Knowledge Level of Pelvic Floor and Pelvic Floor Disorders According to and Related Disorders According to Gender and Education Levels

Year 2023, Volume: 6 Issue: 2, 101 - 110, 27.06.2023

Berivan Beril Kılıç , Hakan Akgül , Eren Timurtaş , Aysel Yıldız Özer

https://doi.org/10.33438/ijdshs.1245528

An Erratum to this article was published on October 25, 2023. https://dergipark.org.tr/en/pub/ijdshs/issue/79858/1368832

Abstract

Pelvic floor disorders, their management and protective educational programs have become popular in recent years. The aim of this study is to determine the level of knowledge about pelvic floor health according to gender and education levels. This cross sectional study is conducted on women and men between January and September of 2021 in Turkey. The knowledge level of pelvic floor was assessed with Pelvic Floor Health Knowledge Quiz (PFHKQ). Oneway ANOVA test was used for comparing pelvic floor knowledge according to the education levels and the age groups. Chi square test and Pearson chi square test were used for calculating binary variables, effect size, and confidence interval values between participants’ pelvic floor knowledge level and gender. A total of 1215 (1115 women, 100 men) participants completed the study. Men had less knowledge about the topics related to the pelvic floor (p <0.05) and the awareness of those that have graduated from higher education on these issues was found to be higher compared to the other education levels (p<0.05). In conclusion, we determined that the Turkish population has insufficient knowledge about the relationship between the pelvic floor and other body systems, the causes and types of pelvic problems. In the future, educational programs emphasizing deficient points regarding the pelvic floor within the scope of preventive treatment may be planned to cover the general population

