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Published in: International Urogynecology Journal 2/2011

01-02-2011 | Review Article

Pelvic organ prolapse and incontinence in developing countries: review of prevalence and risk factors

Authors: Godfrey J. A. Walker, Prasanna Gunasekera

Published in: International Urogynecology Journal | Issue 2/2011

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Abstract

Introduction and hypothesis

Information on the prevalence, risk factors and social consequences of pelvic floor dysfunction (PFD) affecting women in 16 low-income and lower middle-income countries is reviewed.

Methods

Medline searches were performed for articles dealing with prevalence of PFD.

Results

Thirty studies were identified. The mean prevalence for pelvic organ prolapse was 19.7% (range 3.4–56.4%), urinary incontinence (UI) was 28.7% (range 5.2–70.8%) and faecal incontinence (FI) was 6.9% (range 5.3–41.0%). Risk factors for PFD are similar to those in more affluent countries particularly increased age and parity, but additionally, PFD is associated with other factors including poor nutrition and heavy work. The social consequences of PFD conditions can be devastating.

Conclusions

Pelvic organ prolapse and urinary and faecal incontinence are significant problems in developing countries. Access to health care to manage these conditions is often limited, and women usually have to live with the consequences for the rest of their lives.
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Metadata
Title
Pelvic organ prolapse and incontinence in developing countries: review of prevalence and risk factors
Authors
Godfrey J. A. Walker
Prasanna Gunasekera
Publication date
01-02-2011
Publisher
Springer-Verlag
Published in
International Urogynecology Journal / Issue 2/2011
Print ISSN: 0937-3462
Electronic ISSN: 1433-3023
DOI
https://doi.org/10.1007/s00192-010-1215-0

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