Fatores de risco para o prolapso genital em uma população brasileira

Rodrigues, A. N.; Oliveira, Letícia Maria de; Martins, Karina de Falco; Roy, Carlos Antônio Del; Sartori, Marair Grácio Ferreira; Girão, Manoel Joâo Batista Castello; Castro, Rodrigo de Aquino

doi:10.1590/s0100-72032009000100004

Cited by 13 publications

(15 citation statements)

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“…[44][45][46][47] Genital dystopia is characterized by herniation of the pelvic and/or intraperitoneal content into the vaginal canal. 48 It is a common injury in older multiparous women. It occurs due to relaxation of pelvic floor structures caused either by estrogen deficiency or aging, and results in the inability to maintain the pelvic organs in their normal position.…”

Section: Discussionmentioning

confidence: 99%

Prevalence and factors associated with urinary incontinence in climacteric

Dellú

Schmitt

Cardoso

et al. 2016

Rev. Assoc. Med. Bras.

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Objective: To estimate the prevalence and identify associated factors to urinary incontinence (UI) in climacteric women. Method: In a cross-sectional study with a stratified random sample, 1,200 women aged between 35 and 72 years were studied, enrolled in the Family Health Strategy in the city of Pindamonhangaba, São Paulo. Urinary incontinence was investigated using the International Consultation of Incontinence Questionnaire -Short Form, while associated factors were assessed based on a self-reported questionnaire with socio-demographic, obstetric and gynecological history, morbidities and drug use. The prevalence of urinary incontinence was estimated with a 95% confidence interval (95CI) and the associated factors were identified through multiple logistic regression model performed using Stata software, version 11.0. Results: Women had a mean age of 51.9 years, most were in menopause (59.4%), married (87.5%), Catholic (48.9%), and declared themselves black or brown (47.2%). The mean age of menopause of women with UI was 47.3 years. The prevalence of UI was 20.4% (95CI: 17.8-23.1%). The factors associated with UI were urinary loss during pregnancy (p=0.000) and after delivery (p=0.000), genital prolapse (p=0.000), stress (p=0.001), depression (p=0.002), and obesity (p=0.006). Conclusion: The prevalence of UI was lower but similar to that found in most similar studies. Factors associated with the genesis of UI were urinary loss during pregnancy and after delivery, genital prolapse and obesity.

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Section: Discussionmentioning

confidence: 99%

Prevalence and factors associated with urinary incontinence in climacteric

Dellú

Schmitt

Cardoso

et al. 2016

Rev. Assoc. Med. Bras.

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“…The definition of POP varied between studies (Tables 1 and 2); four studies used the Pelvic Organ Prolapse Quantification (POP-Q) system of which two defined POP as POP-Q stage ≥II [21, 27] and one as POP-Q stage III/IV [8]. One study provided information on all different POP-Q stages [31].…”

Section: Resultsmentioning

confidence: 99%

“…The definition of family history was not homogeneous throughout the studies either; two studies included both mother and sisters in the family history [27, 33], one study included mother and grandmothers [21], one study mother, grandmothers and sisters [29], two studies only the mother [4, 7] and two studies all first-degree family members [8, 30]. …”

Section: Resultsmentioning

confidence: 99%

“…Some however chose more strict criteria, e.g. only included women with POP-Q stage III or IV urogenital prolapse in the case group and women with POP-Q stage 0 or I in the control group [8]. It seems plausible that by applying more strict criteria, the difference in prevalence of positive family history between groups would be more pronounced.…”

Section: Discussionmentioning

confidence: 99%

“…The aetiology of POP is considered to be multifactorial. Research groups investigated a large variety of risk factors for POP, such as parity [2, 4–11], body mass index (BMI) [2, 4, 5, 7, 8, 10–13], menopausal state [4, 7–10, 12, 14] and previous hysterectomy [2, 9, 11, 13] with often conflicting results. One of the reasons for these conflicting results might be the fact that not all women are equally susceptible to POP.…”

Section: Introductionmentioning

confidence: 99%

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A systematic review of clinical studies on hereditary factors in pelvic organ prolapse

et al. 2012

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Introduction and hypothesis There is growing evidence that pelvic organ prolapse (POP) is at least partly caused by underlying hereditary risk factors. The aim of our study was to provide a systematic literature review and meta-analysis of clinical studies on family history of POP as a risk factor for POP in individual women. Methods The databases PubMed and Embase were searched. Clinical studies reporting on family history of POP in relation to POP in individual women were included. Results Sixteen studies were included, of which eight enabled us to calculate a pooled odds ratio (OR). The pooled OR of POP in case of a positive family history of POP was 2.58 (95 % confidence interval 2.12–3.15). Conclusions Women with POP are substantially more likely to have family members with the same condition compared to women without POP. This strengthens the hypothesis that genetic predisposition plays an important role in the development of POP.

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