Constipation: A potential cause of pelvic floor damage?Citation formats

  • External authors:
  • C. Amselem
  • A. Puigdollers
  • F. Azpiroz
  • C. Sala
  • S. Videla
  • X. Fernández-Fraga
  • J. R. Malagelada

Standard

Constipation: A potential cause of pelvic floor damage? / Amselem, C.; Puigdollers, A.; Azpiroz, F.; Sala, C.; Videla, S.; Fernández-Fraga, X.; Whorwell, P.; Malagelada, J. R.

In: Neurogastroenterology and Motility, Vol. 22, No. 2, 02.2010, p. 150-e48.

Research output: Contribution to journalArticle

Harvard

Amselem, C, Puigdollers, A, Azpiroz, F, Sala, C, Videla, S, Fernández-Fraga, X, Whorwell, P & Malagelada, JR 2010, 'Constipation: A potential cause of pelvic floor damage?', Neurogastroenterology and Motility, vol. 22, no. 2, pp. 150-e48. https://doi.org/10.1111/j.1365-2982.2009.01409.x

APA

Amselem, C., Puigdollers, A., Azpiroz, F., Sala, C., Videla, S., Fernández-Fraga, X., ... Malagelada, J. R. (2010). Constipation: A potential cause of pelvic floor damage? Neurogastroenterology and Motility, 22(2), 150-e48. https://doi.org/10.1111/j.1365-2982.2009.01409.x

Vancouver

Amselem C, Puigdollers A, Azpiroz F, Sala C, Videla S, Fernández-Fraga X et al. Constipation: A potential cause of pelvic floor damage? Neurogastroenterology and Motility. 2010 Feb;22(2):150-e48. https://doi.org/10.1111/j.1365-2982.2009.01409.x

Author

Amselem, C. ; Puigdollers, A. ; Azpiroz, F. ; Sala, C. ; Videla, S. ; Fernández-Fraga, X. ; Whorwell, P. ; Malagelada, J. R. / Constipation: A potential cause of pelvic floor damage?. In: Neurogastroenterology and Motility. 2010 ; Vol. 22, No. 2. pp. 150-e48.

Bibtex

@article{be92dff9b4ec49a1ad3637cc75c05bce,
title = "Constipation: A potential cause of pelvic floor damage?",
abstract = "Background Pelvic floor damage is a major clinical problem usually attributed to obstetric injury. We speculated that constipation may also be an aetiological and preventable factor resulting from repeated stress on the perineum over many years, and this study aimed to test this hypothesis. Methods A total of 600 women attending a gynaecological clinic were assessed using a structured questionnaire gathering data on pelvic floor damage, constipation and obstetric trauma. Complete data were available on 596 subjects. Key Results The prevalence of pelvic floor damage was 10{\%} (61/596). In this group, constipation was identified in 31{\%} (19/61) of women and obstetric trauma in 31{\%} (19/61). In the group without pelvic floor damage, constipation was present in 16{\%} (86/535) and obstetric trauma in 16{\%} (83/535). In univariate analysis, pelvic floor damage was associated with age (OR: 1.05; 95{\%} CI: 1.03-1.08; P <0.0001), constipation (OR: 2.36; 95{\%} CI: 1.31-4.26; P <0.0001) and obstetric trauma (OR: 2.46; 95{\%} CI: 1.37-4.45; P <0.0028). In multivariate analysis, the OR for age was 1.05 (95{\%} CI: 1.03-1.08; P <0.0001), for constipation 2.35 (95{\%} CI: 1.27-4.34; P <0.0001) and for obstetric trauma 1.37 (95{\%} CI: 0.72-2.62; P = 0.3398). Conclusions & Inferences Constipation appears to be as important as obstetric trauma in the development of pelvic floor damage. Thus, a more proactive approach to recognizing and treating constipation might significantly reduce the prevalence of this distressing problem. {\circledC} 2009 Blackwell Publishing Ltd.",
keywords = "Anal incontinence, Constipation, Functional outlet obstruction, Pelvic floor",
author = "C. Amselem and A. Puigdollers and F. Azpiroz and C. Sala and S. Videla and X. Fern{\'a}ndez-Fraga and P. Whorwell and Malagelada, {J. R.}",
year = "2010",
month = "2",
doi = "10.1111/j.1365-2982.2009.01409.x",
language = "English",
volume = "22",
pages = "150--e48",
journal = "Neurogastroenterology and Motility",
issn = "1350-1925",
publisher = "John Wiley & Sons Ltd",
number = "2",

}

RIS

TY - JOUR

T1 - Constipation: A potential cause of pelvic floor damage?

