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Aliment Pharmacol Ther. 2010 Feb 1;31(3):424-31. doi: 10.1111/j.1365-2036.2009.04180.x. Epub 2009 Oct 23.

Pelvic floor disorders and quality of life in women with self-reported irritable bowel syndrome.

Author information

  • 1Department of Surgery, University of California San Francisco, San Francisco, CA 94143, USA. jenniferwang97@yahoo.com

Abstract

BACKGROUND:

Quality of life among women with irritable bowel syndrome may be affected by pelvic floor disorders.

AIM:

To assess the association of self-reported irritable bowel syndrome with urinary incontinence, pelvic organ prolapse, sexual function and quality of life.

METHODS:

We analysed data from the Reproductive Risks for Incontinence Study at Kaiser Permanente, a random population-based study of 2109 racially diverse women (mean age = 56). Multivariate analyses assessed the association of irritable bowel syndrome with pelvic floor disorders and quality of life.

RESULTS:

The prevalence of irritable bowel syndrome was 9.7% (n = 204). Women with irritable bowel had higher adjusted odds of reporting symptomatic pelvic organ prolapse (OR 2.4; 95% CI, 1.4-4.1) and urinary urgency (OR 1.4; 95% CI, 1.0-1.9); greater bother from pelvic organ prolapse (OR 4.3; 95% CI, 1.5-11.9) and faecal incontinence (OR 2.0; 95% CI, 1.3-3.2); greater lifestyle impact from urinary incontinence (OR 2.2; 95% CI, 1.3-3.8); and worse quality of life (P < 0.01). Women with irritable bowel reported more inability to relax and enjoy sexual activity (OR 1.8; 95% CI, 1.3-2.6) and lower ratings for sexual satisfaction (OR 1.8; 95% CI, 1.3-2.5), but no difference in sexual frequency, interest or ability to have an orgasm.

CONCLUSIONS:

Women with irritable bowel are more likely to report symptomatic pelvic organ prolapse and sexual dysfunction, and report lower quality of life.

PMID:
19863498
[PubMed - indexed for MEDLINE]
PMCID:
PMC2807921
Free PMC Article
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