Ethnicity and variations of pelvic organ prolapse bother

Gena C. Dunivan, Sara B. Cichowski, Yuko M. Komesu, Pamela S. Fairchild, Jennifer T. Anger, Rebecca G. Rogers

Research output: Contribution to journalArticlepeer-review

27 Scopus citations


Introduction and hypothesis To determine if prolapse symptom severity and bother varies among non-Hispanic white, Hispanic, and Native American women with equivalent prolapse stages on physical examination. Methods This was a retrospective chart review of new patients seen in an academic urogynecology clinic from January 2007 to September 2011. Data were extracted from a standardized intake form, including patients' self-identified ethnicity. All patients underwent a Pelvic Organ Prolapse Quantification (POPQ) examination and completed the Pelvic Floor Distress Inventory-20 (PFDI-20) with its Pelvic Organ Prolapse Distress Inventory (POPDI) subscale. Results Five hundred and eighty-eight new patients were identified with pelvic organ prolapse. Groups did not differ by age, prior prolapse, and/or incontinence surgery, or sexual activity. Based on POPDI scores, Hispanic and Native American women reported more bother compared with non-Hispanic white women with stage 2 prolapse (p<0.01). Level of bother between Hispanic and Native American women with stage 2 prolapse (p=0.56) was not different. In subjects with . stage 3 prolapse, POPDI scores did not differ by ethnicity (p=0.24). In multivariate stepwise regression analysis controlling for significant factors, Hispanic and Native American ethnicity contributed to higher POPDI scores, as did depression. Conclusions Among women with stage 2 prolapse, both Hispanic and Native American women had a higher level of bother, as measured by the POPDI, compared with non- Hispanic white women. The level of symptom bother was not different between ethnicities in women with stage 3 prolapse or greater. Disease severity may overshadow ethnic differences at more advanced stages of prolapse.

Original languageEnglish (US)
Pages (from-to)53-59
Number of pages7
JournalInternational Urogynecology Journal and Pelvic Floor Dysfunction
Issue number1
StatePublished - Jan 2014
Externally publishedYes


  • Ethnicity
  • Hispanic
  • Native American
  • Pelvic organ prolapse
  • Symptom bother

ASJC Scopus subject areas

  • Obstetrics and Gynecology
  • Urology


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