[ prevalence of symptoms of pelvic floor disorders in women that referred to the clinic of gynecology in Ali-ebn-Abitaleb Hospital, Zahedan, Iran]

ABSTRACT

Female urinary and genital systems have anatomic and embryologic similarities and both structures and other pelvic floor organs may be damaged during pregnancy and delivery. Other factors such as age and BMI may also affect pelvic floor functions. Pelvic floor disorders such as urinary incontinence, [stress, urgent or mixed type], anal incontinence, pelvic organ prolapse and sexual abnormalities are common problems. The purpose of this study was to define the prevalence of pelvic floor disorders and to determine predisposing factors including ageparity, BMI [Body mass index] and mode of delivery. This prospective study was done on 612 randomly selected women aged 15 years or higher that referred to the gynecologic clinic of Ali-ebn-Abitaleb Hospital. These women were questioned about age parity, delivery method, and pelvic floor disorders including urinary incontinences, flatus and fecal incontinences, disparonia, hemorrhoids, based on which questionnaire was completed. Also women's weight and height were measured and BMI was defined. The data were analyzed with SPSS software and X[2] test. Most of these 612 women occurred in age between 26-35 years [38.5%], and the lowest common age range was 56 years or higher [11.4%]. 50.9% of the women had one pelvic floor disorder, 68.6% had two pelvic floor disorders, and 31.4% had three or more pelvic floor disorders. All types of pelvic floor disorders increased after the next deliveries. There was a significant difference between Body Mass Index and pelvic floor disorders including urinary incontinence [P=0.001], Constipation [P=0.001] and fecal incontinence [P=0.014]. But there was no significant difference between disparonia [p=0.33], vaginal relaxation [P=0.58], vaginal dryness [P=0.96], hemorrhoid [P=0.25] and Body mass Index and also the proportion of hemorrhoid, Constipation, fecal incontinence and urinary incontinence were higher in women with vaginal deliveries compared with other kinds of deliveries [caesarean- instrumental delivery]. The lowest proportion was in cesarean delivery. Also disparonia in the instrumental delivery group was two times higher than the cesarean and vaginal delivery group. Pelvic floor disorders are very common and are associated with female aging, BMI, and parity. Caesarean delivery is not associated with a significant reduction in long - term pelvic floor morbidity compared with spontaneous, and instrumental vaginal delivery