pelvic organ prolapse have decreased body image and quality of life. Am J Obstet Gynecol. 2006;194:1455–61. CrossRefPubMed Jelovsek JE, Barber MD. Women seeking treatment for advanced pelvic organ prolapse have decreased body image and quality of life. Am J Obstet Gynecol. 2006;194:1455–61. CrossRefPubMed
4.
Zurück zum Zitat Boyles S, Weber A, Meyn L. Procedures for pelvic organ prolapse in the United States, 1979–1997. Am J Obstet Gynecol. 2003;188(1):108–15. CrossRefPubMed Boyles S, Weber A, Meyn L. Procedures for pelvic organ prolapse in the United States, 1979–1997. Am J Obstet Gynecol. 2003;188(1):108–15. CrossRefPubMed
5.
Zurück zum Zitat Olsen AL, Smith VJ, Bergstrom JO, Colling JC, Clark AL. Epidemiology of surgically managed pelvic organ prolapse and urinary incontinence. Obstet Gynecol. 1997;89(4):501–6. CrossRefPubMed Olsen AL, Smith VJ, Bergstrom JO, Colling JC, Clark AL. Epidemiology of surgically managed pelvic organ prolapse and urinary incontinence. Obstet Gynecol. 1997;89(4):501–6. CrossRefPubMed
6.
Zurück zum Zitat Sullivan SA, Davidson E, Bretschneider EC, Liberty AL, Geller EJ. Patient characteristics associated with treatment choice for pelvic organ prolapse and urinary incontinence. Int Urogynecol J. 2015;27:811–6. CrossRefPubMed Sullivan SA, Davidson E, Bretschneider EC, Liberty AL, Geller EJ. Patient characteristics associated with treatment choice for pelvic organ prolapse and urinary incontinence. Int Urogynecol J. 2015;27:811–6. CrossRefPubMed
7.
Zurück zum Zitat Dunivan G, Cichowski S, Komesu Y, Fairchild P, Anger J, Rogers R. Ethnicity and variations of pelvic organ prolapse bother. Int Urogynecol J. 2013;25(1):53–9. CrossRefPubMedPubMedCentral Dunivan G, Cichowski S, Komesu Y, Fairchild P, Anger J, Rogers R. Ethnicity and variations of pelvic organ prolapse bother. Int Urogynecol J. 2013;25(1):53–9. CrossRefPubMedPubMedCentral
8.
Zurück zum Zitat Barber MD, Walters MD, Bump RC. Short forms of two condition-specific quality-of-life questionnaires for women with pelvic floor disorders (PFDI-20 and PFIQ-7). Am J Obstet Gynecol. 2005;193(1):103–13. CrossRefPubMed Barber MD, Walters MD, Bump RC. Short forms of two condition-specific quality-of-life questionnaires for women with pelvic floor disorders (PFDI-20 and PFIQ-7). Am J Obstet Gynecol. 2005;193(1):103–13. CrossRefPubMed
9.
Zurück zum Zitat Barber MD, Kuchibhatla MN, Pieper CF, Bump RC. Psychometric evaluation of 2 comprehensive condition-specific quality of life instruments for women with pelvic floor disorders. Am J Obstet Gynecol. 2001;185(6):1388–95. CrossRefPubMed Barber MD, Kuchibhatla MN, Pieper CF, Bump RC. Psychometric evaluation of 2 comprehensive condition-specific quality of life instruments for women with pelvic floor disorders. Am J Obstet Gynecol. 2001;185(6):1388–95. CrossRefPubMed
10.
Zurück zum Zitat Agresti A. Categorical data analysis. 2nd ed. New York: Wiley; 2002. CrossRef Agresti A. Categorical data analysis. 2nd ed. New York: Wiley; 2002. CrossRef
11.
Zurück zum Zitat Levine KB, Williams RE, Hartmann KE. Vulvovaginal atrophy is strongly associated with female sexual dysfunction among sexually active postmenopausal women. Menopause. 2008;15(4 Pt 1):661–6. CrossRefPubMed Levine KB, Williams RE, Hartmann KE. Vulvovaginal atrophy is strongly associated with female sexual dysfunction among sexually active postmenopausal women. Menopause. 2008;15(4 Pt 1):661–6. CrossRefPubMed
12.
Zurück zum Zitat Swift SE, Tate SB, Nicholas J. Correlation of symptoms with degree of pelvic organ support in a general population of women: what is pelvic organ prolapse? Am J Obstet Gynecol. 2003;189:372–7. CrossRefPubMed Swift SE, Tate SB, Nicholas J. Correlation of symptoms with degree of pelvic organ support in a general population of women: what is pelvic organ prolapse? Am J Obstet Gynecol. 2003;189:372–7. CrossRefPubMed
13.
Zurück zum Zitat Yong HH, Gibson SJ, De L, Horne DJ, Helme RD. Development of a pain attitudes questionnaire to assess stoicism and cautiousness for possible age differences. J Gerontol B Psychol Sci Soc Sci. 2001;56(5):279–84. CrossRef Yong HH, Gibson SJ, De L, Horne DJ, Helme RD. Development of a pain attitudes questionnaire to assess stoicism and cautiousness for possible age differences. J Gerontol B Psychol Sci Soc Sci. 2001;56(5):279–84. CrossRef
Metadaten
Titel
The relationship between age and pelvic organ prolapse bother
verfasst von
Casey L. Kinman
Courtney A. Lemieux
Anubhav Agrawal
Jeremy T. Gaskins
Kate V. Meriwether
Sean L. Francis
Publikationsdatum
20.10.2016
Verlag
Springer London
Erschienen in
International Urogynecology Journal / Ausgabe 5/2017
Print ISSN: 0937-3462
Elektronische ISSN: 1433-3023
DOI
https://doi.org/10.1007/s00192-016-3175-5

Weitere Artikel der Ausgabe 5/2017

International Urogynecology Journal 5/2017 Zur Ausgabe

Neu im Fachgebiet Gynäkologie und Geburtshilfe

Newsletter

Bestellen Sie unseren kostenlosen Newsletter Update Gynäkologie und bleiben Sie gut informiert – ganz bequem per eMail.