Prevalence, risk factors, and predictors of pelvic organ prolapse
Objective: This study aimed to determine the prevalence of pelvic organ prolapse (POP) in a village in East Lebanon and to evaluate related risk factors and clinical predictors. Methods: Five hundred four ever-married women, aged 15 to 60 years, were interviewed and underwent physical and pelvic exa...
محفوظ في:
| المؤلف الرئيسي: | |
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| مؤلفون آخرون: | , , |
| التنسيق: | article |
| منشور في: |
2012
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| الوصول للمادة أونلاين: | http://hdl.handle.net/10725/4842 http://dx.doi.org/10.1097/gme.0b013e31826d2d94 http://libraries.lau.edu.lb/research/laur/terms-of-use/articles.php http://journals.lww.com/menopausejournal/Abstract/2012/11000/Prevalence,_risk_factors,_and_predictors_of_pelvic.13.aspx |
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إضافة وسم
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| _version_ | 1864513464627625984 |
|---|---|
| author | Deeb, Mary E. |
| author2 | Awwad, Johnny Sayegh, Raja Yeretzian, Joumana |
| author2_role | author author author |
| author_facet | Deeb, Mary E. Awwad, Johnny Sayegh, Raja Yeretzian, Joumana |
| author_role | author |
| dc.creator.none.fl_str_mv | Deeb, Mary E. Awwad, Johnny Sayegh, Raja Yeretzian, Joumana |
| dc.date.none.fl_str_mv | 2012 2016-11-23T13:22:43Z 2016-11-23T13:22:43Z 2016-11-23 |
| dc.identifier.none.fl_str_mv | 1072-3714 http://hdl.handle.net/10725/4842 http://dx.doi.org/10.1097/gme.0b013e31826d2d94 Awwad, J., Sayegh, R., Yeretzian, J., & Deeb, M. E. (2012). Prevalence, risk factors, and predictors of pelvic organ prolapse: a community-based study. Menopause, 19(11), 1235-1241. http://libraries.lau.edu.lb/research/laur/terms-of-use/articles.php http://journals.lww.com/menopausejournal/Abstract/2012/11000/Prevalence,_risk_factors,_and_predictors_of_pelvic.13.aspx |
| dc.language.none.fl_str_mv | en |
| dc.relation.none.fl_str_mv | Menopause: The Journal of The North American Menopause Society |
| dc.rights.*.fl_str_mv | info:eu-repo/semantics/openAccess |
| dc.title.none.fl_str_mv | Prevalence, risk factors, and predictors of pelvic organ prolapse a community-based study |
| dc.type.none.fl_str_mv | Article info:eu-repo/semantics/publishedVersion info:eu-repo/semantics/article |
| description | Objective: This study aimed to determine the prevalence of pelvic organ prolapse (POP) in a village in East Lebanon and to evaluate related risk factors and clinical predictors. Methods: Five hundred four ever-married women, aged 15 to 60 years, were interviewed and underwent physical and pelvic examinations and laboratory testing. Prolapse was determined according to a simplified version of the POP quantification system. Results: Two hundred fifty-one (49.8%) women had clinically significant POP. When stratified by life decade, POP prevalence was 20.4% for women aged 20 to 29 years, 50.3% for women aged 30 to 39 years, 77.2% for women aged 40 to 49 years, and 74.6% for women aged 50 to 59 years, suggesting a plateau in prevalence in the decade after menopause. Clinically significant POP was found in 3.6% of nulliparous, 6.5% of primiparous, 22.7% of secondiparous, 32.9% of triparous, and 46.8% of tetraparous women. Increasing age, increasing vaginal parity, and a body mass index higher than 24 kg/m2 were found to be significant risk factors for POP, with relative risks of 1.09 (P < 0.001), 2.31 (P < 0.0001), and 1.62 (P = 0.048) respectively. Combined clinical symptoms of pelvic heaviness, urinary disturbances, and a feeling of bulge in the vagina were predictive of POP. Conclusions: Our findings suggest that cost-efficient interventions to reduce the burden of POP in this and similar remote communities include the following: family planning awareness campaigns focusing on the risks of grand multiparity; nutritional education and weight management programs to help reduce the progression of POP before the age of menopause; and consideration of symptom-based screening to identify affected women who might benefit from a referral to specialty care at a tertiary care center. |
| eu_rights_str_mv | openAccess |
