Pelvic floor disorders among indigenous women living in Xingu Indian Park, Brazil

• Published in: International Urogynecology Journal Vol. 20; no. 9; pp. 1079 - 1084
• Main Authors: de Araujo, Maíta Poli, Cristina Takano, Claudia, Girão, Manoel João Batista Castello, Sartori, Marair Gracio Ferreira
• Format: Journal Article
• Language: English
• Published: London Springer-Verlag 01.09.2009; Springer Nature B.V
• Subjects: Adolescent; Adult; Aged; Brazil - epidemiology; Child; Cross-Sectional Studies; Female; Gynecology; Humans; Indians, South American; Medicine; Medicine & Public Health; Middle Aged; Original Article; Parturition; Physical Examination; Prevalence; Risk Factors; Severity of Illness Index; Urinary Incontinence - diagnosis; Urinary Incontinence - ethnology; Urology; Uterine Prolapse - diagnosis; Uterine Prolapse - ethnology; Women; Young Adult; Brazil; Urinary incontinence; Indigenous health; Pelvic organ prolapse; Pelvic examination
• ISSN: 0937-3462; 1433-3023
• DOI: 10.1007/s00192-009-0906-x

Introduction and hypothesis Current assessment for pelvic floor disorders (PFDs) allows comparison between different communities. Methods A total of 377 indigenous women living in Xingu Indian Park were evaluated. The pelvic organ prolapse quantification (POP-Q) was the system used to quantification the staging of pelvic support. The pelvic floor muscle strength was assessed by a perineometer. Logistic regression analysis was used to determine risk factors that were associated with prolapse. Results Only 5.8% of women reported urinary incontinence. The overall distribution of POP-Q stage system was the following: 15.6% stage 0, 19.4% stage I, 63.9% stage II and 0.8% stage III. Parity and age were the risk factors for pelvic organ prolapse ( p  < 0.0001). Conclusions Urinary incontinence was uncommon in Xingu indigenous women. Like non-indigenous communities, age and parity were the most important risk factors to the genital prolapse.