scholarly journals Prevalence of pelvic floor symptoms in female patients attending the two-week wait clinic with suspected colorectal cancer

2016 ◽  
Vol 98 (6) ◽  
pp. 413-418 ◽  
Author(s):  
J Bennett ◽  
A Greenwood ◽  
P Durdey ◽  
D Glancy
Keyword(s):  
Colorectal Cancer ◽  
Pelvic Floor ◽  
Pelvic Floor Dysfunction ◽  
Obstructed Defecation ◽  
Bowel Habit ◽  
Wexner Score ◽  
Exact Test ◽  
Female Patients ◽  
Presenting Symptoms ◽  
Pelvic Floor Symptoms

Introduction The aim of this study was to establish the prevalence of pelvic floor symptoms in women referred to a colorectal two-week wait (2WW) clinic with suspected colorectal cancer. Methods A questionnaire assessing faecal incontinence (FI) (Wexner score) and obstructed defecation syndrome (ODS) (Renzi score) was offered to 98 consecutive female patients attending a colorectal 2WW clinic at a single trust. Results Overall, 56 (57%) of the 98 patients had significant ODS and/or FI (scores >9/20), 33 (34%) had ODS and 40 (41%) had FI. Seventeen patients (17%) had both ODS and FI. Analysis of the 63 patients referred with a change in bowel habit (CIBH) showed 40 (63%) to be Renzi and/or Wexner positive compared with 16 (46%) of the 35 patients who presented without CIBH (p=0.095, Fisher’s exact test). Further analysis showed that 31 (78%) of the 40 patients with FI presented with CIBH compared with 32 (55%) of the 58 without FI (p=0.032). In terms of ODS, 23 (70%) of the 33 patients with ODS presented with CIBH compared with 40 (62%) of the 65 without ODS (p=0.506). Conclusions Over half of the female patients attending our colorectal 2WW clinic had significant pelvic floor dysfunction (FI/ODS), which may account for their symptoms (especially in the CIBH referral category). While it is important for malignancy to be excluded, many patients may benefit from investigation and management of their pelvic floor dysfunction as the cause for their presenting symptoms.

scholarly journals Depression, Anxiety, and Pelvic Floor Symptoms Before and After Surgery for Pelvic Floor Dysfunction

2020 ◽  
Vol 26 (1) ◽  
pp. 67-72 ◽  
Author(s):  
Maryse Larouche ◽  
Lori A. Brotto ◽  
Nicole A. Koenig ◽  
Terry Lee ◽  
Geoffrey W. Cundiff ◽  
...  
Keyword(s):  
Pelvic Floor ◽  
Pelvic Floor Dysfunction ◽  
Pelvic Floor Symptoms ◽  
Before And After

Use of Dynamic 3-Dimensional Transvaginal and Transrectal Ultrasonography to Assess Posterior Pelvic Floor Dysfunction Related to Obstructed Defecation

2014 ◽  
Vol 57 (2) ◽  
pp. 228-236 ◽  
Author(s):  
Sthela M. Murad-Regadas ◽  
Francisco Sergio Pinheiro Regadas Filho ◽  
Francisco Sergio Pinheiro Regadas ◽  
Lusmar Veras Rodrigues ◽  
Jacyara de J. R. Pereira ◽  
...  
Keyword(s):  
Pelvic Floor ◽  
Pelvic Floor Dysfunction ◽  
Obstructed Defecation ◽  
Transrectal Ultrasonography ◽  
3 Dimensional

Modified Thiele massage as therapeutic intervention for female patients with interstitial cystitis and high-tone pelvic floor dysfunction

Urology ◽  
2004 ◽  
Vol 64 (5) ◽  
pp. 862-865 ◽  
Author(s):  
Ian A. Oyama ◽  
Amy Rejba ◽  
James C. Lukban ◽  
Erica Fletcher ◽  
Susan Kellogg-Spadt ◽  
...  
Keyword(s):  
Pelvic Floor ◽  
Interstitial Cystitis ◽  
Therapeutic Intervention ◽  
Pelvic Floor Dysfunction ◽  
High Tone ◽  
Female Patients

