Factores de riesgo y prevalencia de prolapso genital. Hospital Universitario. Guayaquil, julio-diciembre de 2014
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2015
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Universidad de Guayaquil. Facultad de Ciencias Médicas. Escuela de Medicina
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Antecedentes: El prolapso genital es una patología del suelo pélvico de alta frecuencia que pude causar un trastorno funcional muy importante. Se ha indicado varios factores de riesgo, pero su distribución es muy variable. Metodología: Con el objetivo de determinar los factores de riesgo de prolapso genital en el hospital Universitario de la ciudad de Guayaquiil, se realizó un estudio en el que se incorporaron por aleatorización sistemática 50 mujeres sanas de la ciudad de Guayaquil, y 50 mujeres atendidas en el hospital Universitario por prolapso genital. Se incluyeron pacientes que consintieron su participación, pacientes mayores de edad y con diagnóstico definitivo. Se excluyeron pacientes que decidieron no continuar con su participación en el estudio. Resultados: Se relacinaron con un mayor riesgo de desarrollar prolapso genital, una edad mayor a 45 años (P 0.02), raza blanca (P 0.002), el antecedentes de prensa abdominal durante el parto (P 0,013), el antecedente de haber tenido una producto con un peso mayor a 4000 gramos (P 0.046), y el antecedentes de familiares con prolapso genital (P 0,036). La realización de episiotomía fue un factor de protección para prolapso genital (P 0,000). Conclusión: varios factores de riesgo tradicionales demostraron su asociación significativa con el desarrollo de prolapso genital. El único factor comprobado de protección fue la realización de episitomía
Background: The prolapse is a condition of the pelvic floor high frequency could cause a significant functional impairment. It noted several risk factors, but its distribution is very variable. Methodology: In order to determine the risk factors for genital prolapse in the University Hospital of Guayaquiil city, a study in which 50 healthy women of the city of Guayaquil were incorporated by systematic randomization was performed, and 50 women attending Hospital Universitario genital prolapse. Patients who consented their participation, elderly patients with definitive diagnosis were included. Patients who chose not to continue their participation in the study were excluded. Results: We relacinaron with an increased risk of developing genital prolapse, increased to 45 years (P 0.02) age, white race (P 0.002), the history of abdominal pressure during labor (P 0.013), a history of having had a product with greater than 4000 grams (P 0.046) weight, and family history of genital prolapse (P 0.036). Episiotomy was a protective factor for genital prolapse (P 0.000). Conclusion: several traditional risk factors showed their significant association with the development of genital prolapse. The only proven protective factor was the realization of episitomía
Background: The prolapse is a condition of the pelvic floor high frequency could cause a significant functional impairment. It noted several risk factors, but its distribution is very variable. Methodology: In order to determine the risk factors for genital prolapse in the University Hospital of Guayaquiil city, a study in which 50 healthy women of the city of Guayaquil were incorporated by systematic randomization was performed, and 50 women attending Hospital Universitario genital prolapse. Patients who consented their participation, elderly patients with definitive diagnosis were included. Patients who chose not to continue their participation in the study were excluded. Results: We relacinaron with an increased risk of developing genital prolapse, increased to 45 years (P 0.02) age, white race (P 0.002), the history of abdominal pressure during labor (P 0.013), a history of having had a product with greater than 4000 grams (P 0.046) weight, and family history of genital prolapse (P 0.036). Episiotomy was a protective factor for genital prolapse (P 0.000). Conclusion: several traditional risk factors showed their significant association with the development of genital prolapse. The only proven protective factor was the realization of episitomía
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Diafragma pélvico, Factores de riesgo, Hospital Universitario de Guayaquil, Cantón Guayaquil, Ecuador, Prolapso genital, Prolapso de órgano pélvico, Prevalencia