Evaluation of the prevalence and risk factors of pelvic floor disorders among women in rural Turkey

Introduction
Pelvic floor disorders (PFD) are an important cause of urogynecological surgery affecting the quality of life seen in many women, such as pelvic organ prolapse (POP), stress urinary incontinence (SUI) and urge urinary incontinance (UUI). We aimed to determine prevalence and associated risk factors for SUI, UUI and POP in rural Turkey.

Material and methods
PFD approved for screening in Turkey in terms of screening questions and PFD was made using data obtained from the database. The patients were divided into three groups: patients with POP, SUI, and UUI. Of the patients, 7163 (43.9%) were in the POP group, 6815 (41.8%) were in the SUI group, and 2349 (14.3%) were in the UUI group. The relationship between the frequency of symptoms commonly reported for SUI, UUI and POP and the relationship between demographic and pregnancy history information were compared.

Results
The prevalence of SUI was 37.8% (95% CI: 37.3-38.2), 14.8% (95% CI: 14.3-15.3) for UUI and 43.8% (95% CI: 43.2-44.5) for POP. In the multivariate binary logistic regression analysis, the risk of PFD increased with age, an increase in the number of vaginal births, high BMI, macrosomia, early maternal age, previous abdominal/pelvic surgery history, and difficult delivery history.

Conclusions
PFD are quite common among women in rural Turkey. However, risk factors are similar to risk factors in developed countries.