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Is pelvic pain associated with defecatory symptoms in women with pelvic organ prolapse?
Author(s) -
Asfaw Tirsit S.,
Saks Emily K.,
Northington Gina M.,
Arya Lily A.
Publication year - 2011
Publication title -
neurourology and urodynamics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.918
H-Index - 90
eISSN - 1520-6777
pISSN - 0733-2467
DOI - 10.1002/nau.21059
Subject(s) - medicine , defecation , pelvic pain , pelvic floor , demographics , obstructed defecation , stage (stratigraphy) , cross sectional study , physical therapy , obstetrics , surgery , biology , paleontology , demography , sociology , pathology
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. Neurourol. Urodynam. 30:1305–1308, 2011. © 2011 Wiley‐Liss, Inc.