| format | article |
| id | LAURepo_df2040a01e8ab8c4714ae3d822e2a623 |
| identifier_str_mv | 1072-3714 Awwad, J., Sayegh, R., Yeretzian, J., & Deeb, M. E. (2012). Prevalence, risk factors, and predictors of pelvic organ prolapse: a community-based study. Menopause, 19(11), 1235-1241. |
| language_invalid_str_mv | en |
| network_acronym_str | LAURepo |
| network_name_str | Lebanese American University repository |
| oai_identifier_str | oai:laur.lau.edu.lb:10725/4842 |
| publishDate | 2012 |
| repository.mail.fl_str_mv | |
| repository.name.fl_str_mv | |
| repository_id_str | |
| spelling | Prevalence, risk factors, and predictors of pelvic organ prolapsea community-based studyDeeb, Mary E.Awwad, JohnnySayegh, RajaYeretzian, JoumanaObjective: This study aimed to determine the prevalence of pelvic organ prolapse (POP) in a village in East Lebanon and to evaluate related risk factors and clinical predictors. Methods: Five hundred four ever-married women, aged 15 to 60 years, were interviewed and underwent physical and pelvic examinations and laboratory testing. Prolapse was determined according to a simplified version of the POP quantification system. Results: Two hundred fifty-one (49.8%) women had clinically significant POP. When stratified by life decade, POP prevalence was 20.4% for women aged 20 to 29 years, 50.3% for women aged 30 to 39 years, 77.2% for women aged 40 to 49 years, and 74.6% for women aged 50 to 59 years, suggesting a plateau in prevalence in the decade after menopause. Clinically significant POP was found in 3.6% of nulliparous, 6.5% of primiparous, 22.7% of secondiparous, 32.9% of triparous, and 46.8% of tetraparous women. Increasing age, increasing vaginal parity, and a body mass index higher than 24 kg/m2 were found to be significant risk factors for POP, with relative risks of 1.09 (P < 0.001), 2.31 (P < 0.0001), and 1.62 (P = 0.048) respectively. Combined clinical symptoms of pelvic heaviness, urinary disturbances, and a feeling of bulge in the vagina were predictive of POP. Conclusions: Our findings suggest that cost-efficient interventions to reduce the burden of POP in this and similar remote communities include the following: family planning awareness campaigns focusing on the risks of grand multiparity; nutritional education and weight management programs to help reduce the progression of POP before the age of menopause; and consideration of symptom-based screening to identify affected women who might benefit from a referral to specialty care at a tertiary care center.PublishedN/A2016-11-23T13:22:43Z2016-11-23T13:22:43Z20122016-11-23Articleinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/article1072-3714http://hdl.handle.net/10725/4842http://dx.doi.org/10.1097/gme.0b013e31826d2d94Awwad, J., Sayegh, R., Yeretzian, J., & Deeb, M. E. (2012). Prevalence, risk factors, and predictors of pelvic organ prolapse: a community-based study. Menopause, 19(11), 1235-1241.http://libraries.lau.edu.lb/research/laur/terms-of-use/articles.phphttp://journals.lww.com/menopausejournal/Abstract/2012/11000/Prevalence,_risk_factors,_and_predictors_of_pelvic.13.aspxenMenopause: The Journal of The North American Menopause Societyinfo:eu-repo/semantics/openAccessoai:laur.lau.edu.lb:10725/48422021-03-19T10:03:21Z |
| spellingShingle | Prevalence, risk factors, and predictors of pelvic organ prolapse Deeb, Mary E. |
| status_str | publishedVersion |
| title | Prevalence, risk factors, and predictors of pelvic organ prolapse |
| title_full | Prevalence, risk factors, and predictors of pelvic organ prolapse |
| title_fullStr | Prevalence, risk factors, and predictors of pelvic organ prolapse |
| title_full_unstemmed | Prevalence, risk factors, and predictors of pelvic organ prolapse |
| title_short | Prevalence, risk factors, and predictors of pelvic organ prolapse |
| title_sort | Prevalence, risk factors, and predictors of pelvic organ prolapse |
| url | http://hdl.handle.net/10725/4842 http://dx.doi.org/10.1097/gme.0b013e31826d2d94 http://libraries.lau.edu.lb/research/laur/terms-of-use/articles.php http://journals.lww.com/menopausejournal/Abstract/2012/11000/Prevalence,_risk_factors,_and_predictors_of_pelvic.13.aspx |