Prevalence of pelvic organ prolapse in Minnesota women using a validated epidemiologic survey: a cross-sectional study

Makinna Oestreich (Contributor), Martina Gabra (Contributor), Tessier, K. M. (Contributor), Fok, C. S. (Contributor), Nakib, N. A. (Contributor), Fischer, J. (Contributor)

Activity: Talk typesPoster

Description

Introduction: Pelvic floor disorders (PFDs) including pelvic organ prolapse (POP) are believed to occur in a substantial number of women. However, previous estimates of PFD prevalence have ranged from 1% to 50%, partly due to lack of a valid screening tool. The objective of this study was to administer the Epidemiology of Prolapse and Incontinence Questionnaire (EPIQ), a validated instrument, to determine the prevalence of POP in women attending the Minnesota State Fair. Methods: IRB approval for the study was obtained. Women ≥ 18 years old attending the 2018 Minnesota State Fair filled out a web-based version of the EPIQ. Data collection occurred at the University of Minnesota Driven to Discover building over 6 half-day sessions. Participants used iPads to self-report data onto a secure system, Research Electronic Data Capture (REDCap). The demographic data of age, height, and weight was analyzed with descriptive statistics. To determine associations between variables and outcomes, chi-square or Fisher’s exact tests were used. Results: Of the 1,568 participants, 1,270 (88%) were younger women age 18-64 years and 173 (12%) were older women ≥ 65 years. A total of 84 (5.4%) participants reported POP: 62 (4.9%) younger women and 14 (8.2%) older women. There was not a significant association between the age groups and POP. Women who reported childbirth had higher rates of POP than nulliparous women, p<0.01. POP occurred in 55 (10.1%) women with a history of vaginal delivery, considerably more than the 4 (3.8%) with cesarean section, or 2 (3.2%) with both types of childbirth. Overall, 22 (1.4%) women had surgery related to POP. Surgery was associated with age and reported in 6 (3.5%) older and 11 (0.9%) younger women, p=0.01. Smoking status was not associated with an increased prevalence of POP in the participants. Conclusion: The prevalence of pelvic organ prolapse in women in Minnesota was slightly higher when reported on the validated EPIQ than on previous studies, however the rates of surgery seem much lower. As expected, POP was associated with a history of childbirth, especially vaginal delivery. Further studies are needed to assess why the rates of surgery appear to be so low in this cohort.
PeriodFeb 26 2019 - Mar 2 2019
Held atSociety of Urodynamics, Female Pelvic Medicine &amp; Urogenital Reconstruction
Event typeConference
LocationMiami, United States, Florida
Degree of RecognitionNational