Keywords
Public health
Gynecology
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Abstract
Objective: To evaluate the clinical condition of patients with pelvic organ prolapse (POP) and the impact on quality of life, according to the degree of discomfort reported from the symptoms presented. Methods: This was a cross-sectional study, quantitative, descriptive and prospective study. Data collection was carried out with the validated and adapted questionnaire “Pelvic Floor Bother Questionnaire”, during the routine of the gynecological surgery outpatient clinic at the Dra Ruth Noleto Macroregional Hospital in Imperatriz-MA. The data obtained were exported to the Statistical Package for the Social Sciences (SPSS), version 25, in order to obtain a statistical analysis and verify the homogeneity of this information, the Pearson Chi-Square Test was used – significance level: p <0.05. Results: The sociodemographic profile has a higher percentage of patients aged between 70 and 80 years, mixed race, income of up to 1 minimum wage, 80% from Maranhão and with education up to elementary school. Prolapse occurred in a greater number of women and 81.63% had a lot of discomfort in this regard. Valid correlations were found between the symptoms studied and between sociodemographic data and lifestyle habits. Conclusion: There is an impact of POP on quality of life, considering the degree of discomfort reported.
References
AGRANONIK M e HIRAKATA VN. Cálculo de tamanho de amostra: proporções. Clinical and Biomedical Research, 2011; 31(3).
AKTER F, et al. Prevalence of, and risk factors for, symptomatic pelvic organ prolapse in Rural Bangladesh: a cross-sectional survey study. Int Urogynecol J, 2016; 27(11).
ARRUDA GT, et al. Incontinência urinária e disfunções sexuais em mulheres climatéricas de um grupo de promoção a saúde. Fisioterapia Brasil, 2018; 19(3).
BRASIL. Instituto Brasileiro de Geografia e Estatística Pesquisa Nacional de Amostra de Domicílios Contínua. 2018. Disponível em: https ://www.ibge.gov.br/estatisticas/sociais/trabalho/9171-pesquisa-nacional-por-amostra-de-domicilios-continua-mensal.html Acessado em: 15 de Maio de 2024.
BRASIL. Instituto Brasileiro de Geografia e Estatística. Censo Brasileiro de 2010. 2012. Disponível em: https ://censo2010.ibge.gov.br/. Acessado em: 15 de Maio de 2024.
BRASIL. Instituto Brasileiro de Geografia e Estatística. Censo Brasileiro de 2019, 2021.
BUMP RC, et al. The standardization of terminology of female pelvic organ prolapse and pelvic floor dysfunction. Am J Obstet Gynecol, 1996; 175(1).
BURROWS LJ, et al. Pelvic Symptoms in Women With Pelvic Organ Prolapse. Obstetrics & Gynecology. 2004; 104(5-1): 982–8.
EICKMEYER SM. Anatomy and Physiology of the Pelvic Floor. Phys Med Rehabil Clin N Am, 2017; 28(3): 455-460.
ELBISS HM, et al. Prevalence, risk factors and severity of symptoms of pelvic organ prolapse among Emirati women. BMC Urol, 2015; 15: 66.
ELLERKMANN RM, et al. Correlation of symptoms with location and severity of pelvic organ prolapse. Am J Obstet Gynecol, 2001; 185(6): 1332-7.
ELSER DM. Recognizing and Managing Common Urogynecologic Disorders. Obstet Gynecol Clin North Am, 2017; 44(2): 271-284.
FATTON B, et al. Pelvic organ prolapse and sexual function. Nat Rev Urol, 2020; 17(7): 373-390.
JOKHIO AH, et al. Prevalence of pelvic organ prolapse in women, associated factors and impact on quality of life in rural Pakistan: population-based study. BMC Womens Health, 2020; 20(1): 82.
MACÊDO SR, et al. Factors Associated with Sexual Activity for Women with Pelvic Floor Dysfunction - A Cross-Sectional Study. Rev Bras Ginecol Obstet, 2020; 42(8): 493-500.
MATTSSON NK, et al. Pelvic organ prolapse surgery and quality of life-a nationwide cohort study. Am J Obstet Gynecol, 2020; 222(6): 588.1-588.10.
MIEDEL A, et al. Short-term natural history in women with symptoms indicative of pelvic organ prolapse. Int Urogynecol J, 2011; 22(4): 461-8.
MIEDEL A, et al. Symptoms and pelvic support defects in specific compartments. Obstet Gynecol, 2008; 112(4): 851-8.
NYGAARD I, et al. Pelvic organ prolapse in older women: prevalence and risk factors. Obstet Gynecol, 2004; 104(3): 489-97.
PERSU C, et al. Pelvic Organ Prolapse Quantification System (POP-Q) - a new era in pelvic prolapse staging. J Med Life, 2011; 4(1): 75-81.
PINTO TVPA. Validação em português de questionário de avaliação global de sintomas relacionados às disfunções do assoalho pélvico. Tese (Doutorado em Medicina) - Universidade de São Paulo, São Paulo, 2018.
RORTVEIT G, et al. Symptomatic pelvic organ prolapse: prevalence and risk factors in a population-based, racially diverse cohort. Obstet Gynecol, 2009; 109(6): 1396–1403.
SAJAN F e FIKREE FF. Does early age at marriage influence gynaecological morbidities among Pakistani women? J Biosoc Sci, 2002; 34: 407–417.
SHEK KL e DIETZ HP. Assessment of pelvic organ prolapse: a review. Ultrasound in Obstetrics & Gynecology, 2016; 48(6): 681–92.
THOMAS HN, et al. Correlates of Sexual Activity and Satisfaction in Midlife and Older Women. The Annals of Family Medicine, 2015; 13(4): 336–42.
TUGUME R, et al. Pelvic Organ Prolapse and Its Associated Factors Among Women Attending the Gynecology Outpatient Clinic at a Tertiary Hospital in Southwestern Uganda. International Journal of Women’s Health, 2022; 14: 625–633.
VERGELDT TF, et al. Risk factors for pelvic organ prolapse and its recurrence: a systematic review. Int Urogynecol J, 2015; 26(11): 1559-73.
WALKER GJ e GUNASEKERA P. Pelvic organ prolapse and incontinence in developing countries: review of prevalence and risk factors. Int Urogynecol J, 2011; 22(2): 127-35.
WEINTRAUB AY, et al. Narrative review of the epidemiology, diagnosis and pathophysiology of pelvic organ prolapse. International Braz J Urol, 2020; 46(1): 5–14.
WHITCOMB EL, et al. Racial Differences in Pelvic Organ Prolapse. Obstetrics & Gynecology, 2009; 114(6): 1271–7.
WU JM, et al. Lifetime risk of stress urinary incontinence or pelvic organ prolapse surgery. Obstet Gynecol, 2014; 123(6): 1201-1206.
WUSU-ANSAH OK e OPARE-ADDO HS. Pelvic organ prolapse in rural Ghana. Int J Gynaecol Obstet, 2008; 103: 121–124.
YUK JS, et al. The prevalence and treatment pattern of clinically diagnosed pelvic organ prolapse: A Korean National Health Insurance Database-based cross-sectional study 2009-2015. Scientific Reports. 2018.