Influence of toileting behavior on the natural course of anterior vaginal wall prolapse

Köse, Osman; Atik, Yavuz Tarık; Gül, Deniz; Uysal, Burak; Çimen, Hacı İbrahim; Bostancı, Mehmet Sühha

doi:10.1186/s12905-022-01637-w

Cited by 2 publications

(2 citation statements)

References 18 publications

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“…In addition, many women felt that urinating outside resulted in medical complications and infections. Indeed, squatting over a toilet to urinate on a consistent basis may result in lower urinary tract symptomology (LUTS) or pelvic organ prolapse [38,53]. In addition, the anxiety and rush of outdoor urination, together with a lack of sanitation supplies (i.e., toilet paper, water) could result in urinary tract infections if fecal matter enters the urethra and travels into the bladder [54].…”

Section: Toilet Access and Personal Safetymentioning

confidence: 99%

Humans peeing: Justice-involved women’s access to toilets in public spaces

Smoyer

Pittman²,

Borzillo³

2023

PLoS ONE

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Justice-involved women face myriad challenges as they negotiate the terms of community supervision and manage the long-term implications and stigma of living with a criminal record. Major tasks that women juggle include securing safe, affordable housing, finding and retaining employment, accessing physical and mental health care (including substance use treatment), and handling relationships with family, friends, children, and intimate partners. In addition to these responsibilities, women must meet their basic physiological needs to eat, sleep, and use the toilet. Women’s ability to safely meet their personal care needs may impact their capacity to manage their criminal-legal challenges. This study uses qualitative methods to understand justice-involved women’s lived experiences related to urination. Specifically, the study reports on a thematic analysis of 8 focus groups conducted with justice-involved women (n = 58) and the results of a toilet audit conducted in the downtown areas of the small city in the United States where the focus group participants were living. Findings suggest that women had limited access to restrooms and reported urinating outside. Lack of restroom access impacted their engagement with social services support and employment and their ability to travel through public spaces. Women perceived their public toilet options as unsafe, increasing their sense of vulnerability and reinforcing the idea that they did not have full access to citizenship in the community because of their criminal-legal involvement. The exclusion and denial of women’s humanity that is perpetuated by a lack of public toilet access impacts women’s psychosocial outcomes. City governments, social service agencies, and employers are encouraged to consider how lack of toilet access may impact their public safety and criminal-legal objectives and expand opportunities for people to access safe restroom facilities.

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Section: Toilet Access and Personal Safetymentioning

confidence: 99%

Humans peeing: Justice-involved women’s access to toilets in public spaces

Smoyer

Pittman²,

Borzillo³

2023

PLoS ONE

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“…As we will discuss later in this chapter, stress urinary incontinence may start with straining behaviors causing anatomic changes in the pelvic floor which facilitate voiding by weakening the outlet. Additionally, the abdominal strain necessary to overcome the obstruction of a non-relaxed outlet can create an anterior vaginal wall defect, causing further outlet obstruction from pelvic organ prolapse [25]. Because of the variability of outcomes, establishing the relationship between toileting behaviors and pelvic floor disorders is challenging.…”

Section: Introductionmentioning

confidence: 99%

Pelvic Floor Awareness and Adult Re-Toilet Training in the Treatment of Lower Urinary Tract Dysfunction

Fleischmann

2024

The Female Pelvis - Anatomy, Function and Disorders

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Toileting habits are established early in life, during the process of toilet training. Children who overuse their guarding reflex can develop voiding dysfunction and incontinence, which they typically outgrow. However, unhealthy behaviors, such as enhanced holding and straining to void, are common in the adult general population, suggesting the persistence of old habits that have the potential to create symptoms throughout a woman’s life. Women with poor toileting habits frequently ignore bodily sensations, and use voiding postponement and abdominal straining to eliminate, without relaxing the pelvic floor. Continuous pressure on the pelvic floor tissues during elimination can create structural changes in the pelvic anatomy, particularly after childbirth. Educating women about pelvic floor function, bladder retraining, and full pelvic floor relaxation during voiding and defecating are the goals of treatment. In this chapter, we review a simple and strategic process in which the provider teaches relaxation of the puborectalis muscle, with the aid of diaphragmatic breathing, so that coordinated elimination can develop. Although pelvic floor awareness and education may not benefit all cases, women should be warned that chronic pelvic muscle clenching and straining are potentially destructive to the pelvic floor and sphincter muscle function.

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Influence of toileting behavior on the natural course of anterior vaginal wall prolapse

Cited by 2 publications

References 18 publications

Humans peeing: Justice-involved women’s access to toilets in public spaces

Humans peeing: Justice-involved women’s access to toilets in public spaces

Pelvic Floor Awareness and Adult Re-Toilet Training in the Treatment of Lower Urinary Tract Dysfunction

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