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Pelvic organ prolapse in Northwest Ethiopia: a population-based study

International Urogynecology Journal volume 31, pages 1873–1881 (2020)Cite this article

Abstract

Introduction and hypothesis

Epidemiological studies aimed at pelvic organ prolapse and its risk factors can help to identify women at a higher risk and therefore promote prevention strategies. We aimed to assess the prevalence of and factors associated with symptomatic prolapse.

Methods

A community-based study was conducted in Dabat district, Northwest Ethiopia. Initially, women were interviewed on their prolapse symptoms using validated questionnaires at their home. Subsequently, they were invited for pelvic examination and examined by gynecologists using the simplified pelvic organ prolapse quantification. Symptomatic prolapse was assessed by pelvic examination findings and patient-reported symptoms. Multivariate logistic regression was used to assess the factors associated with symptomatic prolapse.

Results

A total of 880 women were interviewed and invited for pelvic examination, of whom 824 (93.6%) showed up for examination. Of the 824 women examined, 464 (56.3%) had POP stages II–IV and 145 (17.6%) had POP stages III–IV. The overall prevalence of symptomatic prolapse was 46.7% (217 out of 464). Of these, 41.0%, 42.8%, and 3.2% accounted for stage II, III, and IV respectively. Increasing age, multiparity, and heavy lifting/carrying significantly increased the odds of developing symptomatic prolapse.

Conclusions

Symptomatic prolapse affects a substantial proportion of women in the study area and increased with age. Multiparity and carrying heavy objects are associated with prolapse, all of which have the potential to be modified. More attention is needed to improve prevention, diagnosis, and treatment services to mitigate the health burden of these at-risk women.

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Data availability

The raw data supporting the findings presented in the current study are available from the corresponding author upon request.

Abbreviations

CI:

Confidence interval

HDSS:

Health and Demographic Surveillance System

IQR:

Interquartile range

LMICs:

Low and middle income countries

OR:

Odds ratio

POP:

Pelvic organ prolapse

POP-SS:

Pelvic organ prolapse symptom score

QoL:

Quality of life

SPOP-Q:

Simplified Pelvic Organ Prolapse Quantification

sPOP:

Symptomatic pelvic organ prolapse

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Acknowledgements

We would like to thank all women in the Dabat HDSS site for participating in this study. We gratefully acknowledge all data collectors, supervisors, and data clerks for their contribution. We would also acknowledge Dr Tamiru Minwyelet for performing pelvic examinations; Women and Health Alliance International for covering the treatment costs of participants; the staff of the Department of Obstetrics and Gynecology for treating the participants at the UoG hospital and the staff of the Dabat HDSS site for their contribution in obtaining the sampling frame.

Funding

This study was funded by the Uuiversity of Gondar with the grant, reference number: O/VP/RCS/05/216/2017. The funding agency played no role in the study design, data collection, analysis, interpretation, or writing up of the manuscript.

Author information

Affiliations

  1. Institute of Public Health, College of Medicine and Health Sciences, University of Gondar, 196, Gondar, Ethiopia

    Tadesse Belayneh, Abebaw Gebeyehu & Tadesse Awoke

  2. Department of Gynecology and Obstetrics, School of Medicine, University of Gondar, Gondar, Ethiopia

    Mulat Adefris

  3. Research Group for General Practice, Department of Global Public Health and Primary Care, University of Bergen, Bergen, Norway

    Guri Rortveit

  4. Research Unit for General Practice, Uni Research Health, Bergen, Norway

    Guri Rortveit

Authors
  1. Tadesse Belayneh
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  2. Abebaw Gebeyehu
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  3. Mulat Adefris
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  4. Guri Rortveit
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  5. Tadesse Awoke
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Contributions

T. Belayneh: project development, data collection, and analysis, manuscript writing; A. Gebeyehu: project development, data analysis, manuscript editing; M. Adefris: project development, data analysis, manuscript editing; G. Rortveit: project development, data analysis, manuscript editing; T. Awoke: project development, data analysis, manuscript editing. All authors contributed to the intellectual content of the manuscript.

Corresponding author

Correspondence to Tadesse Belayneh.

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The study was conducted in Gondar, Dabat District, Ethiopia

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Belayneh, T., Gebeyehu, A., Adefris, M. et al. Pelvic organ prolapse in Northwest Ethiopia: a population-based study. Int Urogynecol J 31, 1873–1881 (2020). https://doi.org/10.1007/s00192-019-04196-1

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  • DOI: https://doi.org/10.1007/s00192-019-04196-1

Keywords

  • Advanced prolapse
  • Anatomical prolapse
  • Symptomatic prolapse
  • Women
  • Ethiopia