Factors contributing to urinary incontinence and pelvic prolapse in Nigeria

Okonkwo, J. E. N.; Cn, Obionu; Obiechina, Nja

doi:10.1016/s0020-7292(01)00378-2

Cited by 10 publications

(12 citation statements)

References 2 publications

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“…It has been said that pelvic organ prolapse not only can cause some bothering symptoms but it can also affect quality of life and sex. 25 The pelvic inflammatory disease (PID) also showed significant relation to dyspareunia in this study. PID also can be associated with dyspareunia.…”

Section: 3mentioning

confidence: 50%

Rate and related factors of dyspareunia in reproductive age women: a cross-sectional study

Sobhgol

Charndabee

2006

Int J Impot Res

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This study was conducted to determine rate and related factors of dyspareunia. Three hundred and nineteen women aged 15-49 years were surveyed. A questionnaire was used to collect data. Pelvic examinations and connective tissue disorders were investigated. At whole 54.5% had dyspareunia. The means of gravidity, parity, delivery without episiotomy and vaginal length were more in women with dyspareunia. Heavy lifting, chronic pulmonary obstructive disease, arthritis, constipation, pelvic organ prolapse and pelvic muscle strength had significant relation to dyspareunia. The prevalence of urinary infection, stress incontinence, urgency, positional changes to start or complete voiding, fecal straining, low back pain, digital manipulation of vagina, perineum or anus to complete defecation, feeling genital pain or pressure and sensation of a mass in vagina was more in women with dyspareunia. These factors can be considered in the evaluation of women, to prevent those at risk and also have better management of this disorder.

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Section: 3mentioning

confidence: 50%

Rate and related factors of dyspareunia in reproductive age women: a cross-sectional study

Sobhgol

Charndabee

2006

Int J Impot Res

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“…In the United States, different types of POP, such as uterine prolapse, cystocele, and rectocele, are prevalent 7. Due to the multitude of factors associated with socioeconomic and institutional factors, the prevalence of POP has been significant in developing countries 4,8–10…”

Section: Introductionmentioning

confidence: 99%

“…Similarly, studies in Nigeria10 and Nepal11 showed that different forms of POP have been affecting women’s health and quality of life alarmingly 12. Women with POP have been suffering from significant social problems such as sexual relationships problems, functional impairment, depression, and poor quality of life 13–17.…”

Section: Introductionmentioning

confidence: 99%

Determinants of pelvic organ prolapse among gynecologic patients in Bahir Dar, North West Ethiopia: a case–control study

Asresie¹,

Admassu²,

Setegn³

2016

IJWH

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IntroductionPelvic organ prolapse (POP) is a significant public health problem in developing countries including Ethiopia. However, less has been documented on risk factors of POP. Therefore, the aim of this study was to identify the determinants factors of POP.MethodsAn unmatched case–control study was conducted among gynecologic patients in Bahir Dar city, North West Ethiopia, from July to October 2014. A total of 370 women (selected from outpatient departments) were included in the study. Cases (clients with stage III or IV POP) and controls (who declared free of any stages of POP) were identified by physicians using the Pelvic Organ Prolapse Quantitative Examination tool. Data analysis was carried out by SPSS version 20.0. Descriptive, bivariate, and multivariable logistic regression analyses were performed. Statistical differences were considered at P<0.05, and the strength of association was assessed by odds ratio (OR) and respective confidence intervals (CIs).ResultsThis study revealed that determinants such as age of women (>40 years) (adjusted OR [AOR] =3.0 [95% CI: 1.59–5.89]), sphincter damage (AOR =8.1 [95% CI: 1.67–39.7]), family history of POP (AOR =4.9 [95% CI: 1.94–12.63]), parity (≥4) (AOR =4.5 [95% CI: 2.26–9.10]), nonattendance of formal education (AOR =4.3 [95% CI: 1.25–14.8]), carrying heavy objects (AOR =3.1 [95% CI: 1.56–6.30]), body mass index (BMI) <18.5 kg/m2 (AOR =3.1 [95% CI: 1.22–7.82]), and delivery assisted by nonhealth professionals (AOR =2.6 [95% CI: 1.24–5.56]) were significantly associated with POP.ConclusionIn our study, sphincter damage, family history of POP, being uneducated, having ≥4 vaginal deliveries, carrying heavy objects, BMI <18.5 kg/m2, age ≥40 years, and having delivery assisted by nonhealth professional were the independent determinants of POP. Therefore, skilled delivery, further promoting family planning and girls’ education, early pelvic floor assessment, and counseling on avoidance of carrying heavy objects are recommended.

