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Screening of the pelvic organ prolapse without a physical examination; (a community based study)

BACKGROUND: Pelvic organ prolapse (POP) is a silent disorder with a huge impact on women's quality of life. There is limited data from community-based studies conducted to determine the prevalence of POP as its assessment needs a pelvic examination. We aimed to develop a simple screening invent...

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Autores principales: Tehrani, Fahimeh Ramezani, Hashemi, Somayeh, Simbar, Masoumeh, Shiva, Niloofar
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2011
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3226655/
https://www.ncbi.nlm.nih.gov/pubmed/22082121
http://dx.doi.org/10.1186/1472-6874-11-48
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author Tehrani, Fahimeh Ramezani
Hashemi, Somayeh
Simbar, Masoumeh
Shiva, Niloofar
author_facet Tehrani, Fahimeh Ramezani
Hashemi, Somayeh
Simbar, Masoumeh
Shiva, Niloofar
author_sort Tehrani, Fahimeh Ramezani
collection PubMed
description BACKGROUND: Pelvic organ prolapse (POP) is a silent disorder with a huge impact on women's quality of life. There is limited data from community-based studies conducted to determine the prevalence of POP as its assessment needs a pelvic examination. We aimed to develop a simple screening inventory for identification of pelvic organ prolapse and then evaluate its sensitivity and specificity. METHODS: This study had two phases. In the first phase in order to develop a simple inventory for assessment of POP, the Pelvic Floor Disorder Inventory (PFDI) was completed for a convenience sample of 200 women, aged 18-45 years, referred for annual gynecologic examination, and their pelvic organ prolapse was assessed using the standard protocol. The most sensitive and specific questions were selected as pelvic organ prolapse simple screening inventory (POPSSI). In the second phase, using a stratified multistage probability cluster sampling method, the sensitivity and specificity of the POPSSI was investigated in a non selected sample of 954 women recruited from among reproductive aged women living in four randomly selected provinces of Iran. RESULTS: The sensitivity and specificity of POPSSI for identification of pelvic organ prolapse in the general population were 45.5 and 87.4% respectively; these values were 96.7 and 20% among those women who were aware of their pelvic dysfunction. CONCLUSION: Community based screening studies on pelvic organ prolapse could be facilitated by using the POPSSI, the sensitivity of which would be enhanced through conducting of public awareness programs.
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spelling pubmed-32266552011-11-30 Screening of the pelvic organ prolapse without a physical examination; (a community based study) Tehrani, Fahimeh Ramezani Hashemi, Somayeh Simbar, Masoumeh Shiva, Niloofar BMC Womens Health Research Article BACKGROUND: Pelvic organ prolapse (POP) is a silent disorder with a huge impact on women's quality of life. There is limited data from community-based studies conducted to determine the prevalence of POP as its assessment needs a pelvic examination. We aimed to develop a simple screening inventory for identification of pelvic organ prolapse and then evaluate its sensitivity and specificity. METHODS: This study had two phases. In the first phase in order to develop a simple inventory for assessment of POP, the Pelvic Floor Disorder Inventory (PFDI) was completed for a convenience sample of 200 women, aged 18-45 years, referred for annual gynecologic examination, and their pelvic organ prolapse was assessed using the standard protocol. The most sensitive and specific questions were selected as pelvic organ prolapse simple screening inventory (POPSSI). In the second phase, using a stratified multistage probability cluster sampling method, the sensitivity and specificity of the POPSSI was investigated in a non selected sample of 954 women recruited from among reproductive aged women living in four randomly selected provinces of Iran. RESULTS: The sensitivity and specificity of POPSSI for identification of pelvic organ prolapse in the general population were 45.5 and 87.4% respectively; these values were 96.7 and 20% among those women who were aware of their pelvic dysfunction. CONCLUSION: Community based screening studies on pelvic organ prolapse could be facilitated by using the POPSSI, the sensitivity of which would be enhanced through conducting of public awareness programs. BioMed Central 2011-11-15 /pmc/articles/PMC3226655/ /pubmed/22082121 http://dx.doi.org/10.1186/1472-6874-11-48 Text en Copyright ©2011 Tehrani et al; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research Article
Tehrani, Fahimeh Ramezani
Hashemi, Somayeh
Simbar, Masoumeh
Shiva, Niloofar
Screening of the pelvic organ prolapse without a physical examination; (a community based study)
title Screening of the pelvic organ prolapse without a physical examination; (a community based study)
title_full Screening of the pelvic organ prolapse without a physical examination; (a community based study)
title_fullStr Screening of the pelvic organ prolapse without a physical examination; (a community based study)
title_full_unstemmed Screening of the pelvic organ prolapse without a physical examination; (a community based study)
title_short Screening of the pelvic organ prolapse without a physical examination; (a community based study)
title_sort screening of the pelvic organ prolapse without a physical examination; (a community based study)
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3226655/
https://www.ncbi.nlm.nih.gov/pubmed/22082121
http://dx.doi.org/10.1186/1472-6874-11-48
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