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International Urogynecology Journal

, Volume 26, Issue 12, pp 1719–1723 | Cite as

Can we predict and prevent pelvic floor dysfunction?

Ulf Ulmsten Memorial Lecture 2015
  • Ian MilsomEmail author
Special Contribution

Introduction

Pelvic floor disorders (PFD) constitute a huge global health problem affecting hundreds of millions of women throughout the world. The prevalence of at least one form of PFD (urinary incontinence [UI], pelvic organ prolapse [POP] or faecal incontinence [FI]) has been reported to be as high as 46 % [1]. In addition, many women may have a combination of PFDs. PFDs have a profound influence on correct well-being and quality of life and prevent many women from participating in recreational and sporting activities [1]. PFDs have also been reported to have a negative influence on sexual function and sexual health parameters [2, 3, 4].

The global costs of PFDs to health care systems and society are enormous [5, 6]. The lifetime risk of undergoing POP surgery alone has been reported to vary between 5 and 19 % [7]. The highest life time risk for POP surgery, 19 %, has been reported from Western Australia [8]. De Boer et al. [9] estimated that 20.2 % of Dutch women would undergo...

Keywords

Caesarean Section Pelvic Floor Pelvic Organ Prolapse Faecal Incontinence Vaginal Delivery 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Abbreviations

aOR

Adjusted odds ratio

BMI

Body mass index

CS

Caesarean section

EPINCONT

The Epidemiology of Incontinence in the County of Nord-Trøndelag

IBW

Infant birth weight

MRI

Magnetic resonance imaging

OASI

Obstetric anal sphincter injury

OR

Odds ratio

PFD

Pelvic floor disorders

POP

Pelvic organ prolapse

PROLONG

The Relationship of Pregnancy and Delivery with Incontinence and Prolapse Study

sPOP

Symptomatic pelvic organ prolapse

SWEPOP

The Swedish Pregnancy, Obesity and Pelvic Floor Study

TFR

Total fertility rate

UI

Urinary incontinence

UN

United Nations

VD

Vaginal delivery

Notes

Compliance with ethical standards

Conflicts of interest

None.

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Copyright information

© The International Urogynecological Association 2015

Authors and Affiliations

  1. 1.The Department of Obstetrics and GynecologySahlgrenska Academy at Gothenburg UniversityGothenburgSweden

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