Prevalence, risk factors, and predictors of pelvic organ prolapse

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dc.contributor.author Deeb, Mary E.
dc.contributor.author Awwad, Johnny
dc.contributor.author Sayegh, Raja
dc.contributor.author Yeretzian, Joumana
dc.date.accessioned 2016-11-23T13:22:43Z
dc.date.available 2016-11-23T13:22:43Z
dc.date.copyright 2012 en_US
dc.date.issued 2016-11-23
dc.identifier.issn 1072-3714 en_US
dc.identifier.uri http://hdl.handle.net/10725/4842
dc.description.abstract 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. en_US
dc.language.iso en en_US
dc.title Prevalence, risk factors, and predictors of pelvic organ prolapse en_US
dc.type Article en_US
dc.description.version Published en_US
dc.title.subtitle a community-based study en_US
dc.author.school SOM en_US
dc.author.idnumber 200900035 en_US
dc.author.department N/A en_US
dc.description.embargo N/A en_US
dc.relation.journal Menopause: The Journal of The North American Menopause Society en_US
dc.journal.volume 19 en_US
dc.journal.issue 11 en_US
dc.article.pages 1235-1241 en_US
dc.keywords Pelvic organ prolapse en_US
dc.keywords Pelvic heaviness en_US
dc.keywords Urinary disturbances en_US
dc.identifier.doi http://dx.doi.org/10.1097/gme.0b013e31826d2d94 en_US
dc.identifier.ctation 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. en_US
dc.author.email mary.deeb@lau.edu.lb en_US
dc.identifier.tou http://libraries.lau.edu.lb/research/laur/terms-of-use/articles.php en_US
dc.identifier.url http://journals.lww.com/menopausejournal/Abstract/2012/11000/Prevalence,_risk_factors,_and_predictors_of_pelvic.13.aspx en_US
dc.author.affiliation Lebanese American University en_US

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