Influence of age, mode of delivery and parity on the prevalence of posterior pelvic floor dysfunctions

Detalhes bibliográficos
Autor(a) principal: Murad-Regadas,Sthela Maria
Data de Publicação: 2011
Outros Autores: Regadas,Francisco Sergio P, Rodrigues,Lusmar Veras, Furtado,Débora Couto, Gondim,Ana Cecília, Dealcanfreitas,Íris Daiana
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Arquivos de gastroenterologia (Online)
Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-28032011000400009
Resumo: CONTEXT: The correlation between vaginal delivery, age and pelvic floor dysfunctions involving obstructed defecation is still a matter of controversy. OBJECTIVES: To determine the influence of age, mode of delivery and parity on the prevalence of posterior pelvic floor dysfunctions in women with obstructed defecation syndrome. METHODS: Four hundred sixty-nine females with obstructed defecation syndrome were retrospectively evaluated using dynamic 3D ultrasonography to quantify posterior pelvic floor dysfunctions (rectocele grade II or III, rectal intussusception, paradoxical contraction/non-relaxation of the puborectalis and entero/ sigmoidocele grade III). In addition, sphincter damage was evaluated. Patients were grouped according to age (<50y x &gt;50y) and stratified by mode of delivery and parity: group I (<50y): 218 patients, 75 nulliparous, 64 vaginal delivery and 79 only cesarean section and group II (&gt;50y): 251 patients, 60 nulliparous, 148 vaginal delivery and 43 only caesarean section. Additionally, patients were stratified by number of vaginal deliveries: 0 - nulliparous (n = 135), 1 - vaginal (n = 46), &gt;1 - vaginal (n = 166). RESULTS: Rectocele grade II or III, intussusception, rectocele + intussusception and sphincter damage were more prevalent in Group II (P = 0.0432; P = 0.0028; P = 0.0178; P = 0.0001). The stratified groups (nulliparous, vaginal delivery and cesarean) did not differ significantly with regard to rectocele, intussusception or anismus in each age group. Entero/sigmoidocele was more prevalent in the vaginal group <50y and in the nulliparous and vaginal groups &gt;50y. No correlation was found between rectocele and the number of vaginal deliveries. CONCLUSION: Higher age (&gt;50 years) was shown to influence the prevalence of significant rectocele, intussusception and sphincter damage in women. However, delivery mode and parity were not correlated with the prevalence of rectocele, intussusception and anismus in women with obstructed defecation.
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spelling Influence of age, mode of delivery and parity on the prevalence of posterior pelvic floor dysfunctionsAge effectParturitionParityPelvic floorIntususceptionRectoceleImagingthree-dimensionalCONTEXT: The correlation between vaginal delivery, age and pelvic floor dysfunctions involving obstructed defecation is still a matter of controversy. OBJECTIVES: To determine the influence of age, mode of delivery and parity on the prevalence of posterior pelvic floor dysfunctions in women with obstructed defecation syndrome. METHODS: Four hundred sixty-nine females with obstructed defecation syndrome were retrospectively evaluated using dynamic 3D ultrasonography to quantify posterior pelvic floor dysfunctions (rectocele grade II or III, rectal intussusception, paradoxical contraction/non-relaxation of the puborectalis and entero/ sigmoidocele grade III). In addition, sphincter damage was evaluated. Patients were grouped according to age (<50y x &gt;50y) and stratified by mode of delivery and parity: group I (<50y): 218 patients, 75 nulliparous, 64 vaginal delivery and 79 only cesarean section and group II (&gt;50y): 251 patients, 60 nulliparous, 148 vaginal delivery and 43 only caesarean section. Additionally, patients were stratified by number of vaginal deliveries: 0 - nulliparous (n = 135), 1 - vaginal (n = 46), &gt;1 - vaginal (n = 166). RESULTS: Rectocele grade II or III, intussusception, rectocele + intussusception and sphincter damage were more prevalent in Group II (P = 0.0432; P = 0.0028; P = 0.0178; P = 0.0001). The stratified groups (nulliparous, vaginal delivery and cesarean) did not differ significantly with regard to rectocele, intussusception or anismus in each age group. Entero/sigmoidocele was more prevalent in the vaginal group <50y and in the nulliparous and vaginal groups &gt;50y. No correlation was found between rectocele and the number of vaginal deliveries. CONCLUSION: Higher age (&gt;50 years) was shown to influence the prevalence of significant rectocele, intussusception and sphincter damage in women. However, delivery mode and parity were not correlated with the prevalence of rectocele, intussusception and anismus in women with obstructed defecation.Instituto Brasileiro de Estudos e Pesquisas de Gastroenterologia e Outras Especialidades - IBEPEGE. 2011-12-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-28032011000400009Arquivos de Gastroenterologia v.48 n.4 2011reponame:Arquivos de gastroenterologia (Online)instname:Instituto Brasileiro de Estudos e Pesquisas de Gastroenterologiainstacron:IBEPEGE10.1590/S0004-28032011000400009info:eu-repo/semantics/openAccessMurad-Regadas,Sthela MariaRegadas,Francisco Sergio PRodrigues,Lusmar VerasFurtado,Débora CoutoGondim,Ana CecíliaDealcanfreitas,Íris Daianaeng2011-11-28T00:00:00Zoai:scielo:S0004-28032011000400009Revistahttp://www.scielo.br/aghttps://old.scielo.br/oai/scielo-oai.php||secretariaarqgastr@hospitaligesp.com.br1678-42190004-2803opendoar:2011-11-28T00:00Arquivos de gastroenterologia (Online) - Instituto Brasileiro de Estudos e Pesquisas de Gastroenterologiafalse
