Pelvic floor disorders and health-related quality of life in older women: Results from the Women’s Gynaecological Health study in Lieto, Finland

Eloranta, Sini; Rantanen, Virpi; Kauppila, Marjo; Hautaniemi, Soili; Vahlberg, Tero; Laasik, Maren; Joronen, Kirsi; Sintonen, Harri; Ala-Nissilä, Seija

doi:10.1016/j.archger.2019.03.001

Cited by 6 publications

(4 citation statements)

References 27 publications

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“…POP may cause gas, liquid or fecal incontinence. 7,22 When we interpreted the results, we found that Wexner's fecal incontinence score changes were like ODS Altomare score. In the short time follow up, 3 months after surgery, the patients experienced very good results, but in the mean 1 year follow up, recurrence were very high.…”

Section: Discussionmentioning

confidence: 97%

Laparoscopic pelvic organ suspension with mesh: a modified technique and primary results

Khodaei

Ghahramani

Khazraei

et al. 2019

Journal of Coloproctology

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Background Pelvic organ prolapse recurrence rate is an important issue which impacts the patient's quality of life and results in a new surgical procedure. We use a new technique of laparoscopic pelvic organ suspension (rectal suspension) for pelvic organ prolapse treatment in our center. We evaluated the results of this technique, three months after surgery and at the time of study reporting. Methods All patients with pelvic organ prolapse for whom laparoscopic pelvic organ prolapse had been done were evaluated. Data were collected from the patient's charts and their short term follow up 3 months after the surgery and their last follow up visit. Demographic, history, physical examination, Wexner's fecal incontinence score and Altomare's Obstructed Defecation Syndrome score, post-operation complications and patient's satisfaction were analyzed, retrospectively. Results All patients were female with a mean age of 57 ± 11.43 years (range 32–86 years). Mean BMI was 26.1 ± 3.73. Nine patients had rectal bleeding (31%), 18 had prolonged or difficult defecation (62%), 16 had rectal prolapse (55.2%), 11 had gas incontinence (37.9%), 9 had liquid stool incontinence (31%), 5 had stool incontinence (17.2%), 9 had vaginal prolapse (31%), 23 had constipation (79.3%), 9 complaint of pelvic pain (31%), 9 had urge or stress urinary incontinence (31%) and 13 had dyspareunia (44.8%). Conclusions In conclusion, we believe this procedure has good results in short term follow up (3 months after surgery), but a high recurrence rate in the middle term follow up. Therefore, this procedure is no longer recommended.

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Section: Discussionmentioning

confidence: 97%

Laparoscopic pelvic organ suspension with mesh: a modified technique and primary results

Khodaei

Ghahramani

Khazraei

et al. 2019

Journal of Coloproctology

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“…Research has shown that the higher a patient's sense of shame, the more prominent their psychological issues and the lower their quality of life. 18 Therefore, healthcare professionals should have a deep understanding of the social alienation experiences of patients with SUI experiences with SIS. Approaching it from a positive psychology perspective, comprehensive team psychological therapies, 19 mindfulness-based stress reduction therapies 20 and other psychological measures can be employed to stimulate positive emotions, explore patients' inner potential, alleviate mental and physical stress, and reduce their level of social alienation.…”

Section: Current Status Of Social Alienation and Disease Stigma In Pa...mentioning

confidence: 99%

Current state and influencing factors of social alienation in patients with stress urinary incontinence

Xing,

Bai,

et al. 2024

gocm

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ObjectiveTo understand the current level of social alienation among patients with stress urinary incontinence (SUI) and analyse the influencing factors to provide a foundation for better clinical support for patients’ reintegration into society.MethodsWe conducted a comprehensive survey and analysis involving 230 patients with SUI using a general information questionnaire, a general sense of alienation scale and a social impact scale.ResultsThe general sense of alienation scale score of patients with SUI was 25.43±13.994, while the social impact score was 39.25±12.167. Multiple linear regression analysis revealed that marital status, primary caregiver, presence of concurrent illnesses and severity of urinary incontinence were the key influencing factors contributing to SUI-related social alienation (p<0.05).ConclusionPatients who suffered from SUI experienced a moderate level of social alienation. Tailored interventions are recommended, especially for individuals who are divorced, rely on friends or relatives as primary caregivers, have concurrent illnesses or experience severe SUI, to enhance their social integration.

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“…These symptoms are even more concerning in neurological patients, with a prevalence of 80% of patients having pelvic floor disorders [ 3 ]. These conditions have a negative impact on quality of life and in different areas of the patient’s life, such as the social, psychological, work, or sexual spheres [ 4 , 5 , 6 ]. In addition, these dysfunctions are common among the female world population [ 7 , 8 ], and their prevalence is expected to increase due to an increase in life expectancy [ 9 ].…”

Section: Introductionmentioning

confidence: 99%

Spanish Cross-Cultural Adaptation of the Australian Pelvic Floor Questionnaire

Medrano-Sánchez,

Pérez-Carricondo,

Beteta-Romero

et al. 2023

JPM

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The main objectives of this study were to carry out the translation and cross-cultural adaptation of the Australian Pelvic Floor Questionnaire (APFQ) into Spanish and the evaluation of its psychometric properties of validity and reliability in the Spanish population. The APFQ was translated into Spanish and back-translated into its original language by native speakers; it was verified that there was a semantic similarity. A pilot test was carried out on a group of 10 women. The study sample was made up of 104 subjects. They were asked to fill in the APFQ twice, 15 days apart. Codes were assigned so they could link to the test and retest. The Questionnaire on Pelvic Floor Dysfunctions–short version (PFDI-20) and the Women’s Sexual Function Questionnaire (FSM) were also completed. The reliability, criterion and construct validity, and stability were studied. A Cronbach’s alpha of 0.795 was obtained from the complete questionnaire. For each dimension, Cronbach’s alpha was 0.864 for bladder function; 0.796 for bowel function; 0.851 for prolapse; and 0.418 for sexual function (0.67 with the suppression of item 37). The APFQ shows a significant correlation with PFDI-20 in urinary function (rho: 0.704, p = 0.000), intestinal function (rho: 0.462, p = 0.000), and prolapse symptoms (rho: 0.337, p = 0.000). The test-retest analysis showed high reproducibility. The Spanish version of the APFQ is a reliable and valid tool to assess symptoms and impacts on quality of life due to pelvic floor dysfunctions in the Spanish population. However, a review of some of its items could increase its reliability.

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Pelvic floor disorders and health-related quality of life in older women: Results from the Women’s Gynaecological Health study in Lieto, Finland

Cited by 6 publications

References 27 publications

Laparoscopic pelvic organ suspension with mesh: a modified technique and primary results

Laparoscopic pelvic organ suspension with mesh: a modified technique and primary results

Current state and influencing factors of social alienation in patients with stress urinary incontinence

Spanish Cross-Cultural Adaptation of the Australian Pelvic Floor Questionnaire

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