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Symptom distribution of female pelvic floor dysfunction patients with constipation.

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eMediNexus    18 September 2018

A new study published in the Chinese Journal of Gastrointestinal Surgery aimed to assess multiple symptom distribution, severity, and quality of life of female pelvic floor dysfunction (FPFD) patients with constipation as the chief complaint. In this retrospective study, 100 FPFD patients, in the age-range of 24-89 years, with constipation as the chief complaint were recruited from a Specialty Outpatient Clinic of a municipality hospital in China, between 2015 and 2017. A comprehensive medical history questionnaire survey and systematical evaluation of severity and quality of life was conducted for these patients with constipation. The mean disease course ranged from 0.5-40 years. The findings showed that 75 cases were complicated with anal pain, 70 with urinary incontinence, 37 with rectocele, 19 with nocturia, 11 with urinary frequency, and 10 with defecation incontinence. Complication with only one symptom was noted in 20 cases and with two or more symptoms was observed in 80 cases. Meanwhile, pelvic floor relaxation syndrome patients were dominant (58 cases). Additionally, the severity of constipation (CSS) was 6-22 points and the quality of life (PAC-QOL) was 45-133 points in FPFD patients. Pain visual analogue scale (VAS) and short form-36 questionnaire (SF-36) of patients combined with chronic functional anal rectal pain were 1-8 points and 14.4-137.0 points, respectively. International consultation on incontinence questionnaire-short form (ICIQ-SF) and urinary incontinence quality of life questionnaires (I-QOL) of patients combined with urinary incontinence were 1-17 points and 52-110 points, respectively. Furthermore, fecal incontinence severity score scale (Wexner-FIS) and fecal incontinence quality of life questionnaire (FI-QOL) of patients combined with fecal incontinence were 1-11 points and 52-116 points, respectively. The results indicated that symptoms of FPFD patients with constipation as chief complaint are complex. They are primarily complicated with anal diseases, urinary incontinence, and mostly with more than 2 symptoms. Moreover, their quality of life is poor.

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