Abstract:

Objective     To investigate the prevalence and risk factors of pelvic floor dysfunction（PFD）and its influence on quality of life. Methods     A questionnaire survey and physical examination were conducted in a community of Shandong Province, China. Results     2354 people were investigated and 2326 questionnaires were effective. The average age was （39.54±15.13）years(range, 19-70).The incidence of PFD was 25.4%（591/2326）: 12.3%（286/2326） for stress urinary incontinence(SUI) and 13.1%（305/2326） for pelvic organ prolapse(POP). Incidences of SUI and POP were positively related to patients′ ages（P=0.001）. Data analysis showed that age, conatipation, hysterectomy,vaginal delivery, labor times, prolonged labor and perineum rupture were influencing factors for SUI. While age, conatipation, hysterectomy, vaginal delivery, labour times, prolonged labour and menopause were influencing factors for POP. The average age had no relevance with living quality of PFD patients, while severely impaired quality of life significantly decreased the employment rate. Conclusion     Pelvic floor disorders are associated with age, constipation, hysterectomy, vaginal delivery, parity, prolonged labor, perineal laceration and menopause,and significantly impair patients′ quality of life.

Key words: Pelvic floor dysfunction; Pelvic organ prolapse; Stress urinary incontinence; Relative factor; Quality of life