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Disfunción del piso pélvico: epidemiología

Keywords: genital prolapse, stress urinary incontinence, pelvic floor dysfunction.

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Abstract:

objective: to evaluate the prevalence of pelvic floor dysfunction, related factors, treatment and evolution in gyneco-obstetric patients in a private hospital. method: a descriptive, retrospective, epidemiologic study. 4 555 records were reviewed from 1998 to 2008 and 430 with pelvic floor disorders were selected. associated factors such as: age, pregnancy, dystocia, episiotomy, fetal weight, body mass, stress urinary incontinence, recurrent lower urinary tract infections, thyroid disorders, diabetes, uterine fibromatosis, menopause, previous gynecologic interventions, constipation, hard work, chronic cough and use of belts were evaluated. types and degrees of prolapse, treatments and complications were classified. setting: instituto medico quirurgico ribas. los teques, estado miranda, venezuela results: average age 47.72 ± 11.88 years. 9.4% dysfunction incidence; in 72 % was medical finding, 73.2 % referred stress urinary incontinence, 18 % urinary tract infections, average parity 3.86 ± 2.59, 21.4 % dystocia and 48.8 % episiotomy. prolapse diagnosis 97.4 %, grade ii 73.3 % more frequent. among the factors were: high body mass, uterine fibromatosis, constipation, and previous interventions. non surgical treatment was indicated in 67.3 %, 8 % vaginal surgery and abdominal 11 %. conclusions: the incidence of dysfunction is low, the grade ii cystocele is the more common and is associated with stress urinary incontinence, urinary tract infections, age group between 40 and 50 years, multiparity, higher body mass index, constipation, uterine fibromatosis and previous pelvic interventions. the most accepted treatment is the muscular rehabilitation.

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