Abstract
Introduction and hypothesis
Pelvic floor dysfunction (PFD) is common in women but few seek medical attention. Poor recognition of the condition as pathological and unawareness of treatments may account for low consultation rates.
Methods
This cross-sectional study was based on an online survey that was responded to in February and March 2020 by 768 female university students. Knowledge of PFD was assessed using the Prolapse and Incontinence Knowledge Questionnaire (PIKQ). Descriptive and inferential analyses were performed using IBM-SPSS (V26.0).
Results
Respondents had poor knowledge of PFD and especially of pelvic organ prolapse. Health science students (n = 531; 69.1%) obtained significantly higher scores (p < 0.001) than other students (n = 237; 30.9%). Those who had received information on how to perform pelvic floor muscle training were more likely to score higher than those who had not received previous information.
Conclusions
While health science students have better knowledge of PFD than other students, university students in general are little aware of PFD. Most students considered the issue of PFD to be important and wanted more information. Our findings may be useful in planning strategies to raise women’s awareness of PFD and its prevention and treatment.
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Abbreviations
- PFD:
-
Pelvic floor dysfunction
- UI:
-
Urinary incontinence
- POP:
-
Pelvic organ prolapse
- PFMT:
-
Pelvic floor muscle training
- PIKQ:
-
Prolapse and Incontinence Knowledge Questionnaire
References
Milsom I, Gyhagen M. The prevalence of urinary incontinence. Climacteric. 2019;22(3):217–22. https://doi.org/10.1080/13697137.2018.1543263.
National Institute for Health and Care Excellence. Urinary incontinence and pelvic organ prolapse in women: management. NICE Guideline. 2 April 2019.
Minassian VA, Yan X, Lichtenfeld MJ, Sun H, Stewart WF. The iceberg of health care utilization in women with urinary incontinence. Int Urogynecol J. 2012;23(8):1087–93. https://doi.org/10.1007/s00192-012-1743-x.
Dumoulin C, Hay-Smith J, Mac Habée-Seguin G, Mercier J. Pelvic floor muscle training versus no treatment, or inactive control treatments, for urinary incontinence in women: a short version cochrane systematic review with meta-analysis. Neurourol Urodyn. 2014;34(4):300–8. https://doi.org/10.1002/nau.22700.
Hagen S, Glazener C, McClurg D, et al. Pelvic floor muscle training for secondary prevention of pelvic organ prolapse (PREVPROL): a multicentre randomised controlled trial. Lancet. 2017;389(10067):393–402. https://doi.org/10.1016/S0140-6736(16)32109-2.
Berzuk K, Shay B. Effect of increasing awareness of pelvic floor muscle function on pelvic floor dysfunction: a randomized controlled trial. Int Urogynecol J. 2015;26(6):837–44. https://doi.org/10.1007/s00192-014-2599-z.
Shah AD, Massagli MP, Kohli N, Rajan SS, Braaten KP, Hoyte L. A reliable, valid instrument to assess patient knowledge about urinary incontinence and pelvic organ prolapse. Int Urogynecol J. 2008;19(9):1283–9. https://doi.org/10.1007/s00192-008-0631-x.
Chen CCG, Cox JT, Yuan C, Thomaier L, Dutta S. Knowledge of pelvic floor disorders in women seeking primary care: a cross-sectional study. BMC Fam Pract. 2019;20(1):1–10. https://doi.org/10.1186/s12875-019-0958-z.
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Our thanks to the students who participated in the survey.
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Appendix 1. Prolapse and Incontinence Knowledge Questionnaire (PIKQ) [7]
Appendix 1. Prolapse and Incontinence Knowledge Questionnaire (PIKQ) [7]
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a.
Below are some statements about urinary incontinence (loss of urine or leaky bladder). Please state if you agree or disagree with each statement, or if you do not know.
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b.
Below are some statements about pelvic organ prolapse (bulging of the vagina, uterus, bladder, or rectum). Please state if you agree or disagree with each statement, or if you do not know.
Source: Shah AD, Massagli MP, Kohli N, Rajan SS, Braaten KP, Hoyte L (2008) A reliable, valid instrument to assess patient knowledge about urinary incontinence and pelvic organ prolapse. Int Urogynecol J 19(9):1283-1289. doi:https://doi.org/10.1007/s00192-008-0631-x
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Bailón Queiruga, M., Delgado-Morell, A., Peró Garcia, M. et al. What do female university students know about pelvic floor disorders? A cross-sectional survey. Int Urogynecol J 33, 659–664 (2022). https://doi.org/10.1007/s00192-021-04828-5
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DOI: https://doi.org/10.1007/s00192-021-04828-5