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

Abstract

Current assessment for pelvic floor disorders (PFDs) allows comparison between different communities.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.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).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.