1 Assistant Professor, Urology Department, Niazi Medical & Dental College, Sargodha. Email: drabdulbasitniazi233@gmail.com
2 Senior Registrar, Department of Obstetrics & Gynaecology, Multan Medical & Dental College, Multan. Email: drmunazzamunir@gmail.com
3* Associate Professor, Urology Department, Multan Medical and Dental College, Multan (Corresponding Author). Email: drakhtarmalik@gmail.com
4 Assistant Professor, Department of Gynaecology & Obstetrics, Niazi Medical & Dental College, Sargodha. Email: drsadiaasghar1@gmail.com
5 Assistant Professor, Urology Department, Rai Foundation Medical College, Sargodha. Email: srajafry@yahoo.com
6 Senior Registrar, Department of Obstetrics & Gynaecology, Shalamar Hospital, Lahore. Email: aqsaakrampk@gmail.com
Objective
To evaluate the association between the severity of pelvic organ prolapse and the types of urinary incontinence in women.
Methods
This cross-sectional study was conducted in the Department of Gynaecology and Obstetrics and Department of Urology over a period of six months. A total of 120 women aged 30–75 years with clinically diagnosed pelvic organ prolapse were included using non-probability consecutive sampling. The severity of prolapse was assessed using the Pelvic Organ Prolapse Quantification (POP-Q) system and staged from I to IV. Urinary incontinence was classified into stress, urge and mixed types based on patient-reported symptoms. Data were analyzed using SPSS version 22. The association between prolapse severity and type of urinary incontinence was assessed using the Chi-square test, with a p-value ≤0.05 considered statistically significant.
Results
The mean age of participants was 52.6 ± 10.4 years, with the majority being multiparous and postmenopausal. Stage III prolapse was the most common (36.7%), followed by Stage II (30.0%). Mixed urinary incontinence was the most prevalent type (43.3%), followed by stress (31.7%) and urge incontinence (25.0%). A statistically significant association was found between prolapse severity and type of urinary incontinence (p = 0.003). Stress urinary incontinence was more common in early stages (Stage I and II), whereas mixed urinary incontinence predominated in advanced stages (Stage III and IV).
Conclusion
There is a significant association between the severity of pelvic organ prolapse and the types of urinary incontinence. Understanding this relationship is essential for accurate diagnosis and effective management, ultimately improving the quality of life of affected women.
Keywords: Pelvic organ prolapse, urinary incontinence, stress incontinence, urge incontinence, mixed incontinence, POP-Q, cross-sectional study.
How to cite this article: Niazi AB, Munir M, Akhtar M, Asghar S, Abbas SR, Akram A. Association Between Pelvic Organ Prolapse Severity and Types of Urinary Incontinence in Women: A Cross-Sectional Study. Int J Drug Deliv Technol. 2026;16(4): 215-222. DOI: 10.25258/ijddt.16.4.24
Source of support: Nil.
Conflict of interest: None