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Updated: Jun 2, 2026
03:49
Anogenital Distance and Perineal Measurements of the Pelvic Organ Prolapse (POP) Quantification System
Published on: September 20, 2018
Exploring pelvic floor dysfunction: prevalence and risk factors through APFQ analysis.
Alfa Putri Meutia1, Tiara Diningtyas2, Gita Nurul Hidayah1
1Division of Urogynecology, Pelvic Reconstructive and Aesthetic Surgery, Department of Obstetrics and Gynecology, Faculty of Medicine - Universitas Indonesia, Dr Cipto Mangunkusumo National Referral Hospital, Jakarta, Indonesia.
Summary
Pelvic floor dysfunction is highly prevalent in women, affecting urinary, bowel, prolapse, and sexual health. The Australian Pelvic Floor Questionnaire effectively screens for these common conditions.
Area of Science:
- Women's Health
- Pelvic Floor Disorders
- Public Health Screening
Background:
- The Australian Pelvic Floor Questionnaire (APFQ) is a validated Patient-Reported Outcome Measure (PROM) for pelvic floor dysfunction (PFD).
- APFQ's sensitivity to mild symptoms makes it suitable for community-based prevalence studies.
Purpose of the Study:
- To determine the prevalence of pelvic floor dysfunction (PFD) in women using the Indonesian-validated APFQ.
- To identify demographic and obstetric factors associated with PFD.
Main Methods:
- A cross-sectional study involving nationwide hybrid pelvic floor health seminar attendees in April 2024.
- Participants voluntarily completed the Indonesian-validated APFQ via secure Google Form.
- Logistic regression analysis identified factors associated with PFD.
Main Results:
- High PFD prevalence: urinary dysfunction (66%), defecatory dysfunction (98%), pelvic organ prolapse (14.7%), and sexual dysfunction (75%).
- Urinary and defecatory dysfunction linked to age ≥50, obesity, and high parity.
- Pelvic organ prolapse associated with age 40-49, higher BMI, higher parity, and vaginal delivery. Sexual dysfunction prevalent in women aged 30-39, underweight, and high parity.
Conclusions:
- PFD prevalence is high, underscoring the APFQ's utility in detecting subjective symptoms.
- The APFQ is valuable for early detection, prevention, and population-level screening of PFD.
- Clinical diagnosis requires physical examination, but APFQ aids initial assessment.
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