| Characterization of colorectal symptoms in women with vesicovaginal fistulas. | |
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MedLine Citation:
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PMID: 22036509 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE: To characterize colorectal symptoms in women with a history of an obstetric vesicovaginal fistula (VVF). METHODS: Patients under evaluation with a VVF during two 2-week surgical service trips to Evangel Hospital VVF Center in Jos, Nigeria, in 2010 were assessed for symptoms of fecal incontinence (FI) using the Vaizey and Colorectal-Anal Impact (CRAIQ) questionnaires. Women with rectovaginal fistulas were excluded. Each participant's impression of overall health was assessed using a visual analog scale (VAS) from 0 (poor) to 15 (excellent). A study nurse translated questionnaires into native languages. RESULTS: The mean age of the 83 women included was 29 years. Three women (3.6%) reported FI and 42 (50.6%) reported constipation. All of the women with FI reported that it affected their quality of life on the CRAIQ. Average VAS score was 10.8 overall and 6.8 for women with FI. CONCLUSION: In this population of women with VVF but no rectovaginal fistulas, we found a low prevalence of fecal incontinence and a high prevalence of constipation. Despite significant pelvic floor trauma resulting in VVF, the majority of patients appeared to have an intact bowel continence mechanism. |
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Authors:
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Anna C Kirby; Jonathan L Gleason; William Jerod Greer; Andy J Norman; Sunday Lengmang; Holly E Richter |
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Publication Detail:
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Type: Journal Article; Research Support, N.I.H., Extramural Date: 2011-10-28 |
Journal Detail:
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Title: International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics Volume: 116 ISSN: 1879-3479 ISO Abbreviation: Int J Gynaecol Obstet Publication Date: 2012 Jan |
Date Detail:
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Created Date: 2011-12-14 Completed Date: 2012-04-03 Revised Date: 2013-04-18 |
Medline Journal Info:
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Nlm Unique ID: 0210174 Medline TA: Int J Gynaecol Obstet Country: Ireland |
Other Details:
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Languages: eng Pagination: 64-6 Citation Subset: IM |
Copyright Information:
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Copyright © 2011 International Federation of Gynecology and Obstetrics. Published by Elsevier Ireland Ltd. All rights reserved. |
Affiliation:
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Department of Obstetrics and Gynecology, University of California San Diego, San Diego, USA. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Adult Constipation / epidemiology, etiology Delivery, Obstetric / adverse effects* Female Humans Middle Aged Nigeria / epidemiology Pain Measurement Prevalence Quality of Life Questionnaires Urinary Incontinence / epidemiology, etiology Vesicovaginal Fistula / epidemiology*, etiology Young Adult |
| Grant Support | |
ID/Acronym/Agency:
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2DK24-068389/DK/NIDDK NIH HHS; K24 DK068389/DK/NIDDK NIH HHS; K24 DK068389-07/DK/NIDDK NIH HHS |
| Comments/Corrections | |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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