AU - Amselem, C.

AU - Puigdollers, A.

AU - Azpiroz, F.

AU - Sala, C.

AU - Videla, S.

AU - Fernández-Fraga, X.

AU - Whorwell, P.

AU - Malagelada, J. R.

PY - 2010/2

Y1 - 2010/2

N2 - Background Pelvic floor damage is a major clinical problem usually attributed to obstetric injury. We speculated that constipation may also be an aetiological and preventable factor resulting from repeated stress on the perineum over many years, and this study aimed to test this hypothesis. Methods A total of 600 women attending a gynaecological clinic were assessed using a structured questionnaire gathering data on pelvic floor damage, constipation and obstetric trauma. Complete data were available on 596 subjects. Key Results The prevalence of pelvic floor damage was 10% (61/596). In this group, constipation was identified in 31% (19/61) of women and obstetric trauma in 31% (19/61). In the group without pelvic floor damage, constipation was present in 16% (86/535) and obstetric trauma in 16% (83/535). In univariate analysis, pelvic floor damage was associated with age (OR: 1.05; 95% CI: 1.03-1.08; P <0.0001), constipation (OR: 2.36; 95% CI: 1.31-4.26; P <0.0001) and obstetric trauma (OR: 2.46; 95% CI: 1.37-4.45; P <0.0028). In multivariate analysis, the OR for age was 1.05 (95% CI: 1.03-1.08; P <0.0001), for constipation 2.35 (95% CI: 1.27-4.34; P <0.0001) and for obstetric trauma 1.37 (95% CI: 0.72-2.62; P = 0.3398). Conclusions & Inferences Constipation appears to be as important as obstetric trauma in the development of pelvic floor damage. Thus, a more proactive approach to recognizing and treating constipation might significantly reduce the prevalence of this distressing problem. © 2009 Blackwell Publishing Ltd.

AB - Background Pelvic floor damage is a major clinical problem usually attributed to obstetric injury. We speculated that constipation may also be an aetiological and preventable factor resulting from repeated stress on the perineum over many years, and this study aimed to test this hypothesis. Methods A total of 600 women attending a gynaecological clinic were assessed using a structured questionnaire gathering data on pelvic floor damage, constipation and obstetric trauma. Complete data were available on 596 subjects. Key Results The prevalence of pelvic floor damage was 10% (61/596). In this group, constipation was identified in 31% (19/61) of women and obstetric trauma in 31% (19/61). In the group without pelvic floor damage, constipation was present in 16% (86/535) and obstetric trauma in 16% (83/535). In univariate analysis, pelvic floor damage was associated with age (OR: 1.05; 95% CI: 1.03-1.08; P <0.0001), constipation (OR: 2.36; 95% CI: 1.31-4.26; P <0.0001) and obstetric trauma (OR: 2.46; 95% CI: 1.37-4.45; P <0.0028). In multivariate analysis, the OR for age was 1.05 (95% CI: 1.03-1.08; P <0.0001), for constipation 2.35 (95% CI: 1.27-4.34; P <0.0001) and for obstetric trauma 1.37 (95% CI: 0.72-2.62; P = 0.3398). Conclusions & Inferences Constipation appears to be as important as obstetric trauma in the development of pelvic floor damage. Thus, a more proactive approach to recognizing and treating constipation might significantly reduce the prevalence of this distressing problem. © 2009 Blackwell Publishing Ltd.

KW - Anal incontinence

KW - Constipation

KW - Functional outlet obstruction

KW - Pelvic floor

U2 - 10.1111/j.1365-2982.2009.01409.x

DO - 10.1111/j.1365-2982.2009.01409.x

M3 - Article

VL - 22

SP - 150-e48

JO - Neurogastroenterology and Motility

JF - Neurogastroenterology and Motility

SN - 1350-1925

IS - 2

ER -