Mittal Ankur, Saini Arunima, Panwar Vikas K, Chezhian S, Bahurupi Yogesh, Gehlot Mahendra
Urology, All India Institute of Medical Sciences, Rishikesh, Rishikesh, IND.
Fellow Female Pelvic Medicine & Reconstructive Surgery, Department of Urology, All India Institute of Medical Sciences, Rishikesh, Rishikesh, IND.
Cureus. 2024 Nov 22;16(11):e74203. doi: 10.7759/cureus.74203. eCollection 2024 Nov.
Pelvic floor disorders (PFD) have been on the rise, with an overall prevalence of 11%-35.5% globally. They develop due to various factors like increasing number of deliveries and increasing age, leading to progressive weakening of the soft tissues and pelvic support system. They encompass a variety of symptoms involving the urinary, uterovaginal, and colorectal compartments. Patients either have symptoms isolated to single or multiple compartments concomitantly.
We found very limited literature denoting the exact prevalence of PFD in India. Due to the hesitant nature of females in a developing country like India and having a social taboo disclosing the common illnesses of females, these disorders are commonly hidden by females. We intended to know the prevalence of PFD in the state of Uttarakhand and create awareness in patients.
It was an intramurally funded project conducted over a duration of two years. Methods and material: In the Doiwala block of Dehradun district, there are five PHCs. These 700 samples were proportionally allocated in these five PHCs as per the PPS method. All women 18 years of age and above (Doiwala Block), women residing in field areas, and those willing to participate were included in the study.
The data was analyzed using statistical and inferential statistics. Data analysis was done using IBM Corp. Released 2015. IBM SPSS Statistics for Windows, Version 23.0. Armonk, NY: IBM Corp. Results and conclusions: We reported a higher prevalence of 56% in females of Uttarakhand, with increasing parity being the direct cause. Also, we found the majority of females with PFD to have them in moderate severity. Also, 89.6% of females had symptoms in all three compartments. We compared the two questionaries and concluded that PFDI 20 was better and more detailed than PFQI-7.
盆底功能障碍（PFD）的发病率一直在上升，全球总体患病率为11%-35.5%。其发病是由多种因素引起的，如分娩次数增加和年龄增长，导致软组织和盆底支持系统逐渐衰弱。它包括涉及泌尿、子宫阴道和结直肠腔室的各种症状。患者要么有单一腔室的症状，要么同时有多个腔室的症状。
我们发现关于印度PFD确切患病率的文献非常有限。由于在印度这样的发展中国家，女性对此犹豫不决，且存在披露女性常见疾病的社会禁忌，这些疾病通常被女性隐瞒。我们旨在了解北阿坎德邦PFD的患病率，并提高患者的认识。
这是一个由校内资助的项目，为期两年。方法和材料：在德拉敦区的杜伊瓦拉街区，有五个初级卫生保健中心。根据概率比例规模抽样法，将这700个样本按比例分配到这五个初级卫生保健中心。所有18岁及以上（杜伊瓦拉街区）、居住在农村地区且愿意参与的女性都被纳入研究。
使用统计和推断统计方法对数据进行分析。数据分析使用IBM公司2015年发布的Windows版IBM SPSS Statistics 23.0。纽约州阿蒙克：IBM公司。结果与结论：我们报告北阿坎德邦女性的患病率较高，为56%，直接原因是产次增加。此外，我们发现大多数患有PFD的女性病情为中度严重。而且，89.6%的女性在所有三个腔室都有症状。我们比较了两份问卷，得出结论：盆底功能障碍指数20（PFDI 20）比盆底功能障碍问卷-7（PFQI-7）更好、更详细。
