Epidemiology of Pelvic Floor Dysfunction in the Tacna Region of Peru, 2023

• Published in: International Urogynecology Journal 2024-06, Vol.35 (6), p.1211-1218
• Main Authors: Sologuren-García, Gema, Linares, Carmen L., Flores, Jackeline R., Escobar-Bermejo, Gloria, Sotelo-Gonzales, Soledad, Fagerstrom, Cristhel K.
• Format: Article
• Language: English
• Subjects: Adult; Cross-Sectional Studies; Female; Gynecology; Humans; Medicine; Medicine & Public Health; Middle Aged; Original; Original Article; Overweight; Parity; Pelvic Floor Disorders - epidemiology; Pelvic Floor Disorders - etiology; Pelvis; Peru - epidemiology; Prevalence; Quality of Life; Sociodemographics; Urinary Incontinence - epidemiology; Urinary Incontinence - etiology; Urology
• ISSN: 0937-3462; 1433-3023; 1433-3023
• DOI: 10.1007/s00192-024-05792-6

Introduction and hypothesis Urinary incontinence (UI) is highly prevalent in the general population, with numerous studies conducted in Europe and North America. However, there is a scarcity of data regarding its prevalence and sociodemographic factors in the southern region of Peru. There is an association between sociodemographic factors—such as age, educational level, body mass index, number of pregnancies, parity, mode of delivery, weight of the newborn—along with lifestyle factors such as physical effort, coffee and tobacco consumption with pelvic floor dysfunction (PFD). We anticipate that this association will negatively impact women’s quality of life. Methods This was a quantitative study, with a non-experimental, descriptive, cross-sectional correlational design. A sample consisting of 468 women between 30 and 64 years old. A previously tested survey was applied to explore prevalence, symptoms, associated factors, and quality of life. Results The prevalence of PFD was 73.9%. UI was the most common. There is a significant association with overweight, obesity, parity, route of delivery, and physical effort. Even though a large percentage of participants presented with PFD, they reported that their quality of life was not affected (65.9% urinary discomfort, 96.5% colorectal–anal discomfort and 92.2% pelvic organ prolapse discomfort) and only in the case of urinary discomfort did they state that the impact was mild (28.6%) and moderate (5.5%). Conclusions Pelvic floor dysfunction in women is very common and it is strongly associated with overweight, obesity, parity, route of delivery, and physical exertion. The impact on quality of life was mild and moderate for those who had urinary discomfort.