Abstract
Introduction and hypothesis
Pelvic organ prolapse is among the most common gynecologic problems worldwide. It greatly influences women’s quality of life. However, research regarding the effect of pelvic organ prolapse on quality of life is limited in our study area.
Methods
An institutional-based study design among women with the diagnosis of pelvic organ prolapse at Felege Hiwot Comprehensive Specialized Hospital was employed from May to July 2018. Interviewer-administered questionnaire and Prolapse Quality of Life assessment tool were used to collect data. Gynecologic speculum examination was done to collect objective data. Data were entered into Epi info version 7 and then exported in to SPSS, version 20.0, for analysis. Descriptive statistics and logistic regression were used. All the statistical tests were significant at P < 0.05.
Results
The average prolapse quality of life score was 48.35 ± 22.75 SD. The physical limitation (score: 69.83 ± 28.77 SD) and general health perception (score: 67.39 ± 20.26 SD) domains were the most affected life domains. Younger age (AOR = 3.02 [95% CI: 1.22–7.45]), being illiterate (AOR = 3.52 [95% CI: 1.12–11.10]), and having stage IV POP (AOR = 2.84 [95% CI: 1.16–7.00]) were associated with lower quality of life.
Conclusions
The QOL score showed huge variability among the study participants. The physical limitation and general health perception domains were most affected. Being illiterate, being < 35 years old, and having stage IV pelvic organ prolapse were the factors associated with lower quality of life.
Similar content being viewed by others
References
Bump RC, Matiasson A, Bo K, Brubaker LP, DeLancey JO, Klarskov P, et al. The standartization of terminology of female pelvic organ prolapse and pelvic floor dysfunction. Am J Obstet Gynecol. 1996;175:10–7.
Akmel M, Segni H. Pelvic organ prolapse in jimma university specialized hospital, southwest ethiopia. Ethiopian journal of health sciences. 2012;22(2):85–92.
Barbara L. Hoffman M, John O. Schorge M, Karen D. Bradshaw M, Lisa M. Halvorson M, Joseph I. Schaffer M, Marlene M. Corton M. Williams. Gynaecology. 3rd ed book.
Jennifer M. Wu M, MPH,1,2 Catherine A. Matthews, MD,1 Mitchell M. Conover, BS,3 Virginia Pate, MS,3 and Michele Jonsson Funk,. Lifetime Risk of Stress Incontinence or Pelvic Organ Prolapse Surgery. Obstetrics and gynecology. 2014
Rortveit G1 BJ, Thom DH, Van Den Eeden SK, Creasman JM, Subak LL. Symptomatic pelvic organ prolapse: prevalence and risk factors in a population-based, racially diverse cohort. Obstetrics and gynecology. 2007.
Rock JAJ, Howard W. Te Linde's Operative Gynecology, 11th Edition. book. 2015.
Asresie A, Admassu E, Setegn T. Determinants of pelvic organ prolapse amonggynecologic patients in Bahir Dar, North West Ethiopia: a case-control study. Internationaljournal of women’s health. 2016;8:713–9.
Adefris M, Abebe SM, Terefe K, Gelagay AA, Adigo A, Amare S, et al. Reasons for delay in decision making and reaching health facility among obstetric fistula and pelvic organ prolapse patients in Gondar University hospital, Northwest Ethiopia. BMC women’s health. 2017;17(1):64.
Eda Şahin R, PhDs,Gulsen Vural, RN, PhD. Assessment of the Qualıty of Lıfe in Women wıth a Dıagnosıs of Urogenıtal Prolapse. Int J Caring Sci. 2015.
Cetin Cam a, Mustafa Sakalli a, Pinar Ay b, Turhan Aran a,, Meltem Cam c AKa. Validation of the prolapse quality of life questionnaire (P-QOL) in a Turkish population. Eur J Obstet Gynecol Reprod Biol 135. 2007.
Jakub Rzepka1, Kamil Zalewski1, 3, Artur Stefanowicz3, Vik Khullar4, Steven Swift5, Digesu4 GA. Validation of the Polish version of P-QoL questionnaire. Ginekologia Polska 2016; vol. 87.
Alex Digesu VK, Linda Cardozo,Dudley Robinson, the P-QAvqta, with saqolow, prolapse u, Journal IU, et al. P-QOL: A validated questionnaire to assess the symptoms and quality of life of women with urogenital prolapse. Int Urogynecol J. June 2005.
Obinna Izuchukwu Oraekwe MAU, Kelechi Chiemela Nwachukwu, and Uka Kalu Okali. Genital prolapse: A 5-year review at Federal Medical Centre Umuahia, Southeastern Nigeria. Niger Med J. 2016.
