Etiological factors for development of pelvic organ prolapse in a rural medical college hospital in north-east Bihar: A retrospective case-control study
Journal Title: Medpulse International Journal of Gynaecology - Year 2017, Vol 3, Issue 1
Abstract
Background: Pelvic organ prolapse (POP), including anterior and posterior vaginal prolapse, uterine prolapse, and enterocele, is a common group of clinical conditions affecting millions of women. Objectives: The aim of the case-control study was to identify etiological factors predictive for development POP and to determine the relationship between these factors and stage of POP. Methods: In a case-control study, 240 patients with primary POP and 308 women without POP were included. Age, parity, smoking, body mass index (BMI), menopause, and hormone replacement therapy (HRT) were investigated. Result: Independent risk factors for POP included age over 70, parity higher than 3, and menopause. Age, parity, menopause, and HRT were significantly associated with stage of POP. Genital hiatus (GH) and perineal body (PB) showed a significant positive and negative correlation with age and parity, respectively. Menopause and HRT were also associated with them. Conclusion: Age, parity and menopause are possible risk factors of POP and associated with the lengths of GH and PB in POP women. Further, these etiological factors and HRT are significantly correlated with the severity of the disease
Authors and Affiliations
Swapan Kumar Kundu, Sekhar Chakrabarti, Arpan Chatterjee, Soumyajyoti Kundu
Keywords
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