Journal article
Bowel function, sexual function, and symptoms of pelvic organ prolapse in women with and without urinary incontinence
Neurourology and Urodynamics, Vol.37(8), pp.2586-2596
11/2018
DOI: 10.1002/nau.23587
PMCID: PMC6179951
PMID: 29635702
Abstract
Aims Bowel symptoms, pelvic organ prolapse, and sexual dysfunction are common, but their frequency among women with lower urinary tract symptoms (LUTS) has not been well described. Our aims were to describe pelvic floor symptoms among women with and without urinary incontinence (UI) and among subtypes of UI. Methods Women with LUTS seeking care at six U.S. tertiary care centers enrolled in prospective cohort study were studied. At baseline, participants completed the Pelvic Floor Distress Inventory (PFDI‐20), Pelvic Organ Prolapse/Incontinence Sexual Questionnaire (PISQ‐IR), and PROMIS GI Diarrhea, Constipation, and Fecal Incontinence Scales. Results Mean age among the 510 women was 56.4 ± 14.4 years. Women who reported UI (n = 420) had more diarrhea and constipation symptoms (mean scores 49.5 vs 46.2 [P = 0.01] and 51.9 vs 48.4 [P < 0.01], respectively) at baseline. Among sexually active women, mean PISQ‐IR subscale scores were lower among those with UI (condition specific: 89.8 vs 96.7, P < 0.01; condition impact: 79.8 vs 92.5, P < 0.01). Women with mixed urinary incontinence (MUI) (n = 240) reported more prolapse symptoms, fecal incontinence, and worse sexual function compared to those with stress urinary incontinence (SUI) and urgency urinary incontinence (UUI). Conclusions Women presenting with LUTS with UI reported significantly worse constipation, diarrhea, fecal incontinence, and sexual function compared to women without UI. In women with UI, sexual function and pelvic organ prolapse (POP) symptoms were worse in those with MUI compared to SUI and UUI.
Details
- Title: Subtitle
- Bowel function, sexual function, and symptoms of pelvic organ prolapse in women with and without urinary incontinence
- Creators
- Anne P Cameron - University of MichiganAbigail R Smith - Arbor Research Collaborative for HeathH. Henry Lai - Washington University School of MedicineCatherine S Bradley - University of IowaAlice B Liu - University of WashingtonRobert M Merion - Arbor Research Collaborative for HeathBrenda W Gillespie - University of MichiganCindy L Amundsen - Duke UniversityDavid Cella - Northwestern UniversityJames W Griffith - Northwestern UniversityJonathan B Wiseman - Arbor Research Collaborative for HeathKarl J Kreder - University of IowaKimberly S Kenton - Northwestern UniversityMargaret E Helmuth - Arbor Research Collaborative for HeathMatthew O Fraser - Duke UniversityJ. Quentin Clemens - University of MichiganZiya Kirkali - National Institute of Diabetes and Digestive and Kidney DiseasesJohn W Kusek - National Institute of Diabetes and Digestive and Kidney DiseasesNazema Y Siddiqui - Duke UniversityLURN Study Group (Contributor)
- Resource Type
- Journal article
- Publication Details
- Neurourology and Urodynamics, Vol.37(8), pp.2586-2596
- DOI
- 10.1002/nau.23587
- PMID
- 29635702
- PMCID
- PMC6179951
- ISSN
- 0733-2467
- eISSN
- 1520-6777
- Number of pages
- 11
- Grant note
- Northwestern University National Institutes of Health's National Center for Advancing Translational Sciences (UL1TR001422) National Institute of Diabetes & Digestive & Kidney Diseases (DK097780; DK097772; DK097779; DK099932; DK100011; DK100017; DK097776; DK099879)
- Language
- English
- Date published
- 11/2018
- Academic Unit
- Epidemiology; Obstetrics and Gynecology; Urology
- Record Identifier
- 9983931825002771
Metrics
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