Department of Obstetrics and Gynaecology, University of the West Indies, Kingston, Jamaica.
J Obstet Gynaecol. 2022 Aug;42(6):2220-2224. doi: 10.1080/01443615.2022.2036963. Epub 2022 Mar 8.
POP affected 40% of participants in the WHI trial. Risk factors include parity, vaginal delivery, large babies, advancing age, obesity, hysterectomy and lifting. Data suggest African-American women have a lower prevalence of symptomatic POP than other racial groups. Literature review did not show a study of risk factors and symptoms in a black population. Cross-sectional study of women with POP attending urogynaecology clinic at the UHWI from May to October 2013, using an interviewer administered questionnaire was performed and analysed using SPSS version 19 program (SPSS Inc., Chicago, IL). One hundred and eight participants were included: 94.7% postmenopausal (mean 65.08 years) and 94.5% parous (mean 4). Risk factors included obesity (mean BMI 28.82 kg/m), hysterectomy (28.7%), heavy lifting (51.9%) and chronic cough (13.9%). Symptoms included stress incontinence (40.7%), stranguria (16.7%), faecal incontinence (13.9%), constipation (31.5%), coital urinary and faecal incontinence (6.3%, 12.6%). We concluded risk factors for POP in this population correlates with other studies. Stress urinary incontinence and constipation most frequently reported symptoms in this population.Impact Statement Pelvic organ prolapse (POP) is a common condition with multifactorial aetiology. As seen in systematic reviews (Vergeldt TFM, Weemhoff M, IntHout J, Kluivers KB. 2015. Risk factors for pelvic organ prolapse and its recurrence: a systematic review. International Urogynecology Journal 26(11):1559-1573). Study shows white women appeared to have more overall symptoms both from prolapse, as well as urinary symptoms, as compared with black women (Ford AT, Eto CU, Smith M, Northington GM. 2019. Racial differences in pelvic organ prolapse symptoms among women undergoing pelvic reconstructive surgery for prolapse. Female Pelvic Medicine & Reconstructive Surgery 25:130-133). The result highlights the fact that Black women are exposed to similar risk factors and have similar symptoms to other racial groups for POP. These findings can be used to educate women with risk factors about the possibility of developing symptomatic POP. Further research is needed to ascertain the prevalence of POP and to assess knowledge and attitude in this population as we hypothesise that there is generalised assumption in that being black is protective from POP.
POP 影响了 WHI 试验中的 40%的参与者。风险因素包括产次、阴道分娩、巨大儿、年龄增长、肥胖、子宫切除术和举重。数据表明，非裔美国女性的症状性 POP 患病率低于其他种族群体。文献综述未发现针对黑人人群的风险因素和症状的研究。对 2013 年 5 月至 10 月在 UHWI 参加泌尿科妇科诊所的患有 POP 的女性进行了横断面研究，使用访谈者管理的问卷进行，并使用 SPSS 版本 19 程序（SPSS Inc.，芝加哥，IL）进行分析。纳入了 108 名参与者：94.7%绝经后（平均 65.08 岁）和 94.5%多产（平均 4 次）。风险因素包括肥胖（平均 BMI 28.82kg/m）、子宫切除术（28.7%）、重物举重（51.9%）和慢性咳嗽（13.9%）。症状包括压力性尿失禁（40.7%）、排尿困难（16.7%）、粪便失禁（13.9%）、便秘（31.5%）、性交时尿失禁和粪便失禁（6.3%，12.6%）。我们得出结论，该人群的 POP 风险因素与其他研究相关。在该人群中，压力性尿失禁和便秘是最常见的症状。
影响陈述
盆腔器官脱垂（POP）是一种常见的多因素病因疾病。正如系统评价所示（Vergeldt TFM、Weemhoff M、IntHout J、Kluivers KB。2015. 盆腔器官脱垂及其复发的风险因素：系统评价。国际泌尿妇科杂志 26(11):1559-1573）。研究表明，与黑人女性相比，白人女性似乎在脱垂和尿失禁症状方面总体上更为严重（Ford AT、Eto CU、Smith M、Northington GM。2019. 接受盆腔重建手术治疗脱垂的女性中，盆腔器官脱垂症状的种族差异。女性盆腔医学与重建外科 25:130-133）。结果强调了一个事实，即黑人女性面临着与其他种族群体相似的风险因素，并出现类似的 POP 症状。这些发现可用于教育有风险因素的妇女有关发展为有症状的 POP 的可能性。需要进一步研究以确定 POP 的患病率，并评估该人群的知识和态度，因为我们假设普遍认为黑人具有预防 POP 的作用。
