Korean J Urol.  2006 Dec;47(12):1339-1347. 10.4111/kju.2006.47.12.1339.

Prevalence of the Urinary and Fecal Symptoms in Women with Pelvic Organ Prolapse

• Lee KH
• Kim YH
• Shin EJ

• KMID: 2139781
• DOI: http://doi.org/10.4111/kju.2006.47.12.1339

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.

Keyword

Prolapse; Urinary incontinence; Fecal incontinence

MeSH Terms

Fecal Incontinence
Female
Humans
Korea
Pelvic Floor
Pelvic Organ Prolapse*
Physical Examination
Prevalence*
Prolapse
Urinary Incontinence

Figure

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  Fig. 1 Distribution of the pelvic organ prolapse (POP) in women.

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  Fig. 2 Incidence of fecal incontinence at each pelvic organ prolapse (POP)-Q stage.

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  Fig. 3 Incidence of fecal incontinence in each group.

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