title: Screening of the pelvic organ prolapse without a physical examination; (a community based study).
abstract: 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.
  
  
  CONCLUSIONS
  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.
authors.affiliation: Reproductive Research Center, Research Institute for Endocrine Sciences, Shahid Beheshti University of Medical Sciences, (Yaman), Tehran, Iran. ramezani@endocrine.ac.ir
authors.forename: Fahimeh Ramezani
authors.initials: FR
authors.lastname: Tehrani
authors.forename: Somayeh
authors.initials: S
authors.lastname: Hashemi
authors.forename: Masoumeh
authors.initials: M
authors.lastname: Simbar
authors.forename: Niloofar
authors.initials: N
authors.lastname: Shiva
mesh_terms: D000328:Adult; D005260:Female; D058869:Gynecological Examination / Q000379:methods*; D006801:Humans; D007492:Iran; D008403:Mass Screening / Q000379:methods*; D008487:Medical History Taking / Q000379:methods*; D008875:Middle Aged; D017773:Pelvic Floor; D056887:Pelvic Organ Prolapse / Q000175:diagnosis* / Q000517:prevention & control; D010808:Physical Examination; D012680:Sensitivity and Specificity; D016387:Women's Health; D055815:Young Adult
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