The influence of age on posterior pelvic floor dysfunction in women with obstructed defecation syndrome

Murad-Regadas, Sthela M.; Rodrigues, Lusmar Veras; Furtado, D. C.; Regadas, Francisco Sérgio Pinheiro; Fernandes, Graziela Olívia da Silva; Filho, Francisco L. de Caldas; Gondim, A. C.; Silva, R. de Paula Joca da

doi:10.1007/s10151-012-0831-8

Cited by 18 publications

(9 citation statements)

References 41 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…When the pressure exceeds the threshold, the cervical, bladder neck, and anorectal junction move down, leading to irreversible damage to the pelvic muscles and muscle fiber rupture, thereby increasing the risk of POP. 19 , 20 (4) Stagnation or prolongation of the second stage of labor. Under pressure, the supporting tissues around the vagina change and fibroblasts undergo metabolic changes and corresponding cytoskeletal changes, often manifested as extreme distortion, expansion, stretching, and deformation.…”

Section: Discussionmentioning

confidence: 99%

The Influence of Obstetric Factors on the Occurrence of Pelvic Floor Dysfunction in Women in the Early Postpartum Period

Yang¹,

Liao²

2022

IJGM

View full text Add to dashboard Cite

Background This study aimed to analyze the effect of obstetric factors on the development of pelvic floor dysfunction (PFD) in women in the early postpartum period. Methods Clinical data of 300 women who were reviewed in our outpatient clinic from July 2016 to December 2019 in the postpartum period were retrospectively analyzed. The occurrence of pelvic organ prolapse (POP) and stress urinary incontinence (SUI) was assessed using the Pelvic Organ Prolapse Quantification System and International Consultation on Incontinence Questionnaire Short Form. Factors affecting the occurrence of PFD in women in the early postpartum period were analyzed using univariate and multifactorial logistic regression models. Results A total of 46 cases of POP (15.33%) and 82 of SUI (27.33%) occurred in 300 women at 6–8 weeks after birth. Unconditional logistic regression confirmed that age ≥35 years, vaginal delivery, BMI before delivery ≥ 25 kg/m 2 , perineal tear, protracted or prolonged second stage of labor, and fetal macrosomia were risk factors influencing the occurrence of POP (OR > 1, P < 0.05), whereas age ≥ 35 years, vaginal delivery, perineal tear, protracted or prolonged second stage of labor, fetal macrosomia, and SUI during pregnancy were risk factors influencing the occurrence of SUI (OR> 1, P< 0.05). Conclusion Obstetric factors such as age, mode of delivery, perineal tear, protracted or prolonged second stage of labor, and fetal macrosomia may increase the risk of developing PFD in women in the early postpartum period; hence, these risk factors should be correctly identified and promptly addressed to prevent the development of PFD.

show abstract

Section: Discussionmentioning

confidence: 99%

The Influence of Obstetric Factors on the Occurrence of Pelvic Floor Dysfunction in Women in the Early Postpartum Period

Yang¹,

Liao²

2022

IJGM

View full text Add to dashboard Cite

show abstract

“…Karasick., et al [6] asked women who underwent defecography to provide information regarding obstetric history and pelvic surgery and found that trauma from childbirth or hysterectomy contributed to the development of defecation disorders. Murad-Regadas., et al [7] evaluated the women presenting with ODS using 3D anorectal ultrasonography to assess the posterior pelvic floor disorders and found that delivery mode and parity were not correlated with the prevalence of rectocele, rectal intussusception and pelvic floor dyssynergia.…”

Section: Discussionmentioning

confidence: 99%

“…However, the relation between age, vaginal delivery, and posterior pelvic floor disorders involving obstructed defecation syndrome (ODS) is a matter of controversy [3][4][5]. The influence of aging or vaginal delivery on such disorders has been described in the previous studies [3,6,7], but others have failed to identify the associations between childbirth and such disorders [4,8].…”

Section: Introductionmentioning

confidence: 99%

Effect of Pelvic Floor Descent on Posterior Pelvic Floor Disorders in Women with Obstructed Defecation Syndrome

