Tirsit S Asfaw1, Emily K Saks, Gina M Northington, Lily A Arya. 1. Division of Urogynecology and Reconstructive Pelvic Surgery, Department of Obstetrics and Gynecology, University of Pennsylvania, School of Medicine, Philadelphia, Pennsylvania 19104, USA. Tirsit@yahoo.com
Abstract
OBJECTIVE: To investigate the significance of pelvic pain and its association with defecatory symptoms in women with pelvic organ prolapse (POP). STUDY DESIGN: This is a cross sectional study of 248 women with stage II POP or greater. Women were stratified into "pain" and "no-pain" groups based on their response to a question on the Pelvic Floor Distress Inventory short form. Associations between patient demographics, exam findings and responses to validated questionnaires were evaluated. RESULTS: In women with POP, defecatory symptoms are significantly more common in women with pelvic pain including straining with bowel movement (OR 2.4, 95% CI 1.3, 4.6), sense of incomplete emptying (OR 4.4, 95% CI 2.3, 8.2), pain with bowel movement (OR 5.3, 95% CI 1.2, 23.0) and splinting with bowel movement (OR 3.8, 95% CI 2.0, 7.5). CONCLUSION: In women with POP, the symptom of pelvic pain is associated with the presence of defecatory symptoms.
OBJECTIVE: To investigate the significance of pelvic pain and its association with defecatory symptoms in women with pelvic organ prolapse (POP). STUDY DESIGN: This is a cross sectional study of 248 women with stage II POP or greater. Women were stratified into "pain" and "no-pain" groups based on their response to a question on the Pelvic Floor Distress Inventory short form. Associations between patient demographics, exam findings and responses to validated questionnaires were evaluated. RESULTS: In women with POP, defecatory symptoms are significantly more common in women with pelvic pain including straining with bowel movement (OR 2.4, 95% CI 1.3, 4.6), sense of incomplete emptying (OR 4.4, 95% CI 2.3, 8.2), pain with bowel movement (OR 5.3, 95% CI 1.2, 23.0) and splinting with bowel movement (OR 3.8, 95% CI 2.0, 7.5). CONCLUSION: In women with POP, the symptom of pelvic pain is associated with the presence of defecatory symptoms.
Authors: Susan L Hendrix; Amanda Clark; Ingrid Nygaard; Aaron Aragaki; Vanessa Barnabei; Anne McTiernan Journal: Am J Obstet Gynecol Date: 2002-06 Impact factor: 8.661
Authors: Marie-Andrée Harvey; Hui Ju Chih; Roxana Geoffrion; Baharak Amir; Alka Bhide; Pawel Miotla; Peter F W M Rosier; Ifeoma Offiah; Manidip Pal; Alexandriah Nicole Alas Journal: Int Urogynecol J Date: 2021-08-02 Impact factor: 2.894