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Pelvic floor dysfunction after Burch colposuspension--a comprehensive study. Part II.

Preben Kjølhede·Johan Wahlström·Gun Wingren
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Abstract

OBJECTIVE: To evaluate the prevalence of pelvic floor dysfunction (PFD) concerning bowel function at long-term follow-up after Burch colposuspension (Bc) in relation to the bowel function in an age-matched sample of women in the general population. METHODS AND MATERIAL: This is a follow-up study of a cohort of 190 patients who underwent Bc in 1980-1988 and 305 age-matched control women without urinary anti-incontinence surgery, randomly selected from the general population. The participants answered a postal questionnaire with detailed questions about the pelvic floor function in 1998. Univariate and multivariate analyses were performed. RESULTS: The patients showed considerable signs of bowel dysfunction compared with the general population in the following aspects: they used the fingers to help emptying the bowel [odds ratio (OR) 3.25 (1.35-7.86)]; had feeling of incomplete emptying of the bowel [OR 2.29 (1.11-4.73)]; felt no warning before passing a motion [OR 3.04 (1.20-7.71)]; had gas incontinence [OR 1.98 (1.17-3.37); had loose stool incontinence [OR 3.67 (1.43-9.42)]; used protection against fecal leakage during daytime [OR 3.22 (1.30-7.95)]; and experienced that the bowel function affected the general well-being adversely [OR 2.15 (1.30-3.56)]. CONCLUSION: The patients who have undergone colposuspension for stress urinary incontinence have more symptoms of PFD concerning the bowel function than women without urinary anti-incontinence surgery in the general population. This affects the general well-being. A comprehensive concept of multidisciplinary assessment and treatment of PFD should be encouraged.

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AdultAgedAged, 80 and overCase-Control StudiesColposcopyConstipationFecal IncontinenceFemaleFlatulenceFollow-Up StudiesHumansMiddle AgedPelvic FloorSurgical MeshSurveys and QuestionnairesUrinary Incontinence, StressJournal ArticleResearch Support, Non-U.S. Gov't

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Preben Kjølhede, Johan Wahlström, Gun Wingren. 2005. Pelvic floor dysfunction after Burch colposuspension--a comprehensive study. Part II.. https://doi.org/10.1111/j.0001-6349.2005.00754.x

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