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J Urol. 2009 Jan;181(1):187-92. doi: 10.1016/j.juro.2008.09.035. Epub 2008 Nov 14.

The racial distribution of female pelvic floor disorders in an equal access health care system.

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  • 1National Institutes of Health/National Capital Consortium Fellowship Program, Female Pelvic Medicine and Reconstructive Surgery, Department of Obstetrics and Gynecology, Walter Reed Army Medical Center, Washington, DC, USA.

Abstract

PURPOSE:

We examined ethnic differences in female pelvic disorders in an equal access health care system.

MATERIALS AND METHODS:

An electronic medical record review was performed for patients with pelvic floor disorders at a military female pelvic medicine and reconstructive surgery division for a 1-year period. Primary diagnosis codes and patient reported race were reviewed.

RESULTS:

Mean +/- SD cohort age was 55 +/- 16.3 years. A total of 720 patients were identified, of whom 68.8% were white and 18.6% were black. Pelvic organ prolapse was the primary diagnosis in 34.2% of the women, while 19.7% had stress urinary incontinence and 10.8% had urge urinary incontinence. There was no difference in the prevalence of prolapse between black and white women. However, of patients with incontinence there was a statistically significant difference with urge incontinence in more black women (51.2%) and stress incontinence in more white women (66.2%) (chi-square p <0.05).

CONCLUSIONS:

There is a similar ethnic distribution of pelvic organ prolapse in an equal access health care system. Of women with incontinence there was a higher prevalence of urge urinary incontinence in black women and a higher prevalence of stress urinary incontinence in white women.

PMID:
19013607
[PubMed - indexed for MEDLINE]
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