Quality of life in women with pelvic floor dysfunction
2011
Background/Aim. Pelvic floor dysfunction is a frequent problem affecting more
than 50% of women in peri- and postmenopause. Considering that ageing and
menopause befall in the significant factors causing this issue, as well as
the expected longevity of women in the world and in our country, pelvic floor
dysfunction prevelence is foreseen to be even higher. The aim of the study
was to evaluate impact of the symptoms of pelvic dysfunction on quality of
life and examine body image satisfaction in adult women with pelvic organ
prolapse presenting to tertiary care clinic for surgical treatment. Methods.
This prospective case-control study included 50 patients who presented to
tertiary care gynecology clinic for surgical treatment and 50 controls with
normal pelvic floor support and without urinary incontinence who presented
tertiary care gynecology clinic for other reasons. Both, patients and
controls, completed two quastionnaires recommended for the evaluation of
symptoms (Pelvic floor distress inventory - short forms) and quality of life
impact (Pelvic floor impact questionnaire - short form) of pelvic organ
prolapse, and Body Image Scale. Results. The patients scored significantly
worse on the prolapse, urinary, colorectal scales and overall score of Pelvic
floor distress inventory - 20 than controls subjects (134.91 vs 78.08; p <
0.01). The patients also measured significant decrease in condition- specific
quality of life (89.23 vs 3.1; p < 0.01). They were more likely to feel
self-conscious (78% vs 42%; p < 0.01), less likely to feel physically
attractive (78% vs 22%; p < 0.01), more likely to have difficulty looking at
themselves naked (70% vs 42%; p < 0.01), less likely to feel sexually
attractive (64% vs 32%; p < 0.01), and less likely to feel feminine (56% vs
16%; p < 0.05), than controls. There were no differencies in their feeling of
dissatisfaction with appearance when dressed, avoiding people because of
appereance and overall dissatisfaction with their body. There was a positive
correlation between decreased quality of life and body image in women with
pelvic dysfunction. Conclusion. Women with pelvic floor dysfunction have
decreased quality of life and body image.
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