Badalian Samuel S, Sagayan Elena, Simonyan Hambardzum, Minassian Vatche A, Isahakian Anna
Bassett Healthcare Network, Cooperstown, New York, USA.
Kaiser Permanente Medical Center, Pleasantville, California, USA.
Eur J Obstet Gynecol Reprod Biol. 2020 Mar;246:106-112. doi: 10.1016/j.ejogrb.2020.01.029. Epub 2020 Jan 25.
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.
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.
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.
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.
在亚美尼亚共和国的一个亚美尼亚女性便利样本中，探究各种盆底功能障碍（PFD）的患病率以及症状困扰程度。
来自亚美尼亚每个地区（州）的50名年龄在20 - 85岁的女性被纳入研究。该调查包括经过验证的亚美尼亚语版全球盆底困扰问卷（PFBQ）以及关于这些疾病的人口统计学和共病情况的一般问题。
共有540名（90%）到初级保健诊所就诊的女性完成了经过验证的PFBQ问卷。初步分析表明，年龄较大的女性、阴道分娩次数较多以及体重指数较高的女性，其PFBQ得分显著更高。有子宫切除术史（37.1 + 22.4）和有盆腔器官脱垂或抗尿失禁手术史（40.6 + 21.6）的女性，其PFBQ得分显著高于无手术史的女性（18.8 + 20.0和19.4 + 19.7），并且与出现盆腔器官脱垂症状和排便障碍的几率增加相关。
观察到PFD症状在亚美尼亚女性中很常见，并且与人口统计学特征和自我报告的共病情况显著相关。我们需要开始推动对女性盆底医学和重建外科医生进行适当培训。
