Prevalence of the Urinary and Fecal Symptoms in Women with Pelvic Organ Prolapse.
10.4111/kju.2006.47.12.1339
- Author:
Kong Hee LEE
1
;
Young Ho KIM
;
En Jin SHIN
Author Information
1. Department of Urology, Soonchunhyang University College of Medicine, Bucheon, Korea. yhkuro@schbc.ac.kr
- Publication Type:Original Article
- Keywords:
Prolapse;
Urinary incontinence;
Fecal incontinence
- MeSH:
Fecal Incontinence;
Female;
Humans;
Korea;
Pelvic Floor;
Pelvic Organ Prolapse*;
Physical Examination;
Prevalence*;
Prolapse;
Urinary Incontinence
- From:Korean Journal of Urology
2006;47(12):1339-1347
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: A pelvic organ prolapse (POP) has various pelvic symptoms, including urinary and fecal incontinence. However, the accurate prevalence and problems in South Korea are not well known. The purpose of this study was to determine the relationship of pelvic floor symptoms in patients with a POP. MATERIALS AND METHODS: Between March 2003 and March 2004, 74 consecutive patients, with over stage II POP quantification (POP-Q) staging, were enrolled. No abnormal neurological signs were detected in 66 women after evaluation. On physical examination, these 66 patients were divided into 3 groups (A=cystocele only, B=rectocele only and C=cystocele rectocele). RESULTS: The prevalence of urinary incontinence was 28.8%, and with fecal incontinence was 9.1%. The prevalence of fecal incontinence and fecal symptoms, with the exception of fecal incontinence were 28.8 and 74.2%, respectively. With regard to the stage of POP-Q, fecal incontinence (II= 25.0%, III=27.8%, IV=75.0%) and fecal symptoms (II=77.3%, III=66.7%, IV =75.0%) were observed. Each group presented with fecal incontinence (A=38.4%, B=44.4%, C=20%) and fecal symptoms (A=56.3%, B=100%, C=74.3%). CONCLUSIONS: In this study, the prevalence of urinary incontinence was 28.8%, that of fecal incontinence was 28.8% and that of both urinary and fecal incontinence was 9.1%. The mixed symptoms may cause a dilemma in relation to the formal treatment. Our study suggests urologists should be aware of coexisting fecal symptoms associated with a pelvic organ prolapse.
