Abstract
Urinary and fecal incontinence, pelvic organ prolapse (POP), and female sexual dysfuction are increasingly common conditions and fall in the realm of pelvic floor dysfunction. It is unclear if the true incidence of these conditions is increasing or if they are being detected more physicians, patients and the media to address them.
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References
Thom, D. Variation in estimates of urinary incontinence prevalence in the community: effects of differences in definition, population characteristics, and study type. J Am Geriatr Soc., 1998; 46:473.
Diokno AC, Brock BM, Brown MB et al. Prevalence of urinary incontinence and other urological symptoms in the noninstitutionalized elderly. J Urology. 1986;136:1022–1025.
Hunskaar S, Burgio K, Clark A et al. Epidemiology of faecal and urinary incontinence and pelvic organ prolapse. In: Incontinence. 3rd International Consultation on Incontinence, 3rd ed. Abrams P, Cardozo L, Khoury S, Wein A (ed). Plymouth, UK: Health Publication, Ltd., 2005.
Hampel C, Wienhold D, Benken N et al. Prevalence and natural history of female incontinence. Eur Urol. 1997;32(Suppl 2):3–12.
Melville Jl, Katon W, Delaney K et al. Urinary incontinence in US women: a population-based study. Intern Med. 2005;165:537–542.
Fultz NH, Herzog AR. Prevalence of urinary incontinence in middle-aged and older women: a survey-based methodological experiment. J Aging Health. 2000;12(4):459–469.
Sampselle CM, Harlow SD, Skurnick J et al. Urinary incontinence predictors and life impact in ethnically diverse perimenopausal women. Obstet Gynecol. 2002;100:1230–1238.
Viktrup L, Lose G, Rolff M et al. The symptom of stress incontinence caused by pregnancy or delivery in primiparas. Obstet Gynecol. 1992;79:945–49.
Allen RE, Hosker GL, Smith ARB et al. Pelvic floor damage and childbirth: a neurophysiological study. Br J Obstet Gynaecol. 1990;97:770–779.
Persson J, Wolner-Hanssen P, Rydhstroem H. Obstetric risk factors for stress urinary incontinence: a population-based study. Obstet Gynecol. 2000;96:440–445.
Foldspang A, Mommsen S, Lam GW et al. Parity as a correlate of adult female urinary incontinence prevalence. J Epidemiol Commun Health. 1992;46: 595–600.
Milsom I, Ekelund P, Molander U et al. The infl uence of age, parity, oral contraception, hysterectomy, and menopause on the prevalence of urinary incontinence in women. J Urol. 1993;149:1459–1462.
Goldberg RP, Abramov Y, Botros S et al. Delivery mode is a major environmental determinant of stress urinary incontinence: results of the Evanston-Northwestern Twin Sisters Study. Am J Obstet Gynecol. 2005;193:2149–2153.
Rortviet G, Hannestad YS, Daltveit AK et al. Ageand type-dependent effects of parity on urinary incontinence: the Norwegian EPINCONT study. Obstet Gynecol. 2001;98:1004–1010
Thom DH, Brown JS. Reproductive and hormonal risk factors for urinary incontinence in later life: a review of clinical and epidemiologic literature. J Am Geriatric Soc. 1998;46:1411–1417
Hendrix SL, Cochrane BB, Nygaard IE et al. Effects of estrogen with and without progestin on urinary incontinence. JAMA. 2005;23(293):935–948.
Minassian VA, Drutz HP, Al-Badr A. Urinary incontinence as a worldwide problem. Int J Gynaecol Obstet. 2003;82:327–338.
Peyrat L, Haillot O, Bruyere F et al. Prevalence and risk factors of urinary incontinence in young and middle-aged women. BJU Int. 2002;89:61–66.
Macmillan AK, Merrie AEH, Marshall RJ et al. The prevalence of fecal incontinence in communitydwelling adults: a systematic review of the literature. Dis Colon Rectum. 2004;47:1341.
Talley NJ; O’Keefe EA; Zinsmeister AR et al. Prevalence of gastrointestinal symptoms in the elderly: a population-based study. Gastroenterology. 1992;102: 895–901.
Nelson R; Furner S; Jesudason V. Fecal incontinence in Wisconsin nursing homes: prevalence and associations. Dis Colon Rectum. 1998;41:1226–1229.
Eva UF, Gun W, Preben K. Prevalence of urinary and fecal incontinence and symptoms of genital prolapse in women. Acta Obstet Gynecol Scand. 2003;82:280–286.
Drossman DA; Li Z; Andruzzi E et al. US householder survey of functional gastrointestinal disorders. Prevalence, sociodemography, and health impact. Dig Dis Sci. 1993;38:1569–1580.
Haadem K, Dahlstrom JA, Lingman G. Anal sphincter function after delivery: a prospective study in women with sphincter rupture and controls. Eur J Obstet Gynecol Reprod Biol. 1990;35:7
Sultan AH; Kamm MA; Hudson CN et al. Analsphincter disruption during vaginal delivery. N Engl J Med. 1993;23(329):1905–1911.
