Résumé
Background: pelvic floor disorders [PFDs] occurring in women comprises a broad range of clinical scenarios such as pelvic organ prolapse [POP] and stress urinary incontinence [SUI]
Aim of the work: the objectives of the present study were to estimate differences in the prevalence of pelvic floor disorders [POP and SUI] in Egyptian women by mode of delivery and their impact on patients' quality of life using assessment questionnaire
Materials and Methods: this observational [non-interventional] cohort study was conducted on 464 parous women from the gynecologic out-patient clinic of Ain Shams Maternity University Hospital for measuring the prevalence of POP and UI regards the mode of delivery in women delivered 5 years back or more and its impact on the quality of their lives. Pelvic organ support was assessed using the Pelvic Organ Prolapse Quantification method [POP-Q], and pelvic floor symptoms were evaluated using assessment questionnaire
Results: our study found that compared to Cesarean Section [CS; 32.8%], vaginal delivery [VD] was associated with statistically significant increase in the occurrence [43.5%] and severity [Moderate-to-severe UI [39.6% in VD vs. 10.5% in CS]] of UI especially SUI [VD vs. CS: 62.4% vs. 51.3%]. Vaginal delivery was associated with more than double the occurrence of POP [19.4% vs. 8.2% in CS], and more than triple the concomitant occurrence of both POP and SUI [9.9% vs. 2.6% in CS]
Conclusion: there is a positive correlation between the mode of delivery - as an independent factor - and the prevalence of pelvic floor disorders [both pelvic organs prolapse and urinary incontinence] in parous women