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. 2009 Mar;113(3):609-616.
doi: 10.1097/AOG.0b013e3181985312.

Symptomatic pelvic organ prolapse at midlife, quality of life, and risk factors

Xavier Fritel  1 , Noëlle Varnoux, Marie Zins, Gérard Breart, Virginie Ringa
Affiliations

Symptomatic pelvic organ prolapse at midlife, quality of life, and risk factors

Xavier Fritel et al. Obstet Gynecol. 2009 Mar.

Abstract

Objective: To estimate quality of life, prevalence, and risk factors associated with symptomatic pelvic organ prolapse (POP) among middle-aged women.

Methods: This was a cross-sectional study. A questionnaire was mailed to 3,114 women aged 50-61 years in the GAZEL cohort; 2,640 (85%) returned it. Symptomatic POP was defined by feeling a bulge from the vagina (sometimes, often, or all the time compared with never or rarely). Quality of life was determined with the Nottingham Health Profile questionnaire. Multiple linear regression was used to examine the association between frequency of POP symptoms and the quality-of-life score. Logistic regression was used to estimate the effect of risk factors on past or present symptomatic POP (current symptoms or previous surgery for POP).

Results: The prevalence of symptomatic POP was 3.6% (96 of 2,640) and that of surgery for POP was 2.7% (70 of 2,640). Pelvic organ prolapse symptoms were associated with difficulty defecating, lower abdominal pain, and difficulty voiding. The frequency of POP symptoms was associated with a poorer quality-of-life score in each Nottingham Health Profile domain (physical mobility, pain, emotional reaction, social isolation, energy, and sleep). Even when we took general characteristics, medical history, and lifestyle associated with quality of life into account, the global Nottingham Health Profile score was significantly impaired by POP symptoms. Factors significantly associated with past or present symptomatic POP were high body mass index and the number of vaginal deliveries.

Conclusion: In our population of women in their 50s, POP symptoms are associated with impaired quality of life, and the number of vaginal deliveries is a risk factor for past or present symptomatic POP.

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Figures

Figure I
Figure I
Mean quality of life score, in each NHP dimension, associated with POP symptoms frequency.
See this image and copyright information in PMC

References

    1. Rortveit G, Brown JS, Thom DH, van den Eeden SK, Creasman JM, Subak LL. Symptomatic pelvic organ prolapse, prevalence and risk factors in a population-based, racially diverse cohort. Obstet Gynecol. 2007;109:1396–403. - PubMed
    1. DuCoudray AM. Abrégé de l’art des accouchements. Châlons-sur-Marne; Bouchard: 1773.
    1. Carlson KJ, Nichols DH, Schiff I. Indications for hysterectomy. New Engl J Med. 1993;328:85–60. - PubMed
    1. Olsen AL, Smith VJ, Bergstrom JO, Colling JC, Clark AL. Epidemiology of surgically managed pelvic organ prolapse and urinary incontinence. Obstet Gynecol. 1997;89:501–6. - PubMed
    1. Shah AD, Kohli N, Rajan SS, Hoyte L. The age distribution, rates, and types of surgery for pelvic organ prolapse in the USA. Int Urogynecol J. 2008;19:421–8. - PubMed