THE AWARENESS OF WOMEN WITH PELVIC ORGAN PROLAPSE REGARDING URINARY INCONTINENCE SYMPTOMS AND PELVIC ORGAN PROLAPSE SYMPTOMS USING THE PIKQ QUESTIONNARE AT TU DU HOSPITAL
Main Article Content
Abstract
Background: Pelvic organ prolapse is a common condition with symptoms that can significantly impact women's quality of life. However, patients’ awareness of two prevalent symptoms—urinary incontinence and pelvic organ prolapse—remains limited, posing challenges to timely diagnosis and treatment. The PIKQ questionnaire serves as an effective tool to assess awareness regarding the pathophysiology, diagnosis, and management of these symptoms. Objective: To determine the proportion of women with pelvic organ prolapse who possess adequate awareness of urinary incontinence and prolapse symptoms at the Urology and Gynecology Unit of Tu Du Hospital, utilizing the PIKQ questionnaire. Additionally, the study examined associated factors influencing the level of awareness of these symptoms among the target population between December 2024 and April 2025. Methods: This cross-sectional study was conducted on 310 patients with pelvic organ prolapse who attended the Pelvic Floor Unit at Tu Du Hospital from December 2024 to April 2025. Results: The proportions of patients with pelvic organ prolapse who had adequate awareness of urinary incontinence and prolapse symptoms were 2.6% and 84.8%, respectively. A statistically significant difference was observed in the mean PIKQ-POP scores between patients who had previously sought medical care for pelvic organ prolapse and those who had not (OR: 3.00; 95% CI: 1.56–5.80; p = 0.001). Conclusions: The level of awareness regarding urinary incontinence symptoms among patients with pelvic organ prolapse remains insufficient, while full awareness of prolapse symptoms is comparatively higher. Prior evaluation and treatment of pelvic organ prolapse have been shown to enhance patients’ understanding of these symptoms. Therefore, it is necessary to strengthen the exchange of knowledge about urinary incontinence issues for patients with pelvic organ prolapse in the process of diagnosis, treatment, and disease monitoring.
Article Details
Keywords
Awareness, Quality of life, Pelvic organ prolapse, Urinary incontinence, PIKQ questionnaire
References
2. Wieslander CK AA, Dunivan GC, Sevilla C, Cichowski S, Maliski S, et al. Misconceptions and miscommunication among Spanish-speaking and English-speaking women with pelvic organ prolapse. Int Urogynecol J. 2015;26(4):597-604.
3. Parden AM GR, Hoover K, Ellington DR, Gleason JL, Burgio KL, et al. Prevalence, Awareness, and Understanding of Pelvic Floor Disorders in Adolescent and Young Women. Female Pelvic Med Reconstr Surg. 2016; 22(5):346-54.
4. Chen CCG CJ, Yuan C, Thomaier L, Dutta S. Knowledge of pelvic floor disorders in women seeking primary care: a cross-sectional study. BMC Fam Pract. 2019;20(1):70.
5. Shah AD MM, Kohli N, Rajan SS, Braaten KP, Hoyte L. A reliable, valid instrument to assess patient knowledge about urinary incontinence and pelvic organ prolapse. Int Urogynecol J Pelvic Floor Dysfunct. 2008;19(9):1283-9.
6. Chen CCG, Cox JT, Yuan C, Thomaier L, Dutta S. Knowledge of pelvic floor disorders in women seeking primary care: a cross-sectional study. BMC Fam Pract. 2019;20(1):70.
7. Davidson ERW, Myers EM, De La Cruz JF, Connolly A. Baseline Understanding of Urinary Incontinence and Prolapse in New Urogynecology Patients. Female Pelvic Med Reconstr Surg. 2019;25(1):67-71.
8. Fante JF ST, Mateus-Vasconcelos ECL, Ferreira CHJ, Brito LGO. Do Women have Adequate Knowledge about Pelvic Floor Dysfunctions? A Systematic Review. Rev Bras Ginecol Obstet. 2019;41(8):508-19.