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Characteristics of women with symptomatic pelvic organ prolapse in an Asian tertiary center over ten years
IUGA Academy. CHEUNG R. Jun 30, 2018; 212812; 411 Topic: Pelvic Organ Prolapse
Rachel CHEUNG
Rachel CHEUNG

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411

Characteristics of women with symptomatic pelvic organ prolapse in an Asian tertiary center over ten years

Cheung, RYK1; Lee, LL1; Chan, SSC1

1: The Chinese University of Hong Kong

Introduction: Pelvic organ prolapse (POP) is a common but distressing health problem worldwide. Patient’s characteristic and epidemiology were well studied mostly in Caucasian population (1-3). However, data in Asian population is scarce.

Objective: We aimed to study the characteristic of women with symptomatic POP from 2007-2016 in Hong Kong, as one of the most developed area in Asia.

Methods: This is a prospective study conducted in women who presented to a tertiary urogynaecology center in Hong Kong with symptomatic POP from 2007 to 2016. The basic demographics data, obstetric history and pelvic floor symptoms were obtained and physical examination using POPQ system was performed. The data were stratified into two groups according to the year of first consultation ie. 2007 - 2011 and 2012 - 2016 for comparison. Data were analyzed using SPSS 22 (SPSS Inc., Chicago, IL, USA) statistical program. Descriptive statistics was used for demographic data. Continuous variables were compared by using student T test. The significant level was set at 0.05.

Results: In total, 5866 women attended the urognaecology clinic in the study period with 2235 (38.1%) had the chief complaint of POP. 33.6% (959/2856) women and 42.4% (1276/3010) women attended the clinic for symptomatic POP in 2007-2011 and 2012-2016 period. The mean age at recruitment was 64.8 years old (SD 12.6 years) and mean body mass index (BMI) was 24.7 kg/m2 (SD 3.6 kg/m2). 1708 (76.4%) women were diagnosed Stage I or II pelvic organ prolapse while 527 (23.6%) had Stage III or IV prolapse. Their age at attendance was similar in both groups. More women attended in 2007-2011 had prolapse symptoms for more than 5 years (16.4% vs 13.1%) and more of them had stage III/ IV prolapse at presentation (29.4% vs 19.2%) when compared with women attended in 2012-2016.

Conclusions: In 2007-2016, there is a trend that women with symptomatic pelvic organ prolapse presented themselves earlier to the tertiary clinic before they have advanced stage of prolapse. This may due to their better understanding of disease and increased awareness about their quality of life.

Reference:

  1. Int Urogynecol J. 2011 May; 22(5):517-28.
  2. Curr Opin Urol. 2013 Jul;23(4):293-8.
  3. Obstet Gynecol. 2014 Jan;123(1):141-8.

Table 1. Characteristics of women attended with symptomatic pelvic organ prolapse.

2007-2011

(n=959)

2012-2016

(n=1276)

P value

Age at recruitment ( years old)

64.9 (13.0)

64.7 (12.2)

0.62

Body Mass Index (kg/m2)

24.5 (3.6)

24.9 (3.6)

0.04

Parity

3.5 (1.9)

3.2 (1.7)

<0.01

Number of vaginal delivery

3.5 (1.9)

3.1 (1.7)

<0.01

Menopaused

736 (76.7%)

999 (78.3%)

0.01

Sexually active

270 (28.2%)

357 (28.0%)

0.12

Duration of prolapse symptoms >5 years

157 (16.4%)

167 (13.1%)

0.04

Staging of prolapse

· Stage I-II prolapse

· Stage III-IV prolapse

677 (70.6%)

282 (29.4%)

1031 (80.8%)

245 (19.2%)

<0.01

Data is presented in Mean (Standard deviation) or Number (percentage).

Disclosure:

Work supported by industry: no.

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