dc.title.none.fl_str_mv Influence of age, mode of delivery and parity on the prevalence of posterior pelvic floor dysfunctions
title Influence of age, mode of delivery and parity on the prevalence of posterior pelvic floor dysfunctions
spellingShingle Influence of age, mode of delivery and parity on the prevalence of posterior pelvic floor dysfunctions
Murad-Regadas,Sthela Maria
Age effect
Parturition
Parity
Pelvic floor
Intususception
Rectocele
Imaging
three-dimensional
title_short Influence of age, mode of delivery and parity on the prevalence of posterior pelvic floor dysfunctions
title_full Influence of age, mode of delivery and parity on the prevalence of posterior pelvic floor dysfunctions
title_fullStr Influence of age, mode of delivery and parity on the prevalence of posterior pelvic floor dysfunctions
title_full_unstemmed Influence of age, mode of delivery and parity on the prevalence of posterior pelvic floor dysfunctions
title_sort Influence of age, mode of delivery and parity on the prevalence of posterior pelvic floor dysfunctions
author Murad-Regadas,Sthela Maria
author_facet Murad-Regadas,Sthela Maria
Regadas,Francisco Sergio P
Rodrigues,Lusmar Veras
Furtado,Débora Couto
Gondim,Ana Cecília
Dealcanfreitas,Íris Daiana
author_role author
author2 Regadas,Francisco Sergio P
Rodrigues,Lusmar Veras
Furtado,Débora Couto
Gondim,Ana Cecília
Dealcanfreitas,Íris Daiana
author2_role author
author
author
author
author
dc.contributor.author.fl_str_mv Murad-Regadas,Sthela Maria
Regadas,Francisco Sergio P
Rodrigues,Lusmar Veras
Furtado,Débora Couto
Gondim,Ana Cecília
Dealcanfreitas,Íris Daiana
dc.subject.por.fl_str_mv Age effect
Parturition
Parity
Pelvic floor
Intususception
Rectocele
Imaging
three-dimensional
topic Age effect
Parturition
Parity
Pelvic floor
Intususception
Rectocele
Imaging
three-dimensional
description CONTEXT: The correlation between vaginal delivery, age and pelvic floor dysfunctions involving obstructed defecation is still a matter of controversy. OBJECTIVES: To determine the influence of age, mode of delivery and parity on the prevalence of posterior pelvic floor dysfunctions in women with obstructed defecation syndrome. METHODS: Four hundred sixty-nine females with obstructed defecation syndrome were retrospectively evaluated using dynamic 3D ultrasonography to quantify posterior pelvic floor dysfunctions (rectocele grade II or III, rectal intussusception, paradoxical contraction/non-relaxation of the puborectalis and entero/ sigmoidocele grade III). In addition, sphincter damage was evaluated. Patients were grouped according to age (<50y x &gt;50y) and stratified by mode of delivery and parity: group I (<50y): 218 patients, 75 nulliparous, 64 vaginal delivery and 79 only cesarean section and group II (&gt;50y): 251 patients, 60 nulliparous, 148 vaginal delivery and 43 only caesarean section. Additionally, patients were stratified by number of vaginal deliveries: 0 - nulliparous (n = 135), 1 - vaginal (n = 46), &gt;1 - vaginal (n = 166). RESULTS: Rectocele grade II or III, intussusception, rectocele + intussusception and sphincter damage were more prevalent in Group II (P = 0.0432; P = 0.0028; P = 0.0178; P = 0.0001). The stratified groups (nulliparous, vaginal delivery and cesarean) did not differ significantly with regard to rectocele, intussusception or anismus in each age group. Entero/sigmoidocele was more prevalent in the vaginal group <50y and in the nulliparous and vaginal groups &gt;50y. No correlation was found between rectocele and the number of vaginal deliveries. CONCLUSION: Higher age (&gt;50 years) was shown to influence the prevalence of significant rectocele, intussusception and sphincter damage in women. However, delivery mode and parity were not correlated with the prevalence of rectocele, intussusception and anismus in women with obstructed defecation.
publishDate 2011
dc.date.none.fl_str_mv 2011-12-01
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-28032011000400009
url http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-28032011000400009
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 10.1590/S0004-28032011000400009
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv text/html
dc.publisher.none.fl_str_mv Instituto Brasileiro de Estudos e Pesquisas de Gastroenterologia e Outras Especialidades - IBEPEGE.
publisher.none.fl_str_mv Instituto Brasileiro de Estudos e Pesquisas de Gastroenterologia e Outras Especialidades - IBEPEGE.
dc.source.none.fl_str_mv Arquivos de Gastroenterologia v.48 n.4 2011
reponame:Arquivos de gastroenterologia (Online)
instname:Instituto Brasileiro de Estudos e Pesquisas de Gastroenterologia
instacron:IBEPEGE
instname_str Instituto Brasileiro de Estudos e Pesquisas de Gastroenterologia
instacron_str IBEPEGE
institution IBEPEGE
reponame_str Arquivos de gastroenterologia (Online)
collection Arquivos de gastroenterologia (Online)
repository.name.fl_str_mv Arquivos de gastroenterologia (Online) - Instituto Brasileiro de Estudos e Pesquisas de Gastroenterologia
repository.mail.fl_str_mv ||secretariaarqgastr@hospitaligesp.com.br
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