Skip to main content
Erschienen in: International Urogynecology Journal 1/2014

01.01.2014 | Original Article

The personal impact of pelvic floor symptoms and their relationship to age

verfasst von: Anupreet Dua, Stephen Radley, Georgina Jones, Andrew Farkas

Erschienen in: International Urogynecology Journal | Ausgabe 1/2014

Einloggen, um Zugang zu erhalten

Abstract

Introduction and hypothesis

The aim was to evaluate the relationship between age and the impact of pelvic floor disorders (PFD) using a multi-dimensional pelvic floor questionnaire

Methods

Questionnaire data on 4,311 women attending urogynaecology clinics with PFD were stratified by age into four groups: ≤35, 36–50, 51–65 and >65 years. The symptom frequency (ranging from 0 to 100) was divided in to mild (0–33), moderate (34–67), and severe (68–100) symptoms. Impact scores for equivalent levels of symptom frequency (mild, moderate and severe symptoms) were compared in women of different ages.

Results

Overall, bowel continence was associated with the greatest bother and constipation the least. Older women were significantly less bothered by mild to moderate urinary, bowel and vaginal symptoms (except IBS and vaginal capacity) than younger women. There was no difference in the impact of severe symptoms in different ages. In contrast, for sexual symptoms, there was a significant difference in the impact in older women for all grades of severity.

