TY - JOUR
T1 - Association between pelvic floor disorders and hernias
AU - Tadbiri, Hooman
AU - Handa, Victoria L.
N1 - Funding Information:
We greatly appreciate Prof. Marie Diener-West (Department of Biostatistics, Johns Hopkins University, Baltimore, MD, USA) for her help with the post hoc power analysis and for reviewing the manuscript.
Publisher Copyright:
© 2021, The International Urogynecological Association.
PY - 2021/11
Y1 - 2021/11
N2 - Introduction and hypothesis: Connective tissue disorders may contribute to pelvic floor disorders (PFDs). Like PFDs, abdominal wall hernias are more common in patients with systemic connective tissue disorders. We conducted this study to explore the possible association between PFDs and hernias in adult women. Methods: We obtained the data for this study from a study of PFDs among parous women. At enrollment, stress urinary incontinence (SUI), overactive bladder (OAB), and anal incontinence (AI) were assessed using the Epidemiology of Prolapse and Incontinence Questionnaire (EPIQ) and pelvic organ prolapse (POP) was assessed through the Pelvic Organ Prolapse Quantification (POP-Q) examination. Participants were asked to report hernia surgery and list their hernia types. We compared the prevalence of PFDs in those with and without hernias using chi-square test. We used multiple regression analysis to adjust for obstetric and sociodemographic variables. Results: Among 1529 women, 79 (5.2%) reported history of hernia surgery. The prevalence of POP was 7.6% (6 cases) vs. 7.4% (107 cases), the prevalence of SUI was 7.6% (6 cases) vs. 9.9% (144 cases), the prevalence of OAB was 7.6% (6 cases) vs. 5.7% (83 cases), and the prevalence of AI was 7.6% (6 cases) vs. 10.8% (156 cases) in those with hernias compared to those without hernias, respectively. None of these differences were statistically significant. There was no association between hernias and PFDs after adjustment for type of delivery, number of deliveries, age group, primary racial background, weight category, and smoking status. Conclusion: In this study, we could not find any association between hernias and PFDs.
AB - Introduction and hypothesis: Connective tissue disorders may contribute to pelvic floor disorders (PFDs). Like PFDs, abdominal wall hernias are more common in patients with systemic connective tissue disorders. We conducted this study to explore the possible association between PFDs and hernias in adult women. Methods: We obtained the data for this study from a study of PFDs among parous women. At enrollment, stress urinary incontinence (SUI), overactive bladder (OAB), and anal incontinence (AI) were assessed using the Epidemiology of Prolapse and Incontinence Questionnaire (EPIQ) and pelvic organ prolapse (POP) was assessed through the Pelvic Organ Prolapse Quantification (POP-Q) examination. Participants were asked to report hernia surgery and list their hernia types. We compared the prevalence of PFDs in those with and without hernias using chi-square test. We used multiple regression analysis to adjust for obstetric and sociodemographic variables. Results: Among 1529 women, 79 (5.2%) reported history of hernia surgery. The prevalence of POP was 7.6% (6 cases) vs. 7.4% (107 cases), the prevalence of SUI was 7.6% (6 cases) vs. 9.9% (144 cases), the prevalence of OAB was 7.6% (6 cases) vs. 5.7% (83 cases), and the prevalence of AI was 7.6% (6 cases) vs. 10.8% (156 cases) in those with hernias compared to those without hernias, respectively. None of these differences were statistically significant. There was no association between hernias and PFDs after adjustment for type of delivery, number of deliveries, age group, primary racial background, weight category, and smoking status. Conclusion: In this study, we could not find any association between hernias and PFDs.
KW - Anal incontinence
KW - Hernia
KW - Overactive bladder
KW - Pelvic floor disorder
KW - Pelvic organ prolapse
KW - Stress urinary incontinence
UR - http://www.scopus.com/inward/record.url?scp=85102943548&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85102943548&partnerID=8YFLogxK
U2 - 10.1007/s00192-021-04762-6
DO - 10.1007/s00192-021-04762-6
M3 - Article
C2 - 33730234
AN - SCOPUS:85102943548
SN - 0937-3462
VL - 32
SP - 3017
EP - 3022
JO - International Urogynecology Journal
JF - International Urogynecology Journal
IS - 11
ER -