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“…Relaxation of pelvic floor muscles is one of the physical problems [7] that leads to pelvic organ prolapse, dysfunction of pelvic organs, dyspareunia, low back pain, sexual dysfunction and lack of sexual satisfaction in couples [8].…”

Section: Introductionmentioning

confidence: 99%

The Effect of Extract of Oak Gall for Vaginal Tightening and Rejuvenation in Women with Vaginal Relaxation

Lorzadeh¹,

Sepavand²,

Soleimaninezhad³

et al. 2016

OJOG

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Background and Objectives: The Quercus (oak) fruit and especially the internal layer of the fruit (jaft) is rich in tannin (polyphenolic compound) and due to its astringent effects on the smooth muscles, we decided to evaluate this effect of extract of Oak Gall for vaginal tightening and rejuvenation in women with vaginal relaxation. Methods: This double blind clinical trial was performed on women with vaginal relaxation at Asali Hospital in Khorramabad from May to October 2012 and was candidate for colporrhaphy due to different types of pelvic organ prolapse. Sampling method was done on nonprobability basis according to the number of patients referred to clinic. Using blocked random allocation method, the participants were divided into 4 groups of 30 patients (three intervention group and one control group) who were age-matched. Then, an extract of Oak Gall in specified concentrations (10-15 and 20 grams in 1.5%, 2% and 2.5% jells) were administered to each intervention group. Finally, the obtained data were analyzed with Chi-square, Pearson, Fisher's exact test and ANOVA using SPSS software version 19. Results: A total of 120 patients entered into the study with mean age of 36 ± 5.4 years. The evaluation of mean scores showed that sense of sexual satisfaction and orgasm, sense of vaginal tightness during intercourse, sense of vaginal lubrication and loss of vaginal dryness was significantly improved in patients in intervention group. Also other parameters including urinary incontinence, sense of vaginal mass exit, lack of orgasm, sense of air outflow during intercourse, sense of calmness after sex and loss of libido were significantly reduced in the group of patients who received jell 2.5% compared to other groups (P < 0.0001). Conclusion: Our findings show that using topical jell of Oak Gall not only is associated with contracting effects, but also improves vaginal lubrication and reduces its dryness. Regarding the lack of previous studies in this field and considering some limitations of this study, we suggest that Oak Gall to be used for management of women with vaginal relaxation.

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Factors contributing to urinary incontinence and pelvic prolapse in Nigeria

Cited by 10 publications

References 2 publications

Rate and related factors of dyspareunia in reproductive age women: a cross-sectional study

Rate and related factors of dyspareunia in reproductive age women: a cross-sectional study

Determinants of pelvic organ prolapse among gynecologic patients in Bahir Dar, North West Ethiopia: a case–control study

The Effect of Extract of Oak Gall for Vaginal Tightening and Rejuvenation in Women with Vaginal Relaxation

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Factors contributing to urinary incontinence and pelvic prolapse in Nigeria

Cited by 10 publications

References 2 publications

Rate and related factors of dyspareunia in reproductive age women: a cross-sectional study

Rate and related factors of dyspareunia in reproductive age women: a cross-sectional study

Determinants of pelvic organ prolapse among gynecologic patients in Bahir Dar, North West Ethiopia: a case&ndash;control study

The Effect of Extract of Oak Gall for Vaginal Tightening and Rejuvenation in Women with Vaginal Relaxation

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Determinants of pelvic organ prolapse among gynecologic patients in Bahir Dar, North West Ethiopia: a case–control study