女性生殖器切割和尿失禁:与苏丹普遍的人口统计学进行分析性比较
Mustafa Cengiz Dura1, Hilal Aktürk1, Salih Mahmoud Abaker Salih2
1The University of Health Science, Bakırköy Dr. Sadi Konuk Education and Research Hospital - İstanbul, Turkey.
概括
切割/切割女性生殖器官显著增加了尿失禁的风险,特别是在接受内膜切割的女性. 这突出了一个关键的,经常被忽视的泌尿后科并发症.
科学领域:
- 泌尿和妇科 泌尿和妇科
- 公共卫生 公共卫生
- 妇女健康 妇女健康
背景情况:
- 女性生殖器切割/切割 (FGM/C) 影响全球超过2亿名女性.
- FGM/C与产科并发症和长期泌尿后科问题有关.
- 尿失禁 (UI) 和相关的不适是经常被忽视的FGM/C的后果.
研究的目的:
- 评估女性生殖器切割对尿失禁的影响.
- 为了比较FGM/C的和没有FGM的女性之间的UI症状和不适.
主要方法:
- 在苏丹农村妇科部门进行的横截面研究.
- 参与者接受了妇科检查,并完成了失禁影响问卷和泌尿器官痛苦清单.
- 通过采访收集社会人口和背景数据.
主要成果:
- 与对照组相比,接受FGM/C的女性在尿失禁和相关痛苦方面平均得分明显高 (p<0.001).
- 接受了内膜注射的参与者报告了两项措施的平均得分大幅提高.
- 统计分析证实了FGM/C组和对照组之间UI影响和痛苦的显著差异.
结论:
- 在经历过FGM/C的妇女中观察到更高的失禁症状患病率.
- 发热与尿失禁的特别高负担有关.
- FGM/C对尿道失禁等泌尿后科疾病构成重大风险.
相关概念视频
Anatomy of the Genitourinary System II: Bladder and Urethra
The lower urinary system consists of the urinary bladder and urethra, which are essential in storing and expelling urine from the body. Together with the internal and external sphincters, these structures work together to regulate urination effectively.Anatomy of the BladderThe urinary bladder is a muscular, stretchable organ behind the pubic bone and in front of the rectum. In females, the bladder is positioned anterior to the vagina and inferior to the uterus, while in males, it is located...
Physiology of the Genitourinary System III: Urine Concentration and Dilution
The kidneys concentrate or dilute urine to maintain water and electrolyte balance. Nephrons, particularly the loop of Henle, play a crucial role in this process through the countercurrent multiplication system. This system establishes a high osmolarity in the renal medulla, which is essential for water reabsorption. In the loop of Henle’s descending limb, water is reabsorbed into the surrounding medulla due to its permeability to water. In contrast, the ascending limb actively transports...
Nursing Assessment of the Genitourinary System I: Health History
The genitourinary system is critical to maintaining fluid balance, waste elimination, and reproductive function. Nurses play a vital role in assessing this system, beginning with a thorough health history. This process involves gathering patient information, identifying risk factors, and recognizing symptoms of genitourinary disorders. Early detection is vital for timely interventions and management.1. Gathering Patient InformationA complete health history includes the patient’s personal,...
Nursing Assessment of the Genitourinary System II: Inspection and Palpation
The nursing assessment of the genitourinary (GU) system involves a systematic inspection and palpation to identify abnormalities in the kidneys, bladder, and surrounding structures.InspectionMouth: Inspect for signs of kidney dysfunction, such as stomatitis (inflammation of the mouth) and ammonia breath, which may occur in advanced kidney disease due to the buildup of urea, breaking down into ammonia.Skin: Check for pallor, which could indicate anemia caused by kidney disease. Look for...
Nursing Assessment of the Genitourinary System III: Percussion and Auscultation
The genitourinary system maintains the body's fluid balance, waste excretion, and overall homeostasis. Proper assessment is essential for early detection of disorders, with percussion and auscultation integral to this evaluation. These methods help identify signs of kidney or bladder issues and provide important diagnostic clues.Percussion for Kidney TendernessPercussion is used to assess tenderness and detect kidney and bladder abnormalities. A common method for determining kidney tenderness...
Microbiota of the Urogenital Tract
The human urogenital system, once thought to be sterile in healthy individuals, is now recognized as a complex microbial habitat. Advancements in molecular sequencing techniques have revealed that even in healthy adults, the kidneys and bladder harbor microbial populations similar to those found in the distal urethra, albeit in much lower abundance. These resident microorganisms, while generally innocuous, can become opportunistic pathogens under conditions that alter the urogenital...


