Kathiane Lustosa Augusto1, Leonardo Robson Pinheiro Sobreira Bezerra2, Sthela Maria Murad-Regadas3, José Ananias Vasconcelos Neto4, Camila Teixeira Moreira Vasconcelos5, Sara Arcanjo Lino Karbage6, Andreisa Paiva Monteiro Bilhar2, Francisco Sérgio Pinheiro Regadas7. 1. Department of Gynecology, School of Medicine of the Federal University of Ceará, Fortaleza, Ceará, Brazil; Departament of Gynecology, School of Medicine of the Fortaleza Universitário (UNIFOR), Fortaleza, Ceará, Brazil. Electronic address: kathianelustosa@yahoo.com.br. 2. Department of Gynecology, School of Medicine of the Federal University of Ceará, Fortaleza, Ceará, Brazil. 3. Department of Surgery, School of Medicine of the Federal University of Ceará, Fortaleza, Ceará, Brazil; Unit of Pelvic Floor and Anorectal Physiology, Clinical Hospital, Federal University of Ceará, Fortaleza, Ceará, Brazil; Unit of Pelvic Floor and Anorectal Physiology, Department of Colorectal Surgery, Sao Carlos Hospital, Ceara, Brazil. 4. Urogynecology, General Hospital of Fortaleza, Ceara, Brazil. 5. Department of Nursing, School of Medicine of the Federal University of Ceará, Fortaleza, Ceará, Brazil. 6. Department of Gynecology, School of Medicine of the Federal University of Ceará, Fortaleza, Ceará, Brazil; Departament of Gynecology, School of Medicine of the Fortaleza Universitário (UNIFOR), Fortaleza, Ceará, Brazil. 7. Department of Surgery, School of Medicine of the Federal University of Ceará, Fortaleza, Ceará, Brazil.
Abstract
INTRODUCTION AND HYPOTHESIS: Pelvic Floor Dysfunction is a complex condition that may be asymptomatic or may involve a loto f symptoms. This study evaluates defecatory dysfunction, fecal incontinence, and quality of life in relation to presence of posterior vaginal prolapse. METHODS: 265 patients were divided into two groups according to posterior POP-Q stage: posterior POP-Q stage ≥2 and posterior POP-Q stage <2. The two groups were compared regarding demographic and clinical data; overall POP-Q stage, percentage of patients with defecatory dysfunction, percentage of patients with fecal incontinence, pelvic floor muscle strength, and quality of life scores. The correlation between severity of the prolapse and severity of constipation was calculated using ρ de Spearman (rho). RESULTS: Women with Bp stage ≥2 were significantly older and had significantly higher BMI, numbers of pregnancies and births, and overall POP-Q stage than women with stage <2. No significant differences between the groups were observed regarding proportion of patients with defecatory dysfunction or incontinence, pelvic floor muscle strength, quality of life (ICIQ-SF), or sexual impact (PISQ-12). POP-Q stage did not correlate with severity of constipation and incontinence. General quality of life perception on the SF-36 was significantly worse in patients with POP-Q stage ≥2 than in those with POP-Q stage <2. CONCLUSIONS: The lack of a clinically important association between the presence of posterior vaginal prolapse and symptoms of constipation or anal incontinence leads us to agree with the conclusion that posterior vaginal prolapse probably is not an independent cause defecatory dysfunction or fecal incontinence.
INTRODUCTION AND HYPOTHESIS: Pelvic Floor Dysfunction is a complex condition that may be asymptomatic or may involve a loto f symptoms. This study evaluates defecatory dysfunction, fecal incontinence, and quality of life in relation to presence of posterior vaginal prolapse. METHODS: 265 patients were divided into two groups according to posterior POP-Q stage: posterior POP-Q stage ≥2 and posterior POP-Q stage <2. The two groups were compared regarding demographic and clinical data; overall POP-Q stage, percentage of patients with defecatory dysfunction, percentage of patients with fecal incontinence, pelvic floor muscle strength, and quality of life scores. The correlation between severity of the prolapse and severity of constipation was calculated using ρ de Spearman (rho). RESULTS:Women with Bp stage ≥2 were significantly older and had significantly higher BMI, numbers of pregnancies and births, and overall POP-Q stage than women with stage <2. No significant differences between the groups were observed regarding proportion of patients with defecatory dysfunction or incontinence, pelvic floor muscle strength, quality of life (ICIQ-SF), or sexual impact (PISQ-12). POP-Q stage did not correlate with severity of constipation and incontinence. General quality of life perception on the SF-36 was significantly worse in patients with POP-Q stage ≥2 than in those with POP-Q stage <2. CONCLUSIONS: The lack of a clinically important association between the presence of posterior vaginal prolapse and symptoms of constipation or anal incontinence leads us to agree with the conclusion that posterior vaginal prolapse probably is not an independent cause defecatory dysfunction or fecal incontinence.
Authors: Martin Smazinka; Vladimir Kalis; Martin Havir; Linda Havelkova; Khaled M Ismail; Zdenek Rusavy Journal: Int Urogynecol J Date: 2019-08-08 Impact factor: 2.894
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