International Urogynecology Journal

, Volume 24, Issue 7, pp 1135–1143

Pelvic floor disorders among women in Dabat district, northwest Ethiopia: a pilot study

Authors

    • Department of Epidemiology and Biostatistics, Institute of Public HealthUniversity of Gondar
  • Mulatu Adefris
    • Department of Gynecology and Obstetrics, School of MedicineUniversity of Gondar
  • Guri Rortveit
    • Research Group for General Practice, Department of Public Health and Primary Health CareUniversity of Bergen
    • Research Unit for General PracticeUni Health, Uni Research
  • Getu Degu
    • Department of Epidemiology and Biostatistics, Institute of Public HealthUniversity of Gondar
  • Mulu Muleta
    • Department of Gynecology and Obstetrics, School of MedicineUniversity of Gondar
  • Astrid Blystad
    • The Research Group ‘Global Health: Ethics, Economics and Culture’, Department of Public Health and Primary Health Care and Centre for International HealthUniversity of Bergen
  • Torvid Kiserud
    • Department of Clinical MedicineUniversity of Bergen
    • National Centre for Gynecological Fistulae, Department of Obstetrics & GynecologyHaukeland University Hospital
  • Tesfahun Melese
    • Department of Health Informatics, Institute of Public HealthUniversity of Gondar
  • Yigzaw Kebede
    • Department of Epidemiology and Biostatistics, Institute of Public HealthUniversity of Gondar
Original Article

DOI: 10.1007/s00192-012-1981-y

Cite this article as:
Megabiaw, B., Adefris, M., Rortveit, G. et al. Int Urogynecol J (2013) 24: 1135. doi:10.1007/s00192-012-1981-y

Abstract

Introduction and hypothesis

Pelvic floor disorders affect many women in high-income countries. Since little is known about such disorders in Africa, this study aimed at assessing the prevalence and risk factors in an Ethiopian community. We also assessed the validity of a prolapse questionnaire.

Methods

A community-based cross-sectional study was conducted among 395 women, recruited by a systematic random sampling technique. Women were interviewed about symptoms of urinary incontinence, faecal incontinence and pelvic organ prolapse by female nurses. Additionally, pelvic examinations were performed in 294 (74.2 %) participants to assess anatomical prolapse using the simplified Pelvic Organ Prolapse Quantification staging system. Descriptive statistics and logistic regression analyses were employed.

Results

The median age of participants was 35.0 years. Thirty-one women reported urinary incontinence (7.8 %), 25 (6.3 %) symptomatic pelvic organ prolapse and 2 (0.5 %) faecal incontinence. Anatomical pelvic organ prolapse stage II–IV was detected in 162 (55.1 %) of women who underwent pelvic examination. The questionnaire for prolapse assessment had poor validity (38.3 % sensitivity and 95.4 % specificity) even in cases of clinically relevant prolapse (stage III or IV). After adjustment, carrying heavy objects for 5 or more hours a day, history of prolonged labour and highland rural residence were associated with anatomical pelvic organ prolapse.

Conclusions

Self-reported incontinence seems low in northwest Ethiopia. The prevalence of symptomatic prolapse was low despite a high prevalence of prolapse signs. Notably, heavy carrying and prolonged labour increased the risk of anatomical prolapse stage II–IV. The methods of assessing pelvic floor disorders in a low-income context need further development.

Keywords

Pelvic floor disorderPrevalenceUrinary incontinenceFaecal incontinencePelvic organ prolapseEthiopia

Copyright information

© The International Urogynecological Association 2012