title: Pelvic floor dysfunction after Burch colposuspension--a comprehensive study. Part II.
abstract: OBJECTIVE
  To evaluate the prevalence of pelvic floor dysfunction (PFD) concerning bowel function at long-term follow-up after Burch colposuspension (Bc) in relation to the bowel function in an age-matched sample of women in the general population.
  
  
  METHODS
  This is a follow-up study of a cohort of 190 patients who underwent Bc in 1980-1988 and 305 age-matched control women without urinary anti-incontinence surgery, randomly selected from the general population. The participants answered a postal questionnaire with detailed questions about the pelvic floor function in 1998. Univariate and multivariate analyses were performed.
  
  
  RESULTS
  The patients showed considerable signs of bowel dysfunction compared with the general population in the following aspects: they used the fingers to help emptying the bowel [odds ratio (OR) 3.25 (1.35-7.86)]; had feeling of incomplete emptying of the bowel [OR 2.29 (1.11-4.73)]; felt no warning before passing a motion [OR 3.04 (1.20-7.71)]; had gas incontinence [OR 1.98 (1.17-3.37); had loose stool incontinence [OR 3.67 (1.43-9.42)]; used protection against fecal leakage during daytime [OR 3.22 (1.30-7.95)]; and experienced that the bowel function affected the general well-being adversely [OR 2.15 (1.30-3.56)].
  
  
  CONCLUSIONS
  The patients who have undergone colposuspension for stress urinary incontinence have more symptoms of PFD concerning the bowel function than women without urinary anti-incontinence surgery in the general population. This affects the general well-being. A comprehensive concept of multidisciplinary assessment and treatment of PFD should be encouraged.
authors.affiliation: Division of Obstetrics and Gynecology, Faculty of Health Sciences, University Hospital, 581-85 Linköping, Sweden. preben.kjolhede@lio.se
authors.forename: Preben
authors.initials: P
authors.lastname: Kjølhede
authors.forename: Johan
authors.initials: J
authors.lastname: Wahlström
authors.forename: Gun
authors.initials: G
authors.lastname: Wingren
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D016022:Case-Control Studies; D003127:Colposcopy / Q000009:adverse effects* / Q000379:