The influence of age on posterior pelvic floor dysfunction in women with obstructed defecation syndrome

2012 ◽  
Vol 16 (3) ◽  
pp. 227-232 ◽  
Author(s):  
S. M. Murad-Regadas ◽  
L. V. Rodrigues ◽  
D. C. Furtado ◽  
F. S. P. Regadas ◽  
G. Olivia da S. Fernandes ◽  
...  
Keyword(s):  
Pelvic Floor ◽  
Pelvic Floor Dysfunction ◽  
Obstructed Defecation ◽  
Obstructed Defecation Syndrome

scholarly journals A Comparative Study of Colorectal Cancer Based on Patient’s Age

2021 ◽  
Vol 63 (2) ◽  
pp. 70-73
Author(s):  
Nasir K. Dhahir ◽  
Aqeel Abbas Noaman
Keyword(s):  
Colorectal Cancer ◽  
Early Stage ◽  
Young Patients ◽  
Pathological Finding ◽  
Bowel Habit ◽  
Curative Surgery ◽  
Left Hemicolectomy ◽  
Presenting Symptoms ◽  
Bleeding Per Rectum ◽  
Frequent Site

Abstract: Background: The alteration of bowel habits, bleeding per-rectum and anemia were common features in both groups in this study, but in young patients there was a delay of 6 months between the presenting symptoms and the definitive diagnosis because the disease was not suspected and investigated in them. The most common site for the tumors in young patients was the rectum and in patients above the age of 40 years was the Sigmoid. The pathological finding showed that classification of the colorectal tumors in young patients appear moderately to poorly differentiated adenocarcinoma , this indicate a more malignant course of the disease in young patients. This study send a message to all clinicians that the incidence of colorectal cancer is increasing in young patients and therefore we should be alert when dealing with young patients presenting with abdominal pain, bleeding per-rectum and alteration of bowel habit to diagnose the disease at an early stage to undertake curative surgery . Aim of the study: To study the clinical coarse of colorectal cancer in age between (less than 40 to above 40), and the most frequent site and distribution, and the types of surgical intervention. Patients and methods: In the period between January 2012 to March 2013, 35 patients with colorectal cancer were treated at Al-Yarmouk Hospital,10 patients were below the age of 40 years ,( 5 Males and 5 Females ) with age ranging from 22-40 years , 25 patients were above the age of 40 years (12 males and13 females). Results:100% of patients less than 40 years presenting as anemia and 50% bleeding per rectum, while 88% of patients above 40 years with weakness and lethargy.30% of patients less 40years age, and 36% of patients above 40 years consider as an emergency cases, and others as elective cases. Surgical treatment involving 50% of patients less than 40 are right, left hemicolectomy and anterior resection, and in age of above 40 56% by left hemicolectomy. More common stages in young patents are  C and B  but in old  A ,B , C. Recommendations: Researchers recommend periodic screening by a doctor to diagnose the tumor early with the need to develop educational programs on early signs of colorectal cancer.

scholarly journals Design of Rehabilitation Training System for Pelvic Floor Dysfunction

2021 ◽  
Vol 96 ◽  
pp. 01009
Author(s):  
Yongfeng Liu ◽  
Chunna Li ◽  
Jun Zhong ◽  
Liming Cai ◽  
Kai Guo
Keyword(s):  
Electrical Stimulation ◽  
Pelvic Floor ◽  
Pelvic Floor Muscle ◽  
Pelvic Floor Dysfunction ◽  
Mode Selection ◽  
Training System ◽  
Rehabilitation Training ◽  
Female Patients ◽  
Emg Signal ◽  
Maintenance Time

Pelvic floor dysfunction has caused pain to the lives of the majority of female patients, and repeated visits to the hospital for treatment have also caused inconvenience to patients. Therefore, a portable pelvic floor dysfunction rehabilitation training system is designed to help female patients with personalized and private treatment. The pelvic floor dysfunction rehabilitation system realizes the independent training mode selection through the APP client, assists the pelvic floor muscle rehabilitation training through the electrical stimulation module, and can realize the recovery situation of the pelvic floor muscle strength in real time through the AD acquisition module. The experimental results show that the pelvic floor dysfunction rehabilitation training system implements bipolar electrical stimulation pulses, and the EMG signals collected at the same time clearly show the EMG signal strength and strength maintenance time.

