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Nearly one-quarter of women surveyed, and more than one-third of older women, report at least one pelvic floor disorder, which includes urinary and fecal incontinence and the shifting of a pelvic organ, according to a study in the September 17 issue of JAMA. These disorders become more prevalent with increasing age and weight (see also JAMA and Archives Journals).
Pelvic floor disorders include urinary and fecal incontinence, pelvic organ prolapse (when a pelvic organ, such as the uterus, drops [prolapses] from its normal spot and pushes against the walls of the vagina), and other sensory and emptying abnormalities of the lower urinary and gastrointestinal tracts. Because no single national population-based survey has assessed the prevalence of major pelvic floor disorders in U.S. women, the national burden related to these diseases remains unknown, according to background information in the article.
Ingrid Nygaard, M.D., M.S., of the University of Utah School of Medicine, Salt Lake City, and colleagues conducted a study to provide prevalence estimates of symptomatic pelvic floor disorders in women. The study included 1,961 nonpregnant women (age 20 years or older) who participated in the 2005-2006 National Health and Nutrition Examination Survey, a nationally representative survey of the U.S. population. Women were interviewed in their homes and then underwent standardized physical examinations in a mobile examination center. Urinary and fecal incontinence and pelvic organ prolapse symptoms were assessed.
The researchers found that overall, 23.7 percent of women reported symptoms of at least 1 pelvic floor disorder. Of these, 15.7 percent experienced urinary incontinence, 9.0 percent experienced fecal incontinence and 2.9 percent experienced symptomatic pelvic organ prolapse. The proportion of women who ...
Source: HighBeam Research, Incontinence affects a substantial proportion of women; prevalence...