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Relationship between outlet obstruction constipation and obstructed urinary flow.

A MacDonald1, M Shearer, P J Paterson

  • 1Department of Surgery, Glasgow Royal, Infirmary, UK.

The British Journal of Surgery
|June 1, 1991
PubMed
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Outlet obstruction constipation in women is linked to pelvic floor dysfunction, causing impaired urinary flow. Urodynamic studies revealed significantly reduced peak flow rates and increased voiding times in affected patients compared to controls.

Area of Science:

  • Urology
  • Gastroenterology
  • Pelvic Floor Disorders

Background:

  • Outlet obstruction constipation (OOC) is a functional gastrointestinal disorder.
  • Pelvic floor dysfunction can impact both defecation and urination.
  • Urodynamic assessment is crucial for evaluating lower urinary tract symptoms.

Purpose of the Study:

  • To investigate urinary flow dynamics in women with OOC.
  • To determine if OOC is associated with generalized pelvic floor dysfunction.
  • To compare urodynamic parameters between women with OOC and healthy controls.

Main Methods:

  • Urodynamic bladder studies were performed on ten women diagnosed with OOC.
  • A control group of ten age- and sex-matched healthy women was included.

Related Experiment Videos

  • Key parameters measured included peak flow rate, voiding time, bladder volume, and detrusor pressure.
  • Main Results:

    • Patients with OOC exhibited a significantly lower mean peak flow rate (19.4 ml/s) versus controls (32.1 ml/s).
    • Mean voiding time was markedly longer in the OOC group (62.9 s) compared to controls (15.6 s).
    • Mean bladder volume was higher in patients (482 ml) than in controls (254 ml), with elevated detrusor pressure during voiding (53.3 cmH2O).

    Conclusions:

    • Women with OOC demonstrate a generalized pelvic floor disorder.
    • This dysfunction leads to obstructed urinary flow, evidenced by abnormal urodynamic findings.
    • OOC may necessitate a multidisciplinary approach addressing both constipation and urinary symptoms.