Pelvic Organ Prolapse

Dunivan, Gena C.; Anger, Jennifer T.; Alas, Alexandriah; Wieslander, Cecilia K.; Sevilla, Claudia; Chu, Stephanie; Maliski, Sally L.; Barrera, Biatris; Eiber, Karyn; Rogers, Rebecca G.

doi:10.1097/spv.0000000000000077

Cited by 43 publications

(24 citation statements)

References 15 publications

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“…Women feel shame and are embarrassed about their PFD and suffer in silence. Creating awareness will help women to discuss PFD with their partners and care providers [ 37 ]. Disclosing their condition to others may help them to get advice about treatment.…”

Section: Discussionmentioning

confidence: 99%

“…However, we have not done pelvic examinations, since that would be unacceptable during a household survey, and it is possible that mild cases have been missed due to under reporting [ 5 ]. In addition, women may have under reported symptoms due to social stigma and shame [ 18 , 37 ]. Thus, the prevalence of PFD reported in this study could be an underestimate of the true magnitude.…”

Section: Discussionmentioning

confidence: 99%

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One in five women suffer from pelvic floor disorders in Kersa district Eastern Ethiopia: a community-based study

et al. 2018

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BackgroundHundreds of millions of women suffer from pelvic floor disorders globally, often in silence. Women in developing countries do not disclose their problems due to associated social stigma or lack of access to services. Thus, the extent of the problem remains largely unknown. This study was conducted to assess the magnitude of pelvic floor disorders in Kersa district Eastern Ethiopia.MethodWe conducted a community-based cross-sectional study among ever married women who reside in Kersa district, Eastern Ethiopia. The study subjects were selected through stratified multistage probability sampling. The data were collected using a structured questionnaire through face-to-face interviews. The prevalence of various pelvic floor disorders are presented along with the 95% Confidence Intervals (CI).ResultsA total of 3432 women participated in the study, of which 704 (20.5%; 95% CI; 19.2, 21.8) reported at least one type of pelvic floor disorder and 349 (49.6%; 95% CI: 46.0, 53.0) reported two or more pelvic floor disorders. The most common pelvic floor disorders included an over active bladder (15.5%; 95% CI: 14.4, 16.8), pelvic organ prolapse (9.5%; 95% CI: 8.5,10.4), stress urinary incontinence (8.3%; 95% CI: 7.4, 9.2) and anal incontinence (1.9%; 95% CI: 1.5, 2.4). More than two-thirds of the women with pelvic floor disorders (68.0%; 95% CI:64.4, 71.3) reported having severe distress but had never sought health care.ConclusionsThe magnitude of the health problem and the low level of health seeking behavior indicates the silent suffering of many women in the study area. Extrapolating these figure to national statistics would indicate the staggering number of women suffering from pelvic floor disorders in the country. This calls for urgent action to improve prevention, diagnosis and treatment services to mitigate the suffering of women from pelvic floor disorders.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

One in five women suffer from pelvic floor disorders in Kersa district Eastern Ethiopia: a community-based study

et al. 2018

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“…Taking into account the reliable scientific data that underlines that POP exerts significant negative impact on the subjective well-being of affected individuals, this assessment should become an integral part of the therapeutic process of women before and after surgical repair of POP in order to ensure a more adequate physical and functional rehabilitation [ 26 , 27 ].…”

Section: Discussionmentioning

confidence: 99%

The Influence of Vaginal Native Tissue Repair (VNTR) on Various Aspects of Quality of Life in Women with Symptomatic Pelvic Organ Prolapse—A Prospective Cohort Study

Rechberger

Skorupska

Rechberger

et al. 2020

JCM

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Pelvic organ prolapse (POP) and the associated functional disorders are a major epidemiological problem that compromises the quality of life (QoL). The aim of this study was to assess the impact of lower urinary tract symptoms (LUTS) related to POP and vaginal native tissue repair (VNTR) on QoL. Two hundred patients with symptomatic POP were stratified into four groups according to the dominant storage phase function disorders: Urgency; stress urinary incontinence (SUI); mixed urinary incontinence (MUI), and without clinically significant symptoms from lower urinary tract (LUT). They underwent VNTR from January 2018 to February 2019. After 12 months, the QoL was assessed by the Prolapse Quality of Life (P-QoL) and visual analogue scale (VAS) questionnaires. The data were analyzed with Statistica package version 12.0 (StatSoft, Krakow, Poland), using the Kalmogorow–Smirnoff, Shapiro–Wilk W and the one-way analysis of variance with post hoc Tukey tests. The results of P-QoL showed significant improvement (p < 0.05) in all the study groups in most domains assessed before surgery and 12 months after surgery. Significant improvements in all the symptoms assessed by the VAS scale results were found in groups Urgency and MUI. The LUTS questionnaire revealed significant improvement in all voiding and post voiding symptoms in these groups. VNTR effectively eliminated LUTS and significantly improved the patients’ QoL associated with POP.

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“…Further studies are needed to better understand patient distress associated with the use of interpreters as well as to help improve communication with Spanish-speaking women, especially when the condition is one associated with shame and embarrassment. 16 …”

Section: Discussionmentioning

confidence: 99%

“…Full details of standardized questions are previously reported. 16 Focus group discussions were deidentified, recorded, and transcribed verbatim. Spanish focus groups were transcribed and translated into English by a qualified translator.…”

Section: Methodsmentioning

confidence: 99%

Health Care Disparities Among English-Speaking and Spanish-Speaking Women With Pelvic Organ Prolapse at Public and Private Hospitals: What Are the Barriers?

Alas¹,

Dunivan²,

Wieslander³

et al. 2016

Female Pelvic Med Reconstr Surg

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Objectives The objective of this study was to compare perceptions and barriers between Spanish-speaking and English-speaking women in public and private hospitals being treated for pelvic organ prolapse (POP). Methods Eight focus groups, 4 in English and 4 in Spanish, were conducted at 3 institutions with care in female pelvic medicine and reconstructive surgery. Standardized questions were asked regarding patients' emotions to when they initially noticed the POP, if they sought family support, and their response to the diagnosis and treatment. Transcripts were analyzed using grounded theory qualitative methods. Results Thirty-three women were Spanish-speaking and 25 were English-speaking. Spanish speakers were younger (P = 0.0469) and less likely to have a high school diploma (P < 0.0001) than English speakers. Spanish-speaking women had more concerns that the bulge or treatments could lead to cancer, were more resistant to treatment options, and were less likely to be offered surgery. Women in the private hospital desired more information, were less embarrassed, and were more likely to be offered surgery as first-line treatment. The concept emerged that patient care for POP varied based on socioeconomic status and language and suggested the presence of disparities in care for underserved women with POP. Conclusions The discrepancies in care for Spanish-speaking women and women being treated at public hospitals suggest that there are disparities in care for POP treatment for underserved women. These differences may be secondary to profit-driven pressures from private hospitals or language barriers, low socioeconomic status, low health literacy, and barriers to health care.

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Pelvic Organ Prolapse

Cited by 43 publications

References 15 publications

One in five women suffer from pelvic floor disorders in Kersa district Eastern Ethiopia: a community-based study

One in five women suffer from pelvic floor disorders in Kersa district Eastern Ethiopia: a community-based study

The Influence of Vaginal Native Tissue Repair (VNTR) on Various Aspects of Quality of Life in Women with Symptomatic Pelvic Organ Prolapse—A Prospective Cohort Study

Health Care Disparities Among English-Speaking and Spanish-Speaking Women With Pelvic Organ Prolapse at Public and Private Hospitals: What Are the Barriers?

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