Identification of pelvic organ prolapse and urogenital disorders in women without physical examination

Abstract

Female pelvic organ prolapse (POP) is a common condition with a multifactorial etiology. However, despite its prevalence and large number of studies, there are still no generally accepted guidelines for evaluating the quality of predictive studies and no standard approach to multivariate predictive model construction. The aim of the study is to determine the main risk factors for the development of genital prolapse and related urinary incontinence in women of reproductive age. Research material and methods: from December 2017 to May 2021, the research was conducted at the base of the Surgery Corps of the Azerbaijan Medical University located in Baku.
Patients were divided into two groups: At I - main group with prospective analysis of 50 women aged 25-50 with prolapse of the anterior vaginal wall and urinary incontinence. In II - control group included practically healthy women (35 women) with 3 or more births without problems with genital prolapse and urinary incontinence. The clinical method includes the study of patient complaints, general and gynecological examination, as well as the study of anamnesis. Groups were compared using the nonparametric Mann-Whitney (U) method, χ2- Pearson correlation analysis, and Student's (t) test. Statistical processing of the received data was carried out using the SPSS-24 program. In our material, the most important and determining risk factors for the development of pelvic organ prolapse are age, body mass index