Prevalence and Pathophysiology of Functional Constipation Among Women in Catalonia, Spain

Abstract

Functional constipation is extremely prevalent among young, healthy, Spanish women, dyssynergic defecation being the most prevalent subtype. Slow transit constipation without dyssynergic defecation is uncommon. Structural pelvic floor disorders are highly prevalent in middle-aged women with dyssynergic defecation.

Turkish reliability of National Institutes of Health (NIH) Patient-Reported Outcomes Measurement Information System (PROMIS®) constipation scale

“…The points for each question were summed. According to the scoring system in the original questionnaire, 0 point refers to not symptomatic, 1-3 points to least symptomatic, 4-7 points to mild symptomatic, [8][9][10][11][12][13][14][15] points to moderately symptomatic and 16 and more points to most symptomatic. The questionnaire was administered prospectively to patients equal and above 18 years that presented to Family Medicine outpatient clinic of Eskisehir Osmangazi University Translation process: The Constipation scale was translated into Turkish by three researchers, and a consensus meeting was held after the translation process.…”

“…According to studies conducted in Turkey, the rate of constipation varies between 22-40% (4). According to different studies, it is seen more frequently in women, children and elderly people (5,7,8).…”

“…In women; constipation rate increases with factors such as chronic immobility, inadequate fluid intake, inadequate/inappropriate diet, illnesses, psychological problems, and side effects of medications (7)(8)(9).…”

Long-term Follow-up of the Jinling Procedure for Combined Slow-Transit Constipation and Obstructive Defecation

“…17,18 Isolated slow-transit constipation is an unusual cause of chronic constipation, and many patients with slowtransit constipation have concomitant obstructive defecation. 19,20 For example, Ragg et al 19 found that, of 541 patients with chronic constipation, 29% had obstructive defecation plus slow-transit constipation, and only 5% had isolated slow-transit constipation (colonic inertia). However, the optimal treatment for patients with combined slow-transit constipation and obstructive defecation is still unclear.…”

Comparison of laparoscopic subtotal colectomy with posterior vaginal suspension and laparoscopic subtotal colectomy with transvaginal repair for patients with slow-transit constipation complicated with rectocele: a non-randomized comparative study in a single center

“…These two pathophysiological changes influence each other, become causes to each other, and form a vicious cycle [1,2]. Many therapies are available, but no unanimous conclusion has been reached.…”