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Pelvic floor dysfunction after Burch colposuspension - A comprehensive study. Part II
Linköping University, Faculty of Health Sciences. Linköping University, Department of Clinical and Experimental Medicine, Obstetrics and gynecology . Östergötlands Läns Landsting, Centre of Paediatrics and Gynecology and Obstetrics, Department of Gynecology and Obstetrics in Linköping.
Linköping University, Faculty of Health Sciences. Linköping University, Department of Clinical and Experimental Medicine, Pediatrics . Östergötlands Läns Landsting, Centre of Paediatrics and Gynecology and Obstetrics, Department of Paediatrics in Linköping.
Linköping University, Faculty of Health Sciences. Linköping University, Department of Clinical and Experimental Medicine, Occupational and Environmental Medicine .ORCID iD: 0000-0002-8234-5461
2005 (English)In: Acta Obstetricia et Gynecologica Scandinavica, ISSN 0001-6349, Vol. 84, no 9, 902-908 p.Article in journal (Refereed) Published
Abstract [en]

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. © Acta Obstet Gynecol Scand 2005.

Place, publisher, year, edition, pages
2005. Vol. 84, no 9, 902-908 p.
Keyword [en]
Bowel function, Burch colposuspension, Fecal incontinence, Pelvic floor dysfunction, Pelvic floor surgery, Urinary incontinence
National Category
Medical and Health Sciences
Identifiers
URN: urn:nbn:se:liu:diva-50272DOI: 10.1111/j.0001-6349.2005.00754.xOAI: oai:DiVA.org:liu-50272DiVA: diva2:271168
Available from: 2009-10-11 Created: 2009-10-11 Last updated: 2013-09-03

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Kjölhede, PrebenWahlström, JohanWingren, Gun

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Faculty of Health SciencesObstetrics and gynecology Department of Gynecology and Obstetrics in LinköpingPediatrics Department of Paediatrics in LinköpingOccupational and Environmental Medicine
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Acta Obstetricia et Gynecologica Scandinavica
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