scholarly journals The Australian Pelvic Floor Questionnaire is a valid measure of pelvic floor symptoms in patients following surgery for colorectal cancer

2016 ◽  
Vol 36 (5) ◽  
pp. 1395-1402 ◽  
Author(s):  
Kuan-Yin Lin ◽  
Helena C. Frawley ◽  
Catherine L. Granger ◽  
Linda Denehy
Keyword(s):  
Colorectal Cancer ◽  
Pelvic Floor ◽  
Valid Measure ◽  
Pelvic Floor Symptoms ◽  
Pelvic Floor Questionnaire

scholarly journals Barium Defaecating Proctography: Experience from a Tertiary Referral Center

2020 ◽  
Author(s):  
Cindy Chew ◽  
Elaine Ee-Min Yeap ◽  
Patrick J. O’Dwyer
Keyword(s):  
Pelvic Floor Dysfunction ◽  
Demographic Data ◽  
Obstructed Defecation ◽  
The Elderly ◽  
Adverse Outcomes ◽  
Tertiary Referral ◽  
Tertiary Referral Center ◽  
Referral Center ◽  
Presenting Symptoms ◽  
Radiologic Findings

Abstract Aim Pelvic floor dysfunction (PFD) is a major health care problem predominately affecting the elderly female. It impairs quality of life and patients increasingly expect a solution. Barium defaecating proctography (BDP) is frequently used in the assessment of patients with PFD. The aim of this study was to present our findings from BDP and to look at the proportion of patients who went on to have surgery following their investigations. Methods All patients who underwent BDP in a tertiary referral center were identified retrospectively from the computerized radiology information system. Demographic data and radiologic findings were extracted. Data regarding those who had surgery were retrieved from the anonymized patient registry. Results A total of 671 patients had a BDP during the study period. The main symptoms investigated were obstructed defecation or chronic constipation (64%). Complete barium evacuation was observed in 70% of the patients, while 17% were noted to have incomplete and 13% no evacuation. A large rectocele (>5 cm) was noted in 38% while nearly 5% had frank prolapse. There was no significant association between a rectocele and any of the presenting symptoms. Seventy-eight (12%) patients went on to have operation, of which 17 (22%) had multiple procedures. Three patients ended up with a permanent stoma. Conclusion BDP contributes to decision making in patients with PFD. However, results need to be interpreted with caution and in conjunction with other tests and clinical examination to maintain a low rate of operation and reduce the risk of adverse outcomes for these patients.

Types of pelvic floor dysfunctions in nulliparous, vaginal delivery, and cesarean section female patients with obstructed defecation syndrome identified by echodefecography

2009 ◽  
Vol 24 (10) ◽  
pp. 1227-1232 ◽  
Author(s):  
Sthela M. Murad-Regadas ◽  
Francisco Sérgio P. Regadas ◽  
Lusmar V. Rodrigues ◽  
Leticia Oliveira ◽  
Rosilma G. L. Barreto ◽  
...  
Keyword(s):  
Cesarean Section ◽  
Pelvic Floor ◽  
Vaginal Delivery ◽  
Obstructed Defecation ◽  
Obstructed Defecation Syndrome ◽  
Female Patients

Pelvic floor symptoms, physical, and psychological outcomes of patients following surgery for colorectal cancer

2018 ◽  
Vol 34 (6) ◽  
pp. 442-452 ◽  
Author(s):  
Kuan-Yin Lin ◽  
Linda Denehy ◽  
Helena C. Frawley ◽  
Lisa Wilson ◽  
Catherine L. Granger
Keyword(s):  
Colorectal Cancer ◽  
Pelvic Floor ◽  
Psychological Outcomes ◽  
Pelvic Floor Symptoms
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