Original scientific paper
Epidemiology of Pelvic Floor Disorders between Urban and Rural Female Inhabitants
Tomislav Strinić
Damir Buković
Damir Roje
Nikša Milić
Mato Pavić
Petra Turčić
Abstract
The aim of this study was to investigate the prevalence of pelvic organ prolapse in urban and rural women and to
identify possible related factors. They were 1749 participants; one thousand four hundred seventeen (81%) urban women
and 332 rural residents (19%). The urban and rural women were congruently regarding to age, parity, using oral contraceptives
and postmenopausal status. The urban women were more often obese (p<0.01), estrogen replacement users (p<
0.001), smokers (p<0.001), with mild (p<0.001) and high (p<0.001) education, and they were often divorced (p<0.05)
than rural women. Rural women were more often alcohol consumers (p<0.001), with low level of education (p<0.001)
and more often married (p<0.05) than rural examinees. There were no association between the presence of prolapse and:
weight, menopausal status, oral contraceptives and estrogen replacement using, smoking, alcohol consuming and marital
status. There were not observed differences in prevalence of prior hysterectomy, urinary incontinence, uroinfectio, sexual
and bowel dysfunction between both groups. The prevalence of cystocele, rectocele and uterine prolapse were similar
among urban and rural participants. In conclusion, a more complete picture of factors associated with genital prolapse
would include in investigation, such as molecular and genetic ones.
Keywords
pelvic organ prolapse; urban; rural
Hrčak ID:
27404
URI
Publication date:
10.4.2007.
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