Frequency and Risk Factor of Pelvic Organ Disorders / Overactive Bladder and their Association with Sexual Function in Menopausal in Tabriz

Abstract

Abstract: Introduction: Pelvic floor disorders comprise urinary or fecal incontinence and Lower pelvic organs in women. Pelvic floor disorders are among the serious and common health problems in women. Anxiety, exclusion from the society, and decline of the life quality are among the effects of pelvic floor disorders on sexual performance. The problem causes the old women to feel fairly isolated and anxious. This is while such disorders are likely to affect the sexual performance of women and they refrain from sexual relations because of fear or the shame of such problems. The aim of the present study is to evaluate the frequency and the contributing factors to pelvic floor disorders and the irritable bladder syndrome and their relationship with the sexual performance. Materials and method: The present article is a cross-sectional, descriptive-analytic study on 304 Postmenopausal women in Tabriz City. Data were collected through four questionnaires of personal and social characteristics, Maccoy sexual performance, bowel incontinence and PFDI-20 gas, and OABSS irritable bladder syndrome. T independent, chi-square t-test, ANOVA, Pearson correlation coefficient, Spearman and linear and logistic regression tests were used for data analysis. Findings: Findings indicated that the prevalence of Pelvic floor disorders is as follows: - Anterior pelvic wall aperture grade 1 (25.9%), grade 2 (40.3%), and grade 3 (6.2%), - Medium pelvis aperture grade 1 (14.4%), grade 2 (26.2%), and grade 3 (5.6%), and; - Posterior pelvic wall aperture grade 1 (20.6%), grade 2 (10.9%), and grade 3 (2.4%). The prevalence of stress, immediate, and mixed incontinence and bowel and gas Stress incontinence was 17.35%, 14.7%, 34.1%, 5.3%, and 11.8%, respectively. The prevalence of overactive bladder syndrome was 37.9%, among which 16.5% was mild, 18.5% was average, and 2.9 was severe. Vaginal delivery was among the factors of renal pelvic distension [OR 2.74 (1.00 -7.51)]. Moreover, renal pelvic distension [OR 3.86 (2.05 -7.32)], and diseases (including hypertension, constipation, diabetes, and chronic cough) [OR 2.03 {1.22 -2.98)] were among the factors of overactive bladder syndrome. Renal pelvic distension [OR 11.73 {6.49 -21.18)] was among the factors of incontinence. In case of the relationship between sexual performance and irritable bladder syndrome only factors related to the husband were significant, statistically. No subdomains of Maccoy questionnaire and the sexual performance score in people with/out the renal pelvic distension were significant, statistically. No subdomains of Maccoy questionnaire and the sexual performance score in people with/out urinary or fecal incontinence or gas were significant, statistically. Conclusion: Data analysis showed that the prevalence of different kinds of incontinence, and renal pelvic distension is significant. The factors of renal pelvic distension, incontinence, and irritable bladder syndrome were mostly adjustable and related to the lifestyle. Some plans could be devised to prevent from renal pelvic distension, incontinences, and irritable bladder syndrome in primary health care.