A New Comorbidity in Female Patients With Ankylosing Spondylitis Pelvic Organ Prolapse
| Autor: | Kemal Nas, Elif Ağaçayak, Mehmet Caglayan, Mehmet Okçu, Pelin Oktayoglu, Abdullah Dagli |
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| Přispěvatelé: | Caglayan, M, Oktayoglu, P, Agacayak, E, Dagli, AZ, Okcu, M, Nas, K, Sakarya Üniversitesi/Tıp Fakültesi/Dahili Tıp Bilimleri Bölümü, Nas, Kemal |
| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: |
Adult
medicine.medical_specialty medicine.medical_treatment Pelvic Organ Prolapse Young Adult 03 medical and health sciences 0302 clinical medicine Rheumatology Risk Factors Internal medicine medicine Valsalva maneuver Humans Spondylitis Ankylosing 030212 general & internal medicine Spondylitis 030203 arthritis & rheumatology Ankylosing spondylitis business.industry Incidence Incidence (epidemiology) Case-control study Uterine prolapse medicine.disease Gynecological Examination Comorbidity Logistic Models Case-Control Studies Female business |
| Popis: | Aim The aim of this study was to investigate whether increased intra-abdominal pressure caused by pelvic inflammation and frequent use of the Valsalva maneuver increases the incidence of pelvic organ prolapse (POP) among female patients with ankylosing spondylitis (AS). Methods Thirty-nine patients diagnosed as having AS through the use of the modified New York criteria, 47 patients with chronic low-back pain (CLBP), and 38 healthy controls (HCs) were included in this study. All the patients and the HCs underwent thorough physical and gynecological examinations. Pelvic organ prolapse was graded blindly by a gynecologist. Presence or absence of cystocele (CS), rectocele (RC), and uterine prolapse (UP) was noted. Results The incidences of CS, RC, and UD were significantly higher among the AS patients compared with the HCs (p = 0.001, 0.026, and 0002, respectively). The incidences of CS (p = 0.042) and UD (p = 0.017) were significantly higher among the AS patients compared with the CLBP patients. Conclusions The incidence of POP is higher among patients with AS compared with normal population. These patients should be questioned about the symptoms of POP and recommended, if necessary, regular gynecological examinations, as well as specific exercises including those targeting AS. |
| Databáze: | OpenAIRE |
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