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The 'bother' of obstructed defecation.
| Content Provider | Semantic Scholar |
|---|---|
| Author | Alam, Pervez Rojas, Rodrigo Guzman Atan, Ixora Kamisan Mann, Kristy Pamela Dietz, Hans Peter |
| Copyright Year | 2017 |
| Abstract | OBJECTIVE To examine the relationship of visual analog scale (VAS) 'bother' scores for obstructed defecation (OD) with demographic data, physical examination and sonographic findings of the posterior compartment. METHODS All patients seen at a urogynecology clinic between January and October 2013 were included. Patients were diagnosed with OD if they had any of the following: incomplete bowel emptying, straining with bowel movement or need for digitation. Patients used a VAS to rate OD bother on a scale of 0-10 (0, no bother; 10, worst imaginable bother). For each patient, a comprehensive history was obtained, the International Continence Society Pelvic Organ Prolapse Quantification was performed and four-dimensional translabial ultrasound volumes were recorded on maximal Valsalva maneuver. Linear and multiple regression models were used to correlate bother VAS scores with demographic, clinical and sonographic findings. RESULTS Among 265 patients included in the analysis, 61% had OD symptoms with a mean VAS bother score of 5.6. OD bother scores were associated with a history of previous prolapse surgery (P = 0.0001), previous hysterectomy (P = 0.0006), descent of the posterior compartment (Bp; P = 0.004) and hiatal dimensions (Pb and Gh + Pb; P = 0.006 and P = 0.004). OD bother was associated with the following sonographic findings: true rectocele (P = 0.01), depth of rectocele (P = 0.04), descent of rectal ampulla (P = 0.02), enterocele (P = 0.03) and rectal intussusception (P < 0.0001). CONCLUSIONS VAS bother scores are associated with both clinical and sonographic measures of posterior compartment descent. Rectal intussusception was most likely to result in highly bothersome symptoms of OD. Copyright © 2015 ISUOG. Published by John Wiley & Sons Ltd. |
| Starting Page | 394 |
| Ending Page | 397 |
| Page Count | 4 |
| File Format | PDF HTM / HTML |
| Alternate Webpage(s) | http://www.laserwords.co.in/offprint/UOG_0ace4435_UOG15828/uog15828.pdf |
| PubMed reference number | 26611759v1 |
| Alternate Webpage(s) | https://doi.org/10.1002/uog.15828 |
| DOI | 10.1002/uog.15828 |
| Journal | Ultrasound in obstetrics & gynecology : the official journal of the International Society of Ultrasound in Obstetrics and Gynecology |
| Volume Number | 49 |
| Issue Number | 3 |
| Language | English |
| Access Restriction | Open |
| Subject Keyword | Analog Anatomical compartments Defecation Dyschezia Enterocele Html Link Type - copyright Intestines Intussusception Patients Pelvic Inflammatory Disease Physical Examination Ptosis Quantitation Rectocele Scientific Publication TUBE,RECTAL,24FR,PLASTIC B#6510 Valsalva Maneuver Visual evoked cortical potential |
| Content Type | Text |
| Resource Type | Article |
