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Risk Factors for Pelvic Organ Prolapse: Do Smoking ...
Risk Factors for Pelvic Organ Prolapse: Do Smoking, Asthma, Heavy Lifting and Family History Matter? - Dr. Paulina Saens
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A retrospective study was conducted to identify non-obstetric risk factors for pelvic organ prolapse (POP). The study included 664 women who were referred for symptoms of lower urinary tract and pelvic floor dysfunction. The participants underwent a standardized interview, a clinical exam using the POP-Q assessment, and translabial ultrasound.<br /><br />The study found that smoking, asthma, and family history of prolapse were not significant risk factors for POP in the study population. However, heavy lifting was found to be a potential risk factor, particularly for posterior compartment prolapse.<br /><br />Out of the participants, 45.6% reported either past or current smoking, 17.2% had asthma, 37.6% reported heavy lifting, and 28.6% had a family history of prolapse. Heavy lifting was positively associated with significant prolapse on ultrasound, as well as symptoms and clinical signs of prolapse on univariable analysis. However, this association became non-significant on multivariable analysis.<br /><br />There were no significant associations found between smoking, asthma, or family history of prolapse and prolapse signs or symptoms. Additionally, no associations between these risk factors and prolapse in individual vaginal compartments were found.<br /><br />In conclusion, smoking, asthma, and family history of prolapse were not significant risk factors for prolapse in the study population. However, heavy lifting may be a potential risk factor, particularly for posterior compartment prolapse.
Keywords
retrospective study
non-obstetric risk factors
pelvic organ prolapse
lower urinary tract
pelvic floor dysfunction
smoking
asthma
family history
heavy lifting
posterior compartment prolapse
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