Original Clinical Article

Is pelvic pain associated with defecatory symptoms in women with pelvic organ prolapse?^† ^‡ ^§

Corresponding Author

Tirsit S. Asfaw

[email protected]

Division of Urogynecology and Reconstructive Pelvic Surgery, Department of Obstetrics and Gynecology, University of Pennsylvania, School of Medicine, Philadelphia, Pennsylvania

Division of Urogynecology, Pelvic Reconstructive Surgery, Department of Obstetrics and Gynecology, University of Pennsylvania, School of Medicine, 1000 Courtyard, 34 Spruce Street, Philadelphia, PA 19104.Search for more papers by this author

Emily K. Saks,

Emily K. Saks

Division of Urogynecology and Reconstructive Pelvic Surgery, Department of Obstetrics and Gynecology, University of Pennsylvania, School of Medicine, Philadelphia, Pennsylvania

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Gina M. Northington,

Gina M. Northington

Division of Urogynecology and Reconstructive Pelvic Surgery, Department of Obstetrics and Gynecology, University of Pennsylvania, School of Medicine, Philadelphia, Pennsylvania

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Lily A. Arya,

Lily A. Arya

Division of Urogynecology and Reconstructive Pelvic Surgery, Department of Obstetrics and Gynecology, University of Pennsylvania, School of Medicine, Philadelphia, Pennsylvania

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Tirsit S. Asfaw,

Corresponding Author

Tirsit S. Asfaw

[email protected]

Division of Urogynecology and Reconstructive Pelvic Surgery, Department of Obstetrics and Gynecology, University of Pennsylvania, School of Medicine, Philadelphia, Pennsylvania

Emily K. Saks,

Emily K. Saks

Division of Urogynecology and Reconstructive Pelvic Surgery, Department of Obstetrics and Gynecology, University of Pennsylvania, School of Medicine, Philadelphia, Pennsylvania

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Gina M. Northington,

Gina M. Northington

Division of Urogynecology and Reconstructive Pelvic Surgery, Department of Obstetrics and Gynecology, University of Pennsylvania, School of Medicine, Philadelphia, Pennsylvania

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Lily A. Arya,

Lily A. Arya

Division of Urogynecology and Reconstructive Pelvic Surgery, Department of Obstetrics and Gynecology, University of Pennsylvania, School of Medicine, Philadelphia, Pennsylvania

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First published: 10 March 2011

https://doi.org/10.1002/nau.21059

Citations: 5

^†

Conflicts of interest: none.

^‡

Linda Brubaker led the review process.

^§

Podium presentation at the American Urogynecologic Society 30th Annual Scientific Meeting, September 24–26, 2009 Westin Diplomat Resort, Hollywood Florida.

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Abstract

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

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Citing Literature

Volume30, Issue7

September 2011

Pages 1305-1308

Is pelvic pain associated with defecatory symptoms in women with pelvic organ prolapse?^† ^‡ ^§

Abstract

Objective

Study Design

Results

Conclusion

REFERENCES

Citing Literature

References

Information

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Is pelvic pain associated with defecatory symptoms in women with pelvic organ prolapse?† ‡ §

Abstract

Objective

Study Design

Results

Conclusion

REFERENCES

Citing Literature

References

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Is pelvic pain associated with defecatory symptoms in women with pelvic organ prolapse?^† ^‡ ^§