Risk factors for pelvic prolapse in women of reproductive age

Abstract

BACKGROUND: Pelvic organ prolapse (POP) is a violation of the position of the uterus or the walls of the vagina, manifested by the displacement of the genitals before entering the vagina or falling out of it. Despite more than a century of history of study, POP remains one of the important problems of modern gynecology.
 AIM: This study aimed to identify the most significant risk factors for pelvic organ prolapse and their associations in women of reproductive age.
 MATERIALS AND METHODS: The study involved 211 women of reproductive age (1845 years). Based on the clinical and anamnestic data, all patients were divided into two groups: the main group (n=97), which included patients with pelvic organ prolapse, and the control group (n=114), which included women without prolapse.
 RESULTS: The following are the identified significant risk factors: body mass index of 23.03 kg/m2 (odds ratio [OR]: 6.69; 95% confidence interval [CI]: 3.3613.34), secondary education (OR: 2.41; 95% CI: 1.374.21), lifestyle associated with lift (OR: 7.15; 95% CI: 3.4115.00), history of 3 pregnancies (OR: 4.48; 95% CI: 2.728.76), 2 vaginal birth count (OR: 9.12; 95% CI: 4.8117.28), 1 abortions (OR: 4.34; 95% CI: 2.407.85), maximum newborn body weight of 3700 g (OR: 7.67; 95% CI: 4.1214.28), and perineal obstetric injury (OR: 39.27; 95% CI: 4.79321.70). Adequate risk factors were childbirth (OR: 8.22; 95% CI: 2.0133.58), obstetric trauma (OR: 9.16; 95% CI: 1.3661.68), and weight lifting-associated lifestyle (OR: 37.56, 95% CI: 3.42412.40).
 CONCLUSION: Significant independent risk factors for pelvic organ prolapse in women of reproductive age have been identified as follows: vaginal childbirth, perineal injury in childbirth, and weight lifting-associated lifestyle. The identified risk factors serve as a basis for the development of an early prognosis system for pelvic prolapse development.

Diagnostic Value of Dynamic Magnetic Resonance Imaging (dMRI) of the Pelvic Floor in Genital Prolapses

“…Pelvic organ prolapse and prolapse are a group of multifactorial diseases manifested by peripheral displacement of the uterus and/or vaginal walls in combination with adjacent pelvic organs (bladder, rectum, and bowel loops) beyond the vulvar ring as a result of functional failure of the ligamentous apparatus of the internal genitalia and pelvic floor muscles [1][2][3].…”

“…The prevalence of genital prolapse varies greatly according to various studies and ranges from 3 to 50% [2,4]. This variability is due to differences in the designs of the studies conducted, as well as the use of different approaches to the diagnosis of the conditions under study.…”

Association of Uterine Prolapse Symptoms With Body Mass Index

“…По данным исследования, в Азербайджане, в г. Баку у 60,0% женщин в возрасте 45-75 лет отмечались случаи выпадения половых органов, причем доминировали неполные выпадения матки и влагалища, которые составили 41,3 на 100 женщин [2]. В литературе представлены данные о широкой распространенности пролапса тазовых органов среди женщин репродуктивного возраста [5].…”