Keywords

pelvic floor, knowledge, gender, education level, Turkey

References

• Akkus, Y., Pinar, G. (2016). Evaluation of the prevalence, type, severity, and risk factors of urinary incontinence and its impact on quality of life among women in Turkey. International urogynecology journal, 27(6), 887-893.
• Ali, M., Hutchison, D. D., Ortiz, N. M., Smith, R. P., Rapp, D. E. (2022). A narrative review of pelvic floor muscle training in the management of incontinence following prostate treatment. Translational andrology and urology, 11(8), 1200–1209. https://doi.org/10.21037/tau-22-143.
• Arbuckle, J. L., Parden, A. M., Hoover, K., Griffin, R. L., & Richter, H. E. (2019). Prevalence and Awareness of Pelvic Floor Disorders in Female Adolescents Seeking Gynecologic Care. J Pediatr Adolesc Gynecol, 32(3),288-292. doi:10.1016/j.jpag.2018.11.010
• Aydın Sayılan, A., & Özbaş, A. (2018). The Effect of Pelvic Floor Muscle Training On Incontinence Problems After Radical Prostatectomy. Am J Mens Health, 12(4), 1007-1015. doi:10.1177/1557988318757242.
• Berzuk, K., & Shay, B. (2015). Effect of increasing awareness of pelvic floor muscle function on pelvic floor dysfunction: a randomized controlled trial. International urogynecology journal, 26(6), 837-844.
• Blanchard, V., Nyangoh-Timoh, K., Fritel, X., Fauconnier, A., & Pizzoferrato, A. (2021). Importance of a pelvic floor lifestyle program in women with pelvic floor dysfunctions: A pilot study. Journal of Gynecology Obstetrics and Human Reproduction, 50(4), 102032.
• Cohen, D., Gonzalez, J., & Goldstein, I. (2016). The role of pelvic floor muscles in male sexual dysfunction and pelvic pain. Sexual medicine reviews, 4(1), 53-62.
• de Andrade, R. L., Bø, K., Antonio, F. I., Driusso, P., Mateus-Vasconcelos, E. C. L., Ramos, S., Ferreira, C. H. J. (2018). An education program about pelvic floor muscles improved women's knowledge but not pelvic floor muscle function, urinary incontinence or sexual function: a randomised trial. J Physiother, 64(2),91-96. doi:10.1016/j.jphys.2018.02.010
• de Freitas, L. M., Bø, K., Fernandes, A. U. N., Duarte, T. B, & Ferreira, C. H. J. (2019). Pelvic floor muscle knowledge and relationship with muscle strength in Brazilian women: a cross-sectional study. Int Urogynecol J, 30(11), 1903-1909. doi:10.1007/s00192-018-3824-y
• Demir, O., Sen, V., Irer, B., Bozkurt, O., & Esen, A. (2017). Prevalence and possible risk factors for urinary incontinence: a cohort study in the city of Izmir. Urologia Internationalis, 99(1), 84-90.
• Duffield, S. J., Ellis, B. M., Goodson, N., Walker-Bone, K., Conaghan, P. G., Margham, T., & Loftis, T. (2017). The contribution of musculoskeletal disorders in multimorbidity: Implications for practice and policy. Best practice & research. Clinical rheumatology, 31(2), 129–144. https://doi.org/10.1016/j.berh.2017.09.004
• Eickmeyer, S. M. (2017). Anatomy and physiology of the pelvic floor. Physical Medicine and Rehabilitation Clinics, 28(3), 455-460.
• Fante, J. F., Silva, T. D., Mateus-Vasconcelos, E. C. L., Ferreira, C. H. J., & Brito, L. G. O. (2019). Do Women have Adequate Knowledge about Pelvic Floor Dysfunctions? A Systematic Review. Rev Bras Ginecol Obstet, 41(8), 508-519. doi:10.1055/s-0039-1695002
• Geoffrion, R., Robert, M., Ross, S., van Heerden, D., Neustaedter, G., Tang, S., & Milne, J. (2009). Evaluating patient learning after an educational program for women with incontinence and pelvic organ prolapse. Int Urogynecol J Pelvic Floor Dysfunct, 20(10), 1243-1252. doi:10.1007/s00192-009-0919-5
• Good, M. M., & Solomon, E. R. (2019). Pelvic floor disorders. Obstetrics and Gynecology Clinics, 46(3), 527-540.
• Han, D., & Ha, M. (2015). Effect of pelvic floor muscle exercises on pulmonary function. Journal of physical therapy science, 27(10), 3233-3235.
• Hill, A. M., McPhail, S. M., Wilson, J. M., & Berlach, R. G. (2017). Pregnant women's awareness, knowledge and beliefs about pelvic floor muscles: a cross-sectional survey. Int Urogynecol J, 28(10), 1557-1565. doi:10.1007/s00192-017-3309-4
• Kim, J. S., Lee, E. H., & Park, H. C. (2004). Urinary incontinence: prevalence and knowledge among community-dwelling Korean women aged 55 and over. Journal of Korean Academy of Nursing, 34(4), 609-616.
• Koluacik, S., Gunes, G., Pehlivan, E. (2010). The Knowledge of the Students of Inonu University about the Reproductive Health and their Expectations From the Services. Journal of İnönü University Medical Faculty, 17(1), 7-14.
• Li, C., Gong, Y., & Wang, B. (2016). The efficacy of pelvic floor muscle training for pelvic organ prolapse: a systematic review and meta-analysis. Int Urogynecol J, 27(7), 981-992. doi:10.1007/s00192-015-2846-y
• MacLennan, A. H., Taylor, A. W., Wilson, D. H., & Wilson, D. (2000). The prevalence of pelvic floor disorders and their relationship to gender, age, parity and mode of delivery. BJOG,107(12),1460-1470. doi:10.1111/j.1471-0528.2000.tb11669.x
• Mamuk, R., Miral, M., Dişsiz, M., Demirgöz Bal, M. (2022). Determination of nursing students’ pelvic floor health knowledge levels. Jaren, 8(3), 149-155.
• Mamuk, R., Dişsiz, M., & Dinç, H. (2018). Assessment of The Knowledge, Attitudes and Behaviors of Healthcare Professionals in Relation to Applying and Teaching Pelvic Floor Muscle Exercises. Journal of Academic Research in Nursing, 4(1),15-20.
• Messelink, B., Benson, T., Berghmans, B., Bø, K., et al. (2005). Standardization of terminology of pelvic floor muscle function and dysfunction: report from the pelvic floor clinical assessment group of the International Continence Society. Neurourology and Urodynamics: Official Journal of the International Continence Society, 24(4), 374-380.
• Myers, C., & Smith, M. (2019). Pelvic floor muscle training improves erectile dysfunction and premature ejaculation: a systematic review. Physiotherapy, 105(2), 235-243. doi:10.1016/j.physio.2019.01.002
• Neels, H., Wyndaele, J. J, Tjalma, W. A, De Wachter, S., Wyndaele, M., & Vermandel, A. (2016). Knowledge of the pelvic floor in nulliparous women. J Phys Ther Sci, 28(5), 1524-1533. doi:10.1589/jpts.28.1524
• Öztürk, G. Z., Toprak, D., & Basa, E. (2012). The frequency and the affecting factors of urinary incontinence in women over 35 years old. The Medical Bulletin of Şişli Etfal Hospital, 46(4), 170-176.
• Perera, J., Kirthinanda, D. S., Wijeratne, S., & Wickramarachchi, T. K. (2014). Descriptive cross sectional study on prevalence, perceptions, predisposing factors and health seeking behaviour of women with stress urinary incontinence. BMC women's health, 14(1), 1-7.
• Skaug, K. L., Engh, M. E., Frawley, H., & Bø, K. (2020). Prevalence of Pelvic Floor Dysfunction, Bother and Risk Factors and Knowledge of the Pelvic Floor Muscles in Norwegian Male and Female Powerlifters and Olympic Weightlifters. Journal of strength and conditioning research, 36(10),2800-2807. doi:10.1519/jsc.0000000000003919
• Süt, H. K., & Küçükkaya, B. (2018). Knowledge and Practices of Women Pelvic Floor Muscle Exercises. Suleyman Demirel University The Journal of Health Science, 9(3), 15-20.
• Şimşek, Ş., & Yağcı, N. (2022). Investigation of Urinary Incontinence Prevalance and Pelvic Floor Dysfunction Awareness in Healthcare Professionals. Journal of Adnan Menderes University Health Sciences Faculty, 6(1), 77-84.
• Wala'a, A., & Çelenay, Ş. T. (2021). Development of Pelvic Floor Health Knowledge Quiz in Turkish People: validity and reliability. Turkish Journal of Physiotherapy and Rehabilitation, 32(2), 122-131. https://doi.org/10.21653/tjpr.754949
• Woodley, S. J., Lawrenson, P., Boyle, R., Cody, J. D., Mørkved, S., Kernohan, A., & Hay-Smith, E. J. C. (2020). Pelvic floor muscle training for preventing and treating urinary and faecal incontinence in antenatal and postnatal women. Cochrane Database Syst Rev,5(5),Cd007471. doi:10.1002/14651858.CD007471.pub4
• Yıldız, E., Çakmak B. D., Gencer, F. K., & Boyama, B. A. (2018). Incidence and Severity of Pelvic Organ Prolapse and its Risk Factors in Perimenopausal Women. Okmeydanı Medical Journal, 34(2), 148-153.