The relationship between fecal incontinence, constipation and defecatory symptoms in women with pelvic floor disorders

Andy, Uduak U.; Harvie, Heidi S.; Pahwa, Avita P.; Markland, Alayne D.; Arya, Lily A.

doi:10.1002/nau.22964

Cited by 8 publications

(7 citation statements)

References 28 publications

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“…The strict correlation between CS and FI was also reported by Kalantar et al, who showed a statistically significant higher incidence of symptoms of obstructed defecation in patients with FI [5]. The close connection between FI and CS is also seen in studies focusing on pelvic floor disorders [6][7][8][9]. In the female population, naturally more exposed to the coexistence of these two conditions, it is evident that the single presence of birth injuries to the anal sphincter or pelvic floor is not sufficient to justify the incidence of FI.…”

Section: Evidence From Clinical Studiessupporting

confidence: 54%

Coexistence of Fecal Incontinence and Constipation

2022

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Section: Evidence From Clinical Studiessupporting

confidence: 54%

Coexistence of Fecal Incontinence and Constipation

2022

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“…With reference to previous studies [15,26,27], the characteristics of the participants included age, body mass index (BMI), parity, birth delivery methods, a history of hysterectomy, ever having used midlife hormone therapy, and medical conditions including allergic rhinitis and chronic obstructive pulmonary disease.…”

Section: Participants' Characteristicsmentioning

confidence: 99%

Interaction and main effects of physical and depressive symptoms on quality of life in Korean women seeking care for rectal prolapse: a cross-sectional observational study

Moon

Youngrye

Kim

et al. 2021

Korean J Women Health Nurs

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Purpose: Rectal prolapse is still a relatively understudied medical condition, especially in women, whereas physical symptoms, depressive symptoms, and quality of life (QOL) in women with pelvic organ prolapse have been steadily studied. This study aimed to examine the interaction and main effects of physical and depressive symptoms on physical and mental QOL of women seeking care for rectal prolapse in Korea. Methods: Ninety-two women with rectal prolapse were recruited from a colorectal surgery clinic of a tertiary teaching hospital in Gwangju, Korea. Physical symptoms related to rectal prolapse (pelvic organ prolapse distress, POPD; colorectal-anal distress, CRAD; and urinary distress, UD), depression, and QOL were measured. The data were analyzed using descriptive statistics, Pearson correlation coefficient, and two-way analysis of variance. Results: The interaction between POPD symptoms and depressive symptoms (F=4.51, p=.037) affected physical QOL. The interaction between POPD (F=9.66, p=0.003) and CRAD symptoms (F=7.48, p=.008), respectively, and depressive symptoms affected mental QOL. Depressive symptoms had a significant main effect on the physical QOL in the CRAD (F=6.22, p=.014) and UD (F=6.01, p=.016) groups and on mental QOL in the UD group (F=24.54, p<.000).Conclusion: Physical and depressive symptoms should be considered together to improve the QOL in women with rectal prolapse. Nursing interventions to decrease rectal prolapse-related physical and depressive symptoms are required to improve QOL in women with symptomatic rectal prolapse.

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“…During vaginal delivery, the pelvic floor is further stretched as the fetus passes through the birth canal, and in severe cases, it is partially torn or injured 12 . Finally, changes in the pelvic floor due to aging and chronic loading stress from increased intra‐abdominal pressure (eg, straining due to constipation and obesity) deteriorate pelvic floor function 10,13,14 . Pelvic floor dysfunction occurs easily when these factors are combined.…”

Section: Introductionmentioning

confidence: 99%

“…12 Finally, changes in the pelvic floor due to aging and chronic loading stress from increased intra-abdominal pressure (eg, straining due to constipation and obesity) deteriorate pelvic floor function. 10,13,14 Pelvic floor dysfunction occurs easily when these factors are combined. Thus, symptoms are more common in women and with increase in age.…”

mentioning

confidence: 99%

“…Chronic loading on the pelvic floor may be a significant factor contributing to decreased pelvic floor support and urethral closure due to aging and childbirth because some previous studies reported associations between constipation and obesity and symptoms of pelvic floor dysfunction. 10,13,14 Jorgensen et al 15 showed that nursing assistants were more likely to experience pelvic organ prolapse than women in the general population. This might be due to the nature of work in the medical field.…”

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confidence: 99%

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Prevalence of symptoms of pelvic floor dysfunction and related factors among Japanese female healthcare workers

Sawai

Yuno

Shogenji

et al. 2022

LUTS

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Objectives Women working in the medical field may be at risk for pelvic floor dysfunction due to high physical activity levels leading to increased abdominal pressure; however, the actual situation remains unknown. This study aimed to clarify the prevalence of symptoms of pelvic floor dysfunction and its associated factors among Japanese women working in the medical field. Methods A cross‐sectional study was conducted among female employees at a public hospital in Japan from July to August 2020. Participants answered a web‐based questionnaire. Three types of symptoms related to pelvic floor dysfunction were assessed based on one or more subscale scores in the Pelvic Floor Distress Inventory‐Short Form 20 (PFDI‐20). Results Out of 466 female employees in the hospital, 294 responded (response rate 63.1%). The mean age was 42.8 ± 10.3 years old and 221 (73.5%) were nurses. The prevalence of at least one type of symptom was 63.9%. The prevalence of recto‐anal symptoms (45.9%) was highest, followed by lower urinary tract (37.1%) and pelvic organ prolapse symptoms (22.8%). The total PFDI‐20 score was associated with constipation (β = .254), body mass index (β = .136), and part‐time work (β = .167) after adjusting for other variables. Conclusion This study showed a high prevalence of symptoms related to pelvic floor dysfunction among women working in the medical field. Lifestyle management to prevent constipation and obesity is a promising strategy to improve symptoms of pelvic floor dysfunction.

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The relationship between fecal incontinence, constipation and defecatory symptoms in women with pelvic floor disorders

Abstract: In women with urinary incontinence, fecal incontinence, and pelvic organ prolapse, diagnosis of FI is associated with constipation and other defecatory symptoms; which impacts evaluation and management strategies. Neurourol. Urodynam. 36:495-498, 2017. © 2016 Wiley Periodicals, Inc.

Cited by 8 publications

References 28 publications

Coexistence of Fecal Incontinence and Constipation

Coexistence of Fecal Incontinence and Constipation

Interaction and main effects of physical and depressive symptoms on quality of life in Korean women seeking care for rectal prolapse: a cross-sectional observational study

Prevalence of symptoms of pelvic floor dysfunction and related factors among Japanese female healthcare workers

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