What is the role of constipation in pelvic floor damage?

Updated: Jul 05, 2019
  • Author: Marc D Basson, MD, PhD, MBA, FACS; Chief Editor: BS Anand, MD  more...
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Answer

Constipation may be one cause of pelvic floor damage in women. Using structured questionnaires, Amselem et al determined that 61 out of 596 women (10%) attending a gynecologic clinic had pelvic floor damage; constipation was present in 19 of the 61 (31%), rivaling the frequency of obstetric trauma (also 19 women) among these patients. [15]

Amselem et al also determined that of the 535 women without pelvic floor damage, 86 (16%) had constipation and 83 (15.5%) had obstetric trauma. [15] Employing univariate analysis, they reported odds ratios of 2.36 for constipation and 2.46 for obstetric trauma associated with pelvic floor damage. On the basis of their data, the authors suggested that constipation and obstetric trauma are equally important in the development of pelvic floor damage.


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