Ryhammer AM, Laurberg S, Hermann AP. Longterm effect of vaginal deliveries on anorectal function in normal perimenopausal women. Dis Colon Rectum. 1996;39:852–859.
Pollack J, Nordenstam J, Brismar S et al. Anal incontinence after vaginal delivery: a five-year prospective cohort study. Obstetrics & Gynecology. 2004;104:1397–1402.
Haadem K, Dahlstrom JA, Ling L. Anal sphincter competence in healthy women: clinical implications of age and other factors. Obstet Gynecol. 1991;78(5 Pt 1): 823–827.
Nelson R, Norton N, Cautley E et al. Communitybased prevalence of anal incontinence. JAMA. 1995 16(274):559–561.
Quander CR, Morris MC, Melson J et al. Prevalence of and factors associated with fecal incontinence in a large community study of older individuals. Am J Gastroenterol. 2005;100:905–909.
Swift SE. The distribution of pelvic organ support in a population of female subjects seen for routine gynecologic health care. Am J Obstet Gynecol. 2000;83:277–285.
Hendrix SL, Clark A, Nygaard I et al. Pelvic organ prolapse in the Women’s Health Initiative: gravity and gravidity. Am J Obstet Gynecol. 2002;186:1160–1166.
Samuelsson EC, Victor FT, Tibblin G et al. Signs of genital prolapse in a Swedish population of women 20 to 59 years of age and possible related factors. Am J Obstet Gynecol. 1999;180:299–305.
Hendrix SL, Clark A, Nygaard I et al. Pelvic organ prolapse in the Women’s Health Initiative: gravity and gravidity. Am J Obstet Gynecol. 2002;186:1160–1166.
Nygaard I, Bradley C, Brandt D. Women’s Health Initiative. Pelvic organ prolapse in older women: prevalence and risk factors. Obstet Gynecol. 2004; 104:489–497.
Swift S, Woodman P, O’Boyle A et al. Pelvic Organ Support Study (POSST): the distribution, clinical definition, and epidemiologic condition of pelvic organ support defects. Am J Obstet Gynecol. 2005; 192:795–806
Swift SE, Pound T, Dias JK. Case-control study of etiologic factors in the development of severe pelvic organ prolapse. Int Urogynecol J Pelvic Floor Dysfunct. 2001;12:187–192.
Mant J, Painter R, Vessey M. Epidemiology sexual dysfunction: definitions and classifications. J Urol. 2000;183:888–893.
Rinne KM, Kirkinen PP. What predisposes young women to genital prolapse? Eur J Obstet Gynecol Reprod Biol. 1999;84:23–25.
Basson R, Berman J, Burnett A et al. Report of the international consensus development conference on female sexual dysfunction: definitions and classifications. J Urol. 2000;163:888–893.
Geiss IM, Umek WH, Dungl A et al. Prevalence of female sexual dysfunction in gynecologic and urogynecologic patients according to the international consensus classification. Urology. 2003;62:514–518.
Nazareth I, Boynton P, King M. Problems with sexual function in people attending London general practitioners: cross sectional study. BMJ. 2003;23;327:423–426.
Laumann EO, Paik A, Rosen RC. Sexual dysfunction in the United States: prevalence and predictors. JAMA. 1999;281:537–544.
Graziottin A, Koochaki P. Distress associated with low sexual desire in women in four EU countries. Maturitas. 2003;44(Suppl 2):S116.
Handa VL, Harvey L, Cundiff GW et al. Sexual function among women with urinary incontinence and pelvic organ prolapse. Am J Obstet Gynecol. 2004;191:751–756.
Sexuality Information and Education Council of the United States. Sexuality in middle and later life. Available at: http://www.siecus.org/pubs/fact/ fact0018.html.
Pauls R, Kleeman S, Karram M. Female sexual dysfunction: principles of diagnosis and therapy. Obstet Gynecol Surv. 2005;60:196–205.
Davis SR. When to suspect androgen deficiency other than at menopause. Fertil Steril. 2002;77(Suppl 4):S68–71.
Judd HL, Lucas WE, Yen SS. Effect of oophorectomy on circulating testosterone and androstenedione levels in patients with endometrial cancer. Am J Obstet Gynecol. 1974;118:793–798.
Keshavarz H, Hills SD, Kieke BA et al. Hysterectomy surveillance-United States, 1994–1999. MMWR CDC Surveill Summ. 2002;51:1–8.
Walters MD, Karram MM, eds. Urogynecology & Reconstructive Pelvic Surgery. 2nd ed. St. Louis: Mosby, 1999.
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Rajan, S.S., Kohli, N. (2007). Incontinence and Pelvic Floor Dysfunction in Primary Care: Epidemology and Risk Factors. In: Culligan, P.J., Goldberg, R.P. (eds) Urogynecology in Primary Care. Springer, London. https://doi.org/10.1007/978-1-84628-167-9_1
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DOI: https://doi.org/10.1007/978-1-84628-167-9_1
Publisher Name: Springer, London
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