Epidemiology Analysis of Pelvic Floor Medicine Center in Southern Israel Using PFDI-20 and PISQ-12 Quality of Life Questionnaires
Open Access
- 29 August 2020
- journal article
- Published by Asploro Open Access Publications in Asploro Journal of Biomedical and Clinical Case Reports
- Vol. 3 (3), 191-201
- https://doi.org/10.36502/2020/asjbccr.6211
Abstract
Aim: In the process of opening a new Pelvic Floor Medicine Unit, we aimed to map the pelvic floor dysfunction and sexual issues using validated quality of life (QOL) questionnaires. Material and Methods: All the patients who attended the Pelvic Floor Medicine Unit clinic in Assuta University Medical Center in Ashdod, Israel, were given a validated Pelvic Floor Distress Inventory 20 (PFDI-20) and Prolapse Urinary Incontinence Sexual Questionnaire 12 (PISQ-12) questionnaires prior to meeting the physician. The patient’s age, parity, and route of delivery were collected from the medical record. All data has been statistically analyzed using Kruskal Wallis Test and Mann-Whitney U Test. Results: 647 patients were included in the study, of them 462 filled out the PFDI-20 questionnaires and 221 completed the PISQ-12 questionnaire filling. In the PFDI-20 results, POPDI-6 higher scores were found to be associated with higher parity (p=0.043) and with higher age (p=0.03). CARD-8 scores were found to be significantly associated with cesarean delivery only in patients’ history (p=0.023) and with higher age (p=0.05). UDI-6 scores were found significantly associated with older age (p<0.01). PISQ-12 scores were found associated with age (p=0.002), but not with either parity or route of delivery. Conclusions: Using validates questionnaires, we could demonstrate a correlation between parity and age, an association between aging and higher rates of bowel and sexual dysfunction, an association between higher parity and pelvic organ prolapse complaints, and an association between previous cesarean deliveries only and higher rates of bowel disfunction. The use of validated QoL questionnaires for describing the population suffering from PFDs presents an important tool in understanding the epidemiology of PFD in different communities.Keywords
This publication has 49 references indexed in Scilit:
- Bladder pain syndrome associated with highest impact on sexual function among women with lower urinary tract symptomsInternational Journal of Gynecology & Obstetrics, 2012
- Predicting the number of women who will undergo incontinence and prolapse surgery, 2010 to 2050American Journal of Obstetrics and Gynecology, 2011
- Association between metabolic syndrome and pelvic floor dysfunction in middle-aged to older Korean womenAmerican Journal of Obstetrics and Gynecology, 2011
- Further validation of the short form versions of the pelvic floor Distress Inventory (PFDI) and pelvic floor impact questionnaire (PFIQ)Neurourology and Urodynamics, 2011
- The Effect of Pelvic Organ Prolapse on Sexual Function in a General Cohort of WomenThe Journal of Sexual Medicine, 2010
- Patient-centered treatment goals for pelvic floor disorders: association with quality-of-life and patient satisfactionAmerican Journal of Obstetrics and Gynecology, 2009
- Prevalence of Symptomatic Pelvic Floor Disorders in US WomenJAMA, 2008
- Mode of Delivery and Fecal Incontinence at MidlifeObstetrics & Gynecology, 2007
- Fecal Incontinence in Females Older Than Aged 40 Years: Who is at Risk?Diseases of the Colon & Rectum, 2006
- Faecal incontinence and mode of first and subsequent delivery: a six‐year longitudinal studyBJOG: An International Journal of Obstetrics and Gynaecology, 2005