Tsunoda¹,

Takahashi²,

Kusanagi³

2020

Act Sci wom hea

View full text Add to dashboard Cite

Background:The relation between age, parity, and posterior pelvic floor disorders involving obstructed defecation syndrome (ODS) is a matter of controversy. This study aimed to determine the effect of pelvic floor descent (PFD) on the prevalence of posterior pelvic floor disorders in women with ODS.Methods: Data for women with ODS, collected in a prospective pelvic floor database, and were assessed retrospectively. Data on demographic variables and defecography were analyzed. PFD during defecation was estimated by the degree of the anorectal junction in relation to the inferior margin of the ischial tuberosity.Results: Of 334 women with ODS, the most frequently detected defecographic abnormalities were rectal intussusception (58%) and rectocele (45%). Regression analysis showed that the presence of rectocele and enterocele was more common in women with increased PFD. A higher incidence of rectocele and enterocele was found in women with excessive PFD (≧ 30 mm) than those without excessive PFD [58% (68/118) vs. 37% (77/209), P < 0.0001; 23% (27/118) vs. 14% (29/209), P = 0.038, respectively]. Increasing size of rectocele was significantly associated with increasing PFD. There were no significant differences in the prevalence of various posterior pelvic floor disorders between nulliparous and parous women. Conclusions:The prevalence of both rectocele and enterocele increased significantly with increasing PFD in women with ODS, but the incidence of rectal intussusception showed no such relationship.

show abstract

“…The unsuccessful attempts to defecate are associated with a feeling of incomplete rectal voiding. ODS affects approximately 10-25% of the population and is mainly related to female sex (5).…”

Section: Introductionmentioning

confidence: 99%

“…Individual aspects, such as pregnancy, childbirth, connective tissue disorders, the physiological descending of the pelvic oor at an older age, and pelvine surgical interventions further contribute to the condition (5,8,9). Almost 60% of the female population develop POP during their lifetime and 1/3 of them have bowel dysfunction presenting as constipation and ODS (10,11).…”

Section: Introductionmentioning

confidence: 99%

Early Safety and Efficiency Outcomes of a Novel Standardized Interdisciplinary Procedure of Combined Laparoscopic Resection Rectopexy with Laparoscopic Sacrocolpopexy to Treat Obstructive Defecation Syndrome in Women with Pelvic Organ Prolapse

Ludwig

Madukkakuzhy²,

Hernandez³

et al. 2022

Preprint

View full text Add to dashboard Cite

Purpose Obstructive defecation syndrome (ODS) defines a disturbed defecation process frequently associated with pelvic organ prolapse (POP) in women. It substantially compromises quality of life. Conservative treatment options are limited. Surgical interventions are characterized by a variety of individual approaches. This study standardized laparoscopic resection rectopexy (L-RRP) combined with laparoscopic sacrocolpopexy (L-SCP) in an interdisciplinary setting. Additionally, offering both synthetic mesh (SM) and biological mesh (BM) material for L-SCP is a novel treatment alternative, particularly for premenopausal women. Methods Women with ODS combined with POP underwent surgery using an interdisciplinary approach. The primary endpoint was postoperative morbidity and mortality measured by the Clavien-Dindo classification (CDC). Further endpoints were improvement in bowel evacuation, POP, and urinary incontinence at a median follow-up period of > 12 months. Results Of a total of 44 patients, 36 patients were treated with L-RRP combined with L-SCP (28 patients with SM, 8 patients with BM). CDC grades and the frequency of postoperative complications were low. Clinical outcomes for ODS, bowel dysfunction, and fecal control improved significantly. Anatomical outcome for POP was significantly better with 28 (78%) patients having POP-Q stage 0 after surgery. 17 patients (47%) had urinary incontinence before surgery, which was restored in 14 patients (82%). No de-novo urinary incontinence appeared. Conclusion The interdisciplinary surgical approach with L-RRP and L-SCP is safe, feasible, and effective in treating women with ODS and POP. The use of a biomesh was established as an effective alternative to the SM and offers an additional and new uterine-preserving option.

show abstract

The influence of age on posterior pelvic floor dysfunction in women with obstructed defecation syndrome

Abstract: Aging was shown to influence the incidence of posterior pelvic floor disorders (rectocele, intussusception, mucosa prolapse and enterocele/sigmoidocele), but not the incidence of anismus, in women with obstructed defecation syndrome.

Cited by 18 publications

References 41 publications

The Influence of Obstetric Factors on the Occurrence of Pelvic Floor Dysfunction in Women in the Early Postpartum Period

The Influence of Obstetric Factors on the Occurrence of Pelvic Floor Dysfunction in Women in the Early Postpartum Period

Effect of Pelvic Floor Descent on Posterior Pelvic Floor Disorders in Women with Obstructed Defecation Syndrome

Early Safety and Efficiency Outcomes of a Novel Standardized Interdisciplinary Procedure of Combined Laparoscopic Resection Rectopexy with Laparoscopic Sacrocolpopexy to Treat Obstructive Defecation Syndrome in Women with Pelvic Organ Prolapse

Contact Info

Product

Resources

About