Co-occurrence of pelvic floor dysfunctions in primiparous: a cross-sectional study
IUGA Academy. Monteiro M. Jun 30, 2018; 212839; 395
Prof. Marilene Monteiro
Prof. Marilene Monteiro

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Co-occurrence of pelvic floor dysfunctions in primiparous: A cross-sectional study

Pereira, G1;Monteiro, M1; Figueiredo, E1; Reis, Z1; Cruz, M1; Diniz, M1

1: Universidade Federal de Minas Gerais

Introduction: The co-occurrence of pelvic floor dysfunction (PFD), i.e., the occurrence of more than one PFD, varies from 1.3% to 9.9% for double incontinence. Assistance to women with these conditions is still influenced by the scarcity of epidemiological data and by the small number of studies on the subject. The investigation of co-occurrence of PFD may lead to a better clinical and surgical approach since all their symptoms are not reported to the health assistants and surgical treatment does not always improve all complaints.

Objective: The aim of this study was to identify the co-occurrence of PFD in primiparous women two years after vaginal delivery. We hypothesized that the co-occurrence of PFD in this population is more frequent than the isolated occurrence of PFD.

Methods: Data regarding obstetrics characteristics were collected from the maternity database. Validated questionnaires were used to investigate the occurrence and type of urinary incontinence (UI), symptoms of anal incontinence (AI), sexual dysfunction (SD) and staging of pelvic organ prolapse (POP). Descriptive statistics were used to analyse obstetric data and the co-occurrence of PFD symptoms.

Results: Isolated occurrence of PFD was identified in 26.2% of the participants. Co-occurrence of PFD was identified in 60.5% and the most frequent was SD+POP (14.5%), followed by UI+POP+SD (11.8%).

Conclusions: POP and SD were the most frequent PFD identified presenting in different combinations with other PFD such as UI and AI. These results illustrate the importance of the co-occurrence of PFD in this population and highlight the importance of a multidisciplinary approach to these women in early ages.


1-Lawrence JM, Lukacz ES, Nager CW, Hsu J-WY, Luber KM. Prevalence and co-occurrence of pelvic floor disorders in community-dwelling women. Obstetrics & Gynecology. 2008;111(3):678-685.

2-DeLancey JO. The hidden epidemic of pelvic floor dysfunction: achievable goals for improved prevention and treatment. American journal of obstetrics and gynecology. 2005;192(5):1488-1495.

3-de Menezes Franco M, Driusso P, Bø K, et al. Relationship between pelvic floor muscle strength and sexual dysfunction in postmenopausal women: a cross-sectional study. International urogynecology journal. 2017;28(6):931-936.

Figure 2: Co-occurrence of Urinary Incontinence (UI), Anal Incontinence (AI),

Sexual Dysfunction (SD) and Pelvic Organ Prolapse (POP) n(%) by a number of participants.


Work supported by industry: no.

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