Conclusions

Women’s views and attitudes towards symptoms are variable and age is a significant factor. In women attending urogynaecology clinics with pelvic floor symptoms the impact of most symptoms (particularly sexual dysfunction) become less bothersome with age.
Literatur
1.
Zurück zum Zitat Luber KM, Boero S, Choe JY (2001) The demographics of pelvic floor disorders: current observations and future projections. Am J Obstet Gynecol 184(7):1496–1501PubMedCrossRef Luber KM, Boero S, Choe JY (2001) The demographics of pelvic floor disorders: current observations and future projections. Am J Obstet Gynecol 184(7):1496–1501PubMedCrossRef
2.
Zurück zum Zitat Kepenekci I, Keskinkilic B, Akinsu F, Cakir P, Elhan AH, Erkek AB, Kuzu MA (2011) Prevalence of pelvic floor disorders in the female population and the impact of age, mode of delivery, and parity. Dis Colon Rectum 54(1):85–94PubMedCrossRef Kepenekci I, Keskinkilic B, Akinsu F, Cakir P, Elhan AH, Erkek AB, Kuzu MA (2011) Prevalence of pelvic floor disorders in the female population and the impact of age, mode of delivery, and parity. Dis Colon Rectum 54(1):85–94PubMedCrossRef
3.
Zurück zum Zitat Sung VW, Weitzen S, Sokol ER, Rardin CR, Myers DL (2006) Effect of patient age on increasing morbidity and mortality following urogynecological surgery. Am J Obstet Gynecol 194:1411–1417PubMedCrossRef Sung VW, Weitzen S, Sokol ER, Rardin CR, Myers DL (2006) Effect of patient age on increasing morbidity and mortality following urogynecological surgery. Am J Obstet Gynecol 194:1411–1417PubMedCrossRef
4.
Zurück zum Zitat Sung VW, Glasgow MA, Wohlrab KJ, Myers DL (2007) Impact of age on preoperative and postoperative urinary incontinence quality of life. Am J Obstet Gynecol 197:680.e1–680.e5 Sung VW, Glasgow MA, Wohlrab KJ, Myers DL (2007) Impact of age on preoperative and postoperative urinary incontinence quality of life. Am J Obstet Gynecol 197:680.e1–680.e5
5.
Zurück zum Zitat Sung VW, Joo K, Marques F, Myers DL (2009) Patient-reported outcomes after combined surgery for pelvic floor disorders in older compared to younger women. Am J Obstet Gynecol 201:534.e1–534.e5 Sung VW, Joo K, Marques F, Myers DL (2009) Patient-reported outcomes after combined surgery for pelvic floor disorders in older compared to younger women. Am J Obstet Gynecol 201:534.e1–534.e5
6.
Zurück zum Zitat Radley SC, Jones GL, Tanguy EA, Stevens VG, Nelson C, Mathers NJ (2006) Computer interviewing in urogynaecology, concept, development and psychometric testing of an electronic pelvic floor assessment questionnaire in primary and secondary care. BJOG 113:231–238PubMedCrossRef Radley SC, Jones GL, Tanguy EA, Stevens VG, Nelson C, Mathers NJ (2006) Computer interviewing in urogynaecology, concept, development and psychometric testing of an electronic pelvic floor assessment questionnaire in primary and secondary care. BJOG 113:231–238PubMedCrossRef
7.
Zurück zum Zitat Jones GL, Radley SC, Lumb J, Farkas A (2009) Responsiveness of the electronic Personal Assessment Questionnaire – Pelvic Floor (ePAQ-PF). Int Urogynecol J Pelvic Floor Dysfunct 20:557–564PubMedCrossRef Jones GL, Radley SC, Lumb J, Farkas A (2009) Responsiveness of the electronic Personal Assessment Questionnaire – Pelvic Floor (ePAQ-PF). Int Urogynecol J Pelvic Floor Dysfunct 20:557–564PubMedCrossRef
8.
Zurück zum Zitat Jones GL, Radley SC, Lumb J, Jha S (2008) Electronic pelvic floor symptoms assessment: test of data quality of ePAQ-PF. Int Urogynecol J 19:1337–1347CrossRef Jones GL, Radley SC, Lumb J, Jha S (2008) Electronic pelvic floor symptoms assessment: test of data quality of ePAQ-PF. Int Urogynecol J 19:1337–1347CrossRef
9.
Zurück zum Zitat Tennstedt SL, Fitzgerald MP, Nager CW et al (2006) Quality of life in women with stress urinary incontinence. Int Urogynecol J Pelvic Floor Dysfunct 18:543–549PubMedCrossRef Tennstedt SL, Fitzgerald MP, Nager CW et al (2006) Quality of life in women with stress urinary incontinence. Int Urogynecol J Pelvic Floor Dysfunct 18:543–549PubMedCrossRef
10.
Zurück zum Zitat Pugsley H, Barbrook C, Mayne CJ et al (2005) Morbidity of incontinence surgery in women over 70 year old: a retrospective cohort study. BJOG 112:786–790PubMedCrossRef Pugsley H, Barbrook C, Mayne CJ et al (2005) Morbidity of incontinence surgery in women over 70 year old: a retrospective cohort study. BJOG 112:786–790PubMedCrossRef
11.
Zurück zum Zitat Freidman WH, Gallup DG, Burke JJ et al (2006) Outcomes of octogenarians and nonagenarians in elective major gynaecologic surgery. Am J Obstet Gynecol 195:547–553CrossRef Freidman WH, Gallup DG, Burke JJ et al (2006) Outcomes of octogenarians and nonagenarians in elective major gynaecologic surgery. Am J Obstet Gynecol 195:547–553CrossRef
12.
Zurück zum Zitat Stepp KJ, Barber MD, Eun-Hee Y et al (2005) Incidence of perioperative complications of urogynecological surgery in elderly women. Am J Obstet Gynecol 192:1630–1636PubMedCrossRef Stepp KJ, Barber MD, Eun-Hee Y et al (2005) Incidence of perioperative complications of urogynecological surgery in elderly women. Am J Obstet Gynecol 192:1630–1636PubMedCrossRef
13.
Zurück zum Zitat Wang JY, Patterson TR, Hart SL, Varma MG (2008) Fecal incontinence: does age matter? Characteristics of older vs. younger women presenting for treatment of fecal incontinence. Dis Colon Rectum 51:426–431PubMedCrossRef Wang JY, Patterson TR, Hart SL, Varma MG (2008) Fecal incontinence: does age matter? Characteristics of older vs. younger women presenting for treatment of fecal incontinence. Dis Colon Rectum 51:426–431PubMedCrossRef
14.
Zurück zum Zitat Sinclair AJ, Ramsay IM (2011) The psychosocial impact of urinary incontinence in women. Obstet Gynaecol 13:143–148 Sinclair AJ, Ramsay IM (2011) The psychosocial impact of urinary incontinence in women. Obstet Gynaecol 13:143–148
Metadaten
Titel
The personal impact of pelvic floor symptoms and their relationship to age
verfasst von
Anupreet Dua
Stephen Radley
Georgina Jones
Andrew Farkas
Publikationsdatum
01.01.2014
Verlag
Springer London
Erschienen in
International Urogynecology Journal / Ausgabe 1/2014
Print ISSN: 0937-3462
Elektronische ISSN: 1433-3023
DOI
https://doi.org/10.1007/s00192-013-2167-y

Weitere Artikel der Ausgabe 1/2014

International Urogynecology Journal 1/2014 Zur Ausgabe

Update Gynäkologie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert – ganz bequem per eMail.