Loukopoulou Athina, Tzanni Eleni, Bothou Anastasia, Billis Evdokia, Nanou Christina, Kyrkou Giannoula, Vivilaki Victoria, Deltsidou Anna
Health Center of Atalanti, 35200 Atalanti, Greece.
Health Center of Lavrio, 19500 Athens, Greece.
Nurs Rep. 2025 Jun 12;15(6):212. doi: 10.3390/nursrep15060212.
The aim of this study is to investigate uterine prolapse (UP) among women attending a semi-urban health center for routine gynecological examinations. Specifically, the study explores the potential association between UP and various established or suspected risk factors, including age, menopausal status, number and mode of deliveries, birth weight, smoking habits, and body mass index (BMI). Furthermore, it examines the relationship between the presence or severity of UP and the scores of specific questionnaires and their subscales. Finally, the study seeks to develop a predictive model for the likelihood of UP based on questionnaire responses. A quantitative study was conducted at the gynecological department of a health center in Greece from January 2021 to October 2022. A total of 134 women were recruited using convenience sampling during routine gynecological visits. The degree of prolapse was classified according to the International Continence Society (ICS) Pelvic Organ Prolapse Quantification (POP-Q) classification system. Data collection also included the use of validated instruments: the Australian Pelvic Floor Questionnaire (APFQ), the Urogenital Distress Inventory-6 (UDI-6), the Pelvic Floor Distress Inventory-20 (PFDI-20), and the Pelvic Floor Impact Questionnaire-7 (PFIQ-7). The data were processed with the Statistical Package for the Social Sciences (SPSS) v25. Of the 134 participants, 21 (15.7%) aged 21 to 82 showed signs of UP, while 113 women (84.3%) did not. The average age of the women with UP was 55 years. Fourteen (10.4%) of these women were diagnosed with UP stage I, three of them (2.2%) with stage II, and four of them (3%) with stage III UP. There were no stage IV UP incidents. The risk factors associated with the disease include age, mode of delivery, parity, and duration of menopause. Regarding parity, every subsequent birth after the first one increases the likelihood of a UP incident by approximately 125%. Most women with UP did not exhibit severe symptoms, as UP typically does not manifest symptoms until it reaches a final stage. Considering the population aging and the increase in morbidity, a regular pelvic organ prolapse (POP) checkup should be established to facilitate early recognition, prevention, and treatment of symptoms. This study offers a potential tool for non-invasive screening to facilitate identifying UP in women early, which has not been previously reported.
本研究旨在调查在半城市健康中心进行常规妇科检查的女性中的子宫脱垂（UP）情况。具体而言，该研究探讨了UP与各种已确定或疑似风险因素之间的潜在关联，包括年龄、绝经状态、分娩次数和方式、出生体重、吸烟习惯以及体重指数（BMI）。此外，它还研究了UP的存在或严重程度与特定问卷及其子量表得分之间的关系。最后，该研究试图根据问卷回答建立一个预测UP可能性的模型。2021年1月至2022年10月，在希腊一家健康中心的妇科进行了一项定量研究。在常规妇科就诊期间，采用便利抽样法共招募了134名女性。脱垂程度根据国际尿控协会（ICS）盆腔器官脱垂量化（POP-Q）分类系统进行分类。数据收集还包括使用经过验证的工具：澳大利亚盆底问卷（APFQ）、泌尿生殖系统困扰量表-6（UDI-6）、盆底困扰量表-20（PFDI-20）和盆底影响问卷-7（PFIQ-7）。数据使用社会科学统计软件包（SPSS）v25进行处理。在134名参与者中，21名（15.7%）年龄在21至82岁之间的女性表现出UP迹象，而113名女性（84.3%）没有。患有UP的女性的平均年龄为55岁。其中14名（10.4%）女性被诊断为I期UP，3名（2.2%）为II期，4名（3%）为III期UP。没有IV期UP病例。与该疾病相关的风险因素包括年龄、分娩方式、产次和绝经持续时间。关于产次，第一次分娩后的每一次后续分娩使发生UP事件的可能性增加约125%。大多数患有UP的女性没有表现出严重症状，因为UP通常在达到最后阶段之前不会出现症状。考虑到人口老龄化和发病率的增加，应建立定期的盆腔器官脱垂（POP）检查，以促进症状的早期识别、预防和治疗。本研究提供了一种潜在的非侵入性筛查工具，便于早期识别女性中的UP，这在以前尚未有报道。
