Pelvic organ prolapse and incontinence in developing countries: review of prevalence and risk factors
- 9 July 2010
- journal article
- review article
- Published by Springer Science and Business Media LLC in International Urogynecology Journal
- Vol. 22 (2), 127-135
- https://doi.org/10.1007/s00192-010-1215-0
Abstract
Information on the prevalence, risk factors and social consequences of pelvic floor dysfunction (PFD) affecting women in 16 low-income and lower middle-income countries is reviewed. Medline searches were performed for articles dealing with prevalence of PFD. Thirty studies were identified. The mean prevalence for pelvic organ prolapse was 19.7% (range 3.4–56.4%), urinary incontinence (UI) was 28.7% (range 5.2–70.8%) and faecal incontinence (FI) was 6.9% (range 5.3–41.0%). Risk factors for PFD are similar to those in more affluent countries particularly increased age and parity, but additionally, PFD is associated with other factors including poor nutrition and heavy work. The social consequences of PFD conditions can be devastating. Pelvic organ prolapse and urinary and faecal incontinence are significant problems in developing countries. Access to health care to manage these conditions is often limited, and women usually have to live with the consequences for the rest of their lives.Keywords
This publication has 56 references indexed in Scilit:
- Epidemiology of mixed urinary incontinence in ChinaInternational Journal of Gynecology & Obstetrics, 2009
- An international urogynecological association (IUGA)/international continence society (ICS) joint report on the terminology for female pelvic floor dysfunctionNeurourology and Urodynamics, 2009
- Social and economic consequences of obstetric fistula: Life changed forever?International Journal of Gynecology & Obstetrics, 2007
- Childbirth and pelvic floor dysfunction: An epidemiologic approach to the assessment of prevention opportunities at deliveryAmerican Journal of Obstetrics and Gynecology, 2006
- Effect of Vaginal Pessaries on Symptoms Associated With Pelvic Organ ProlapseObstetrics & Gynecology, 2006
- Pelvic Organ Support Study (POSST): The distribution, clinical definition, and epidemiologic condition of pelvic organ support defectsAmerican Journal of Obstetrics and Gynecology, 2005
- Listening to “Felt Needs”: Investigating Genital Prolapse in Western NepalReproductive Health Matters, 2004
- DOES EARLY AGE AT MARRIAGE INFLUENCE GYNAECOLOGICAL MORBIDITIES AMONG PAKISTANI WOMEN?Journal of Biosocial Science, 2002
- Epidemiology of pelvic organ prolapse in rural Gambia, West AfricaBJOG: An International Journal of Obstetrics and Gynaecology, 2002
- A survey of pessary use by members of the american urogynecologic societyObstetrics & Gynecology, 2000