摘要
Objective: Pelvic organ prolapse is an emerging public health problem affecting adult women of all ages with a negative impact on social, physical well-being, and psychological. Its presents several challenges in countries with low resources. This literature review aims to examine POP in its epidemiological aspects, risk factors, and staging by taking up the challenges associated with low-resource settings and identifying some avenues for future research. Methods: We searched the PubMed, Google Scholar, and Scopus databases. The other studies were identified by checking the secondary references in the original citation. We have collected studies on adult women published in English for the last 30 years. In total, 71 articles were read. We excluded studies from all newspaper articles, Studies presenting co-morbidities (fistulas, cervical cancer, pregnancy), those evaluating treatment, letters, comments, case reports, practice guidelines, news, historical articles, legal cases, published erratum, and congresses. Results: 16 studies examining the epidemiology have been identified with 11 in countries defined by the World Bank as limited or intermediate resources. 18 on risk factors whose 10 in countries with limited or intermediate resources, 10 on staging and 27 on physiopathology. Conclusion: POP affects the young more in low-resource settings. Its prevalence remains underestimated for several reasons. Several risk factors found are the same as those of women in countries with a high standard of living. However, there are some specific risk factors for these resource-limited settings.
Objective: Pelvic organ prolapse is an emerging public health problem affecting adult women of all ages with a negative impact on social, physical well-being, and psychological. Its presents several challenges in countries with low resources. This literature review aims to examine POP in its epidemiological aspects, risk factors, and staging by taking up the challenges associated with low-resource settings and identifying some avenues for future research. Methods: We searched the PubMed, Google Scholar, and Scopus databases. The other studies were identified by checking the secondary references in the original citation. We have collected studies on adult women published in English for the last 30 years. In total, 71 articles were read. We excluded studies from all newspaper articles, Studies presenting co-morbidities (fistulas, cervical cancer, pregnancy), those evaluating treatment, letters, comments, case reports, practice guidelines, news, historical articles, legal cases, published erratum, and congresses. Results: 16 studies examining the epidemiology have been identified with 11 in countries defined by the World Bank as limited or intermediate resources. 18 on risk factors whose 10 in countries with limited or intermediate resources, 10 on staging and 27 on physiopathology. Conclusion: POP affects the young more in low-resource settings. Its prevalence remains underestimated for several reasons. Several risk factors found are the same as those of women in countries with a high standard of living. However, there are some specific risk factors for these resource-limited settings.
作者
Eloge Ilunga-Mbaya
Dénis Mukwege
Prosper Lukusa Tshilobo
Kenny Raha Maroyi
Rahma Rashid Tozin
Dieudonné Sengeyi Mushengezi
Eloge Ilunga-Mbaya;Dénis Mukwege;Prosper Lukusa Tshilobo;Kenny Raha Maroyi;Rahma Rashid Tozin;Dieudonné Sengeyi Mushengezi(Urogynecology Unity, University Clinics of Kinshasa, University of Kinshasa, Kinshasa, DRC;Department of Gynecology and Obstetrics, PANZI Hospital, Evangelical University of Africa, Bukavu, DRC;Department of Paediatrics, Center for Human Genetics Research of University Clinic of Kinshasa and KU Leuven, University of Kinshasa, Kinshasa, DRC;Department of Gynecology and Obstetrics, Urogynecology Unity, PANZI Hospital, Evangelical University of Africa, Bukavu, DRC;Department of Gynecology and Obstetrics, University Clinics of Kinshasa, University of Kinshasa, Kinshasa, DRC)
