title: Prevalence and risk factors for pelvic floor symptoms in women in rural El Salvador.
abstract: Our aim was to assess the frequency of pelvic floor symptoms among women in rural El Salvador. After written informed consent was obtained, we administered the short form of the urodynamic distress inventory (UDI-6) plus four other pelvic floor questions to 236 women aged 30 to 75 in rural El Salvador attending a general medicine or gynecology clinic. Average (SD) age, parity, and body mass index were 48.0 (8.4) years, 5.9 (3.4), and 26.9 (4.9) kg/m(2), respectively. Ten (4.2%) women had a prior hysterectomy, 16 (6.8%) women were smokers, and 108 (45.8%) women were postmenopausal. Seventy-one percent of women reported urinary incontinence (UI); 49.3 and 61.1% of women reported urge UI and stress UI, respectively. Forty-one percent of women reported fecal incontinence (FI) of solid or liquid stool. Women with UI were significantly more likely to have had a hysterectomy compared to women without UI. Women with FI had significantly fewer years of education when compared to women without FI. In conclusion, pelvic floor symptoms are highly prevalent among women in rural El Salvador.
authors.affiliation: Division of Female Pelvic Medicine and Reconstructive Surgery, Department of Obstetrics and Gynecology, Keck School of Medicine, University of Southern California, 1240 N Mission Road, Room L1022, Los Angeles, CA 90033, USA. ozel@usc.edu
authors.forename: Begüm
authors.initials: B
authors.lastname: Ozel
authors.forename: Anne Marie
authors.initials: AM
authors.lastname: Borchelt
authors.forename: Francesca M
authors.initials: FM
authors.lastname: Cimino
authors.forename: Miriam
authors.initials: M
authors.lastname: Cremer
mesh_terms: D000328:Adult; D000368:Aged; D004544:El Salvador / Q000453:epidemiology; D005242:Fecal Incontinence / Q000453:epidemiology* / Q000503:physiopathology; D005260:Female; D006801:Humans; D008875:Middle Aged; D017773:Pelvic Floor / Q000503:physiopathology; D015995:Prevalence; D012307:Risk Factors; D012424:Rural Population; D011795:Surveys and Questionnaires; D014549:Urinary Incontinence / Q000453:epidemiology* / Q000503:physiopathology