Alison M. Parden

Prevalence, Awareness, and Understanding of Pelvic Floor Disorders in Adolescent and Young Women.

Objectives The objective of this study was to characterize symptom prevalence, awareness of pelvic floor disorders (PFDs) in family/friends, and understanding of factors contributing to the development of PFDs in women aged 19 to 30 years. Methods This study is a cross-sectional study via online questionnaire survey of female students aged 19 to 30 years enrolled at the University of Alabama at Birmingham. Results of “adolescent women” aged 19 to 24 years were compared with “young women” aged 25 to 30 years. Results A total of 1092 questionnaires were completed with the mean age being 23.5 ± 3.1 years. The overall rate of urinary incontinence (UI) was 10.3% without a difference between adolescent and young women (P = 0.61). There were no differences in rates of urgency UI (P = 0.061), stress UI (P = 0.29), or pelvic organ prolapse (POP) symptoms (P = 0.56) between groups. There was no difference between groups in awareness of family members with UI, fecal incontinence (FI), or POP symptoms (P ≥ 0.24). However, logistic regression showed that the young women were more likely to have received education regarding UI (adjusted odds ratio [aOR], 2.6; 95% confidence interval [CI], 1.8–3.6), FI (aOR, 3.3; 95% CI, 2.2–4.8), POP (aOR, 2.9; 95% CI, 2.1–4.2), and have greater understanding regarding causes of UI (aOR, 2.9; 95% CI, 1.7–4.8), FI (aOR, 1.6; 95% CI, 1.1–2.3), and POP (aOR, 1.9; 95% CI, 1.3–2.9). Conclusions Women aged 25 to 30 years had more awareness and understanding of PFDs compared with adolescent women. These data may have implications for primary prevention strategies of PFDs.

43: Satisfaction with surgery after transvaginal mesh revision

procedure (p 1⁄4 0.162) or catheterization length (p 1⁄4 0.634). However, when Dex50 was used, length of stay was 24.7 hours (95% CI 1⁄4 17.9-31.4) versus 16.4 hours (95% CI 1⁄4 14.1-18.6) when no visualization medium used (p 1⁄4 0.047). CONCLUSION: When choosing a visualization medium during cystoscopy at time of minimally invasive hysterectomy, it is important to consider the efficacy and side effects of possible options. This study demonstrates that Dex50 does not increase the risk of postoperative urinary tract infection compared to no visualization medium. On the other hand, length of stay is significantly longer with the Dex50 group. One must factor in other variables that may confound this finding including surgical indications, difficulty of procedure and surgeon preferences.