Screening of the pelvic organ prolapse without a physical examination; (a community based study)

Tehrani, Fahimeh Ramezani; Hashemi, Somayeh; Simbar, Masoumeh; Shiva, Niloofar

doi:10.1186/1472-6874-11-48

Cited by 18 publications

(15 citation statements)

References 27 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…POP and its complications make an impact on a considerable economic burden on the affected person. About 11% of the American women undergo surgery for POP or incontinence before the age of 79, with 29.2% of the women having a chance of requiring additional surgery [10].…”

Section: Introductionmentioning

confidence: 99%

Burden of pelvic organ prolapse in Ethiopia: a systematic review and meta-analysis

Gedefaw

Demis

2020

BMC Women's Health

View full text Add to dashboard Cite

Background: Pelvic organ prolapse can significantly affect a woman's quality of life by compromising physical, social, psychological and sexual function. Pelvic organ disorders and its consequences have higher economic burden to the patient as well to the country. Therefore, this systematic review and met-analysis aimed to estimate the burden of POP in Ethiopia. Methods: International databases (MEDLINE/Pub Med, Hinari, Scopus, Google scholar, African journals and literatures were searched and seven eligible cross sectional and two case control studies were included in this systematic review and meta-analysis. Eggers test and funnel plot were computed to check publication bias across the studies. Publication bias was computed using a funnel plot and eggers test. Heterogeneity of the studies was checked using Cochrane Q-test and I 2 statistic. Subgroup analysis was computed for the evidence of heterogeneity. Results: This systematic review and meta-analysis revealed that the overall national prevalence of pelvic organ prolapse in Ethiopia was 23.52% (95% CI: 61.04, 80.24). Being rural resident (AOR = 3.29; 95% CI: 1.38-7.85), I 2 = 47.5%, P = 0.167), having < 18.5 BMI (AOR = 2.59; 95% CI: 1.53-4.4), I 2 = 59.9%, P = 0.64), and age > 40(AOR = 7.43; 95% CI: 2.27-24.29), I 2 = 75.9%, P = 0.016) were the associated risk factors for pelvic organ prolapse. Conclusions: The pooled prevalence of pelvic organ prolapse was high. Residence, body mass index and age of the women were the predictors of pelvic organ prolpase. Creating awareness and identifying the modifiable and non modifiable risk factors for pelvic organ prolpase is a crucial strategy to prevent further complications and risk of operation.

show abstract

Section: Introductionmentioning

confidence: 99%

Burden of pelvic organ prolapse in Ethiopia: a systematic review and meta-analysis

Gedefaw

Demis

2020

BMC Women's Health

View full text Add to dashboard Cite

show abstract

“…Such gynaecological conditions can impact on sexual well-being of women [ 7 , 8 ] and subsequently psychological problems. Difficulties arise when studying gynaecological morbidities because of the sensitive and hidden nature of complaints regarding of the genital area [ 9 ]. In areas where access to health care is often limited, women usually have to live with the consequences of fistula or prolapse for the rest of their lives [ 3 ] which can be a challenge, both physically and emotionally, as the symptoms can disrupt the woman’s day-to-day life [ 7 , 10 ].…”

Section: Introductionmentioning

confidence: 99%

Depression among women with obstetric fistula, and pelvic organ prolapse in northwest Ethiopia

