Document Detail

Characterization of colorectal symptoms in women with vesicovaginal fistulas.
MedLine Citation:
PMID:  22036509     Owner:  NLM     Status:  MEDLINE    
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.
Anna C Kirby; Jonathan L Gleason; William Jerod Greer; Andy J Norman; Sunday Lengmang; Holly E Richter
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Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural     Date:  2011-10-28
Journal Detail:
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:
Created Date:  2011-12-14     Completed Date:  2012-04-03     Revised Date:  2013-06-27    
Medline Journal Info:
Nlm Unique ID:  0210174     Medline TA:  Int J Gynaecol Obstet     Country:  Ireland    
Other Details:
Languages:  eng     Pagination:  64-6     Citation Subset:  IM    
Copyright Information:
Copyright © 2011 International Federation of Gynecology and Obstetrics. Published by Elsevier Ireland Ltd. All rights reserved.
Department of Obstetrics and Gynecology, University of California San Diego, San Diego, USA.
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MeSH Terms
Constipation / epidemiology,  etiology
Delivery, Obstetric / adverse effects*
Middle Aged
Nigeria / epidemiology
Pain Measurement
Quality of Life
Urinary Incontinence / epidemiology,  etiology
Vesicovaginal Fistula / epidemiology*,  etiology
Young Adult
Grant Support
2DK24-068389/DK/NIDDK NIH HHS; K24 DK068389/DK/NIDDK NIH HHS; K24 DK068389-07/DK/NIDDK NIH HHS

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