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International Urogynecology Journal

, Volume 18, Issue 9, pp 1065–1069 | Cite as

Prevalence and risk factors for pelvic floor symptoms in women in rural El Salvador

  • Begüm Özel
  • Anne Marie Borchelt
  • Francesca M. Cimino
  • Miriam Cremer
Original Article

Abstract

Our aim was to assess the frequency of pelvic floor symptoms among women in rural El Salvador. After written informed consent was obtained, we administered the short form of the urodynamic distress inventory (UDI-6) plus four other pelvic floor questions to 236 women aged 30 to 75 in rural El Salvador attending a general medicine or gynecology clinic. Average (SD) age, parity, and body mass index were 48.0 (8.4) years, 5.9 (3.4), and 26.9 (4.9) kg/m2, respectively. Ten (4.2%) women had a prior hysterectomy, 16 (6.8%) women were smokers, and 108 (45.8%) women were postmenopausal. Seventy-one percent of women reported urinary incontinence (UI); 49.3 and 61.1% of women reported urge UI and stress UI, respectively. Forty-one percent of women reported fecal incontinence (FI) of solid or liquid stool. Women with UI were significantly more likely to have had a hysterectomy compared to women without UI. Women with FI had significantly fewer years of education when compared to women without FI. In conclusion, pelvic floor symptoms are highly prevalent among women in rural El Salvador.

Keywords

Urinary incontinence Fecal incontinence El Salvador Pelvic floor symptoms 

References

  1. 1.
    Minassian VA, Drutz HP, Al-Badr A (2003) Urinary incontinence as a worldwide problem. Int J Obstet Gynecol 82:327–338CrossRefGoogle Scholar
  2. 2.
    Boreham MK, Richter HE, Kenton KS et al (2005) Anal incontinence in women presenting for gynecologic care: prevalence, risk factors, and impact upon quality of life. Am J Obstet Gynecol 192:1637–1642PubMedCrossRefGoogle Scholar
  3. 3.
    Uebersax JS, Wyman JF, Shumaker SA et al (1995) Short forms to assess life quality and symptom distress for urinary incontinence in women: the incontinence impact questionnaire and the urogenital distress inventory. Continence Program for Women research group. Neurourol Urodyn 14:131–139PubMedCrossRefGoogle Scholar
  4. 4.
    Abrams P, Cardozo L, Fall M et al (2002) The standardization of terminology of lower urinary tract function: report from the stadardisation sub-committee of the international continence society. Neurourol Urodyn 21:167–178PubMedCrossRefGoogle Scholar
  5. 5.
    Bortolotti A, Bernardini B, Colli E et al (2000) Prevalence and risk factors for urinary incontinence in Italy. Eur Urol 37:30–35PubMedCrossRefGoogle Scholar
  6. 6.
    Vandoninck V, Bemelmans BL, Mazzeta C et al (2004) The prevalence of urinary incontinence in community-dwelling married women: a matter of definition. BJU Int 94:1291–1295PubMedCrossRefGoogle Scholar
  7. 7.
    Swithinbank LV, Donovan JL, Du Heaume JC et al (1999) Urinary symptoms and incontinence in women: relationships between occurrence, age, and perceived impact. Br J Gen Pract 49:897–900PubMedGoogle Scholar
  8. 8.
    Nelson R, Norton N, Cautley E et al (1995) Community-based prevalence of anal incontinence. JAMA 274:559–561PubMedCrossRefGoogle Scholar
  9. 9.
    Roberts RO, Jacobsen SJ, Reilley WT et al (1999) Prevalence of combined fecal and urinary incontinence: a community-based study. J Am Geriatr Soc 47(7):837–841PubMedGoogle Scholar
  10. 10.
    Brown JS, Seeley DG, Fong J et al (1996) Urinary incontinence in older women: who is at risk? Study of Osteoporotic Fractures research group. Obstet Gynecol 87:715–721PubMedCrossRefGoogle Scholar
  11. 11.
    Thom DH, van den Eeden SK, Brown JS (1997) Evaluation of parturition and other reproductive variables as risk factors for urinary incontinence in later life. Obstet Gynecol 90:983–989PubMedCrossRefGoogle Scholar
  12. 12.
    Persson J, Wolner-Hanssen P, Rydhstroem H (2000) Obstetric risk factors for stress urinary incontinence: a population-based study. Obstet Gynecol 96:440–445PubMedCrossRefGoogle Scholar
  13. 13.
    van der Vaart CH, van der Bom JG, de Leeuw JR et al (2002) The contribution of hysterectomy to the occurrence of urge and stress urinary incontinence symptoms. BJOG 109:149–154PubMedGoogle Scholar
  14. 14.
    Peyrat L, Haillot O, Bruyere F et al (2002) Prevalence and risk factors of urinary incontinence in young and middle-aged women. BJU Int 89:61–66PubMedCrossRefGoogle Scholar
  15. 15.
    Kok AL, Voorhorst FJ, Burger CW et al (1992) Urinary and faecal incontinence in community-residing elderly women. Age Ageing 21:211–215PubMedCrossRefGoogle Scholar

Copyright information

© International Urogynecology Journal 2007

Authors and Affiliations

  • Begüm Özel
    • 1
  • Anne Marie Borchelt
    • 2
  • Francesca M. Cimino
    • 1
  • Miriam Cremer
    • 3
  1. 1.Division of Female Pelvic Medicine and Reconstructive Surgery, Department of Obstetrics and Gynecology, Keck School of MedicineUniversity of Southern CaliforniaLos AngelesUSA
  2. 2.Hampshire CollegeAmherstUSA
  3. 3.Department of Obstetrics and GynecologyNew York UniversityNew YorkUSA

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