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Published on: September 13, 2022
Epidemiological trends and future care needs for pelvic floor disorders
Alexis A Dieter1, Maggie F Wilkins, Jennifer M Wu
1Department of Obstetrics and Gynecology, University of North Carolina, Chapel Hill, North Carolina, USA.
Pelvic floor disorders (PFDs) affect a quarter of women, with urinary incontinence being most common. Increased demand for specialized care is expected due to population aging.
Area of Science:
- Urogynecology
- Women's Health
- Public Health
Background:
- Pelvic floor disorders (PFDs) encompass conditions like pelvic organ prolapse (POP), urinary incontinence (UI), and fecal incontinence (FI).
- These conditions significantly impact women's quality of life and represent a growing public health concern.
Purpose of the Study:
- To review recent literature on the prevalence and epidemiological trends of PFDs.
- To examine current surgical treatment trends for PFDs.
- To discuss future healthcare needs for PFD management.
Main Methods:
- Literature review of recent studies on PFD prevalence and trends.
- Analysis of epidemiological data for POP, UI, and FI.
- Examination of surgical intervention rates and future projections.
Main Results:
- Approximately 25% of women experience at least one PFD.
- Urinary incontinence is the most prevalent (15-17%), followed by fecal incontinence (9%) and POP (3-8%).
- 20% of women undergo surgery for UI or POP in their lifetime; demand for care will rise through 2050.
Conclusions:
- PFDs are a major public health issue affecting millions of women.
- The aging population will drive a substantial increase in PFD prevalence and associated healthcare demands.
- There is an escalating need for healthcare providers trained in Female Pelvic Medicine and Reconstructive Surgery.
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