Fei-Chi Chuang a L-CCb, Fu-Tsai Kung a, Kuan-Hui Huang. Validation of the traditional Chinese version of the prolapse quality of life questionnaire (P-QOL) in a Mandarin speaking Taiwanese population. Taiwan J Obstet Gynecol. 2016.
Ingrid Nygaard M, MS, Matthew D. Barber M, MHS, Kathryn L. Burgio P, Kimberly Kenton M, MS, Susan Meikle M, MSPH, Joseph Schaffer M, et al. Prevalence of Symptomatic Pelvic Floor Disorders in US Women. J Am Med Assoc. 2008.
Victoria L. Handa M, a,* Elizabeth Garrett, PhD,b Susan Hendrix, DO,c, Ellen Gold P, d John Robbins, MD. Progression and remission of pelvic organ prolapse: A longitudinal study of menopausal women. American journal of obstetrics and gynecology. 2004.
Good MM, Korbly N, Kassis NC, Richardson ML, Book NM, Yip S, et al. Prolapse-related knowledge and attitudes toward the uterus in women with pelvic organ prolapse symptoms. Am J Obstet Gyneco. 2013;209(5):481 e1–6.
Gumanga SK. Social demographic characteristics of women with pelvic organ prolapse at the tamale teaching hospital, ghana. Ghana Med J. 2014.
Scherf C, Morison L, Fiander A, Ekpo G, Walraven G. Epidemiology of pelvic organ prolapse in rural Gambia, West Africa. BJOG: Int J Obstet Gynaecol. 2002;109(4):431–6.
Zeleke BM, Ayele TA, Woldetsadik MA, Bisetegn TA, Adane AA. Depression among women with obstetric fistula, and pelvic organ prolapse in northwest Ethiopia. BMC Psychiat. 2013;13:236.
Ghetti C, Lowder JL, Ellison R, Krohn MA, Moalli P. Depressive symptoms in women seeking surgery for pelvic organ prolapse. Int Urogynecol J. 2010;21(7):855–60.
Brandt C, van Rooyen C, Cronjé HS. Validation of the prolapse quality-of-life questionnaire (P-QOL): An Afrikaans version in a South African population. SAJOG. 2016;22:3.
Gjerde JL, Rortveit G, Muleta M, Adefris M, Blystad A. Living with pelvic organ prolapse: voices of women from Amhara region, Ethiopia. Int Urogynecol J. 2017;28(3):361–6.
C Brandt PP, C van Rooyen, M Comm; H S Cronjé, MB ChB M. Validation of the prolapse quality-of-life questionnaire (P-QOL): An Afrikaans version in a South African population. SAJOG 2016;Vol. 22:3.
Chan SS, Cheung RY, Yiu KW, Lee LL, Pang AW, Chung TK. Symptoms, quality of life, and factors affecting women's treatment decisions regarding pelvic organ prolapse. Int Urogynecol J. 2012;23(8):1027–33.
Miedel A, Ek M, Tegerstedt G, Maehle-Schmidt M, Nyren O, Hammarstrom M. Short-term natural history in women with symptoms indicative of pelvic organ prolapse. Int Urogynecol J. 2011;22(4):461–8.
Acknowledgments
The authors thank Bahirdar University for the approval of ethical clearance. We also thank Amhara Regional Health Bureau, Felege Hiwot Comherensive Specilized Hospital, for permitting us to conduct the study and providing the necessary preliminary information. The authors are very grateful to the data collectors and women who participated in this study.
Funding
This study was supported by funds from Bahir Dar University for the design and collection, analysis and interpretation of data. However, the funder has no specific role in the preparation of the manuscript.
Author information
Authors and Affiliations
Contributions
Walelign Kindie: Conceived and designed the protocol
Aemiro Yiheyis: Contributed data analysis
Amanu Aragaw: Wrote the paper
Kihinetu Gelaye Wudineh: Revised the manuscript
Daniel Miskir: Participated in data entry
Corresponding author
Ethics declarations
Ethics approval and consent to participate
Ethical clearance was obtained from the institutional review board of Bahir Dar University.
A formal letter of cooperation was written to Regional Health Bureau, Felege Hiwot Comherensive Specilized Hospital, and permission was obtained. Verbal consent was obtained from each study participant. Confidentiality of information and privacy were maintained.
Conflict of interest
The authors declare that they have no conflict of interest.
Additional information
Publisher’s note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Supplementary information
ESM 1
(DOCX 16 kb)
Rights and permissions
About this article
Cite this article
Kindie, W., Yiheyis, A., Aragaw, A. et al. Quality of life among women with a diagnosis of pelvic organ prolapse at Felege Hiwot Comprehensive Specialized Hospital, Bahir Dar, Northwest Ethiopia: an institutional based cross-sectional study. Int Urogynecol J 34, 225–230 (2023). https://doi.org/10.1007/s00192-022-05209-2
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00192-022-05209-2