E-Posters-Are Pelvic Floor Ultrasound Parameters Affected by Aging? A Comparison Between Young and Old Nulliparous Women

Are Pelvic Floor Ultrasound Parameters Affected by Aging? A Comparison Between Young and Old Nulliparous Women - Jonia Alshiek, MD, MSC

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A study was conducted to determine whether age is associated with changes in pelvic floor parameters, sexual function, and urinary status in nulliparous women. The study included two groups of women: young (18-40 years old) and old (52-85 years old). The younger group had a lower mean score in pelvic floor distress inventory, pelvic floor impact questionnaire, and urinary distress inventory, indicating better pelvic floor function compared to the older group. The younger group also had higher sexual activity and higher sexual function scores on the Female Sexual Function Inventory. Sonographic measurements of the levator hiatus, including the minimal levator hiatus (MLH), antero-posterior (AP) diameter, and left to right (LR) diameter, were taken. The MLH was not significantly different between the two groups, but the AP diameter was higher and the LR diameter was lower in the older group. The AP/LR ratio was significantly higher in the older group. Regression analysis revealed a positive correlation between AP diameter and pelvic floor symptoms. Logistic regression analysis showed a significant negative correlation between age and sexual activity. The study concluded that increasing age is associated with a more oval-shaped pelvic floor, affecting urinary and prolapse function. This study provides insight into the relationship between age and pelvic floor health in nulliparous women and highlights the importance of maintaining pelvic floor function as women age.

Keywords

age

pelvic floor parameters

sexual function

urinary status

nulliparous women

young group

old group

pelvic floor distress inventory

pelvic floor impact questionnaire

urinary distress inventory