et al. 2013

View full text Add to dashboard Cite

BackgroundThe prevalence of depression is not well studied among women with pelvic floor disorders. Hence, this study aimed to determine the prevalence of depression and its associated factors among women with pelvic floor disorders.MethodsA cross-sectional study was conducted among 306 women with one or more of the advanced pelvic floor disorders who attended at the gynaecologic outpatient clinic of Gondar university referral hospital in the six months data collection period. Women who complained of urinary or faecal incontinence or protruding mass per vagina were assessed and staged accordingly. Eligible women i.e. those with advanced pelvic organ prolapse or obstetric fistula were included consecutively. A structured questionnaire was used to obtain socio-demographic data and medical histories for all consenting women. Interviews were done by a female midwife nurse. Depression measures were obtained using the Beck’s Depression Inventory (BDI) tool administered by the midwife nurse after intensive training. Data were entered into a computer using Epi Info version 3. 5.3, and then exported to SPSS version 20 for analysis. Multiple logistic regressions were fitted and Odds ratios with 95% confidence intervals were calculated to identify associated factors.ResultsOf the 306 women interviewed, 269 had advanced pelvic organ prolapse (stages 3 and 4), 37 had obstetric fistula. All four women (100%) with both faecal and urinary incontinence, 97.0% those with urinary incontinence due to obstetric fistula and 67.7% of those with advanced pelvic organ prolapse (stages 3 and 4) had symptoms of depression. Depression was significantly associated with age 50 years or older (P < 0.01), marital status (P < 0.05), history of divorce (p < 0.01), self perception of severe problem (P < 0.05), and having stage 3 pelvic organ prolapse (P < 0.01).ConclusionWomen with advanced pelvic organ prolapse, and obstetric fistula had high prevalence of depressive symptoms. A holistic management approach, including mental health care is recommended for women having such severe forms of pelvic floor disorders.

show abstract

“…Thurmond et al 21 have reported that there are structural changes in the prostate of older men in response to hypoxia. Tehrani et al 22 have compiled the screening of POP without a physical examination. Their questionnaire-based study examined urinary incontinence following laughing, sneezing or coughing, urinary urgency, feeling pain during defecation and feeling or seeing a bulge in the vagina.…”

Section: Discussionmentioning

confidence: 99%

Immunohistochemical expression of hypoxia-inducible factor-1α in stromal cells of vaginal tissue in post-menopausal women with pelvic organ prolapse

Jakus¹,

Jakus²,

Aračić³

et al. 2017

Indian J Med Res

View full text Add to dashboard Cite

Background & objectives:Pelvic organ prolapse (POP) is a common medical condition that affects adult women of different ages. The support of a normal pelvic floor is the result of complex interactions between ligaments, muscles, connective tissue and vaginal walls. Hypoxia and oxidative stress can reduce protein synthesis in the pelvic muscles that may contribute to muscular atrophy. Hypoxia-inducible factor-1α (HIF-1α) is a transcriptional activator which, expressed in response to hypoxia, activates a number of genes involved in cellular response to hypoxia. However, a potential role of hypoxia and oxidative stress in pathogenesis of POP is not known. This study was aimed to compare the level of HIF-1α immunohistochemical expression in the vaginal stromal cells of postmenopausal women with and without POP.Methods:Samples of the vaginal tissue from 120 menopausal women were obtained during surgery, and immunohistochemical expression of HIF-1α was assessed. There were 60 women with POP while 60 women in the control group were without prolapse but with benign gynaecological diseases.Results:In post-menopausal women with prolapse, significant differences were observed in the number of HIF-1α-positive stromal cells in the vaginal tissue compared to the control group. There was a significant increase in the number of HIF-1α in the stromal cells of the vaginal tissue in women with prolapse.Interpretation & conclusions:Difference in expression of HIF-1α in stromal cells of the vaginal tissue in the post-menopausal women with and without POP suggests that prolonged hypoxia probably has an important role in the aetiopathogenesis of POP.

show abstract

Screening of the pelvic organ prolapse without a physical examination; (a community based study)

Cited by 18 publications

References 27 publications

Burden of pelvic organ prolapse in Ethiopia: a systematic review and meta-analysis

Burden of pelvic organ prolapse in Ethiopia: a systematic review and meta-analysis

Depression among women with obstetric fistula, and pelvic organ prolapse in northwest Ethiopia

Immunohistochemical expression of hypoxia-inducible factor-1α in stromal cells of vaginal tissue in post-menopausal women with pelvic organ prolapse

Contact Info

Product

Resources

About