Correlates of vaginal laxity symptoms in women attending a urogynecology clinic in Saudi Arabia

OBJECTIVE: To evaluate the prevalence of vaginal laxity (VL) and its correlates in a cohort of women attending a urogynecology clinic in a tertiary referral center in Saudi Arabia. METHODS: In this retrospective study, demographic information, clinical characteristics, and POP‐Q system measurements for women attending the King Fahad Medical City Urogynecology Clinic (January 2013 to April 2015) were analyzed. Women with and without VL were compared across these variables. RESULTS: Out of 376 women attending the clinic for various reasons, 135 (35.9%) reported VL. VL was more common in younger women (P<0.001). Parity, menopausal status, and diabetes were not associated with this symptom. A history of cesarean delivery was protective (aOR 0.39; 95% CI, 0.17–0.90). A bulge symptom and “vaginal wind” were predictors (aOR 3.25; 95% CI, 1.46–7.23 and aOR 15.48; 95% CI, 6.93–34.56, respectively). There was no correlation between VL and POP‐Q measurements. VL was not associated with the presence of clinically significant prolapse (stage 2–4), compared with nonsignificant prolapse (stage 0–1) (P=0.869, P=0.152, and P=0.783 for anterior, posterior, and central vaginal compartment, respectively). CONCLUSIONS: In this cohort, VL was common, more prevalent in younger women, and had poorly defined clinical correlates.