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Eur J Obstet Gynecol Reprod Biol ; 246: 106-112, 2020 Mar.
Article in English | MEDLINE | ID: mdl-32006916

ABSTRACT

OBJECTIVE: To explore the prevalence of various Pelvic Floor Disorders (PFD) and the degree of symptom bother in a convenience sample of Armenian women in the Republic of Armenia. METHODS: Fifty women ages 20-85 years from each Armenian region (Marz) were included in the study. The survey included the validated Armenian version of the Global Pelvic Floor Bother Questionnaire (PFBQ) and general questions on demographics and comorbidities related to these disorders. RESULTS: A total of 540 women (90%) attending primary care clinics completed the validated PFBQ questionnaire. Initial analysis showed that the PFBQ score was significantly higher in older women, and those with higher vaginal parity and BMI. Women with prior hysterectomy (37.1+22.4) and prior pelvic prolapse or anti-incontinence surgeries (40.6+21.6) had significantly higher PFBQ scores than women without prior surgeries (18.8+20,0 and 19.4+19.7) and were associated with an increased odds of developing pelvic prolapse symptoms and obstructed defecation. CONCLUSIONS: PFD symptoms were observed to be common and significantly correlated with demographic characteristics and self-reported comorbidities in Armenian women. We need to start promoting proper training of physicians in Female Pelvic Medicine and Reconstructive Surgery.


Subject(s)
Dyspareunia/epidemiology , Pelvic Floor Disorders/epidemiology , Pelvic Organ Prolapse/epidemiology , Urinary Incontinence/epidemiology , Adult , Aged , Aged, 80 and over , Armenia/epidemiology , Cesarean Section , Defecation , Dyspareunia/physiopathology , Fecal Incontinence/epidemiology , Fecal Incontinence/physiopathology , Female , Gynecologic Surgical Procedures/statistics & numerical data , Humans , Hysterectomy/statistics & numerical data , Middle Aged , Parity , Pelvic Floor Disorders/physiopathology , Pelvic Floor Disorders/surgery , Pelvic Organ Prolapse/physiopathology , Pelvic Organ Prolapse/surgery , Prevalence , Primary Health Care , Plastic Surgery Procedures , Surveys and Questionnaires , Urinary Bladder, Overactive/epidemiology , Urinary Bladder, Overactive/physiopathology , Urinary Incontinence/physiopathology , Urinary Incontinence/surgery , Urination Disorders/epidemiology , Urination Disorders/physiopathology , Young Adult
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