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Posterior vaginal prolapse and bowel function

A M Weber1, M D Walters, L A Ballard

  • 1Department of Gynecology and Obstetrics and the Department of Biostatistics and Epidemiology, Cleveland Clinic Foundation, Cleveland, Ohio, USA.

American Journal of Obstetrics and Gynecology
|December 17, 1998
PubMed
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Women with uterovaginal prolapse often experience bowel dysfunction symptoms. However, these symptoms are not linked to the severity of posterior vaginal prolapse.

Area of Science:

  • Urogynecology
  • Pelvic Floor Disorders
  • Gastroenterology

Background:

  • Uterovaginal prolapse is a common condition affecting women.
  • Bowel dysfunction is a frequent complaint among women with pelvic floor disorders.
  • The relationship between uterovaginal prolapse severity and bowel symptoms requires further investigation.

Purpose of the Study:

  • To describe bowel dysfunction symptoms in women diagnosed with uterovaginal prolapse.
  • To compare the prevalence of these bowel symptoms based on the extent of posterior vaginal prolapse.

Main Methods:

  • A cohort of 143 women with uterovaginal prolapse completed a validated bowel function questionnaire.
  • Participants underwent a standardized physical examination to grade pelvic organ prolapse.

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  • Data were analyzed to identify associations between prolapse stage and reported bowel symptoms.

    • Main Results:

    • The study included 143 women, with a mean age of 59.2 years; 78% were postmenopausal.
    • While 92% reported bowel movements every other day, significant percentages reported straining (23.8%) or digital maneuvers (27.7%) to defecate.
    • Fecal incontinence was reported by 16.1% of women. No significant associations were found between bowel dysfunction symptoms and the severity of posterior vaginal prolapse.

    Conclusions:

    • Women with uterovaginal prolapse frequently report symptoms of bowel dysfunction.
    • The severity of posterior vaginal prolapse does not appear to correlate with the presence or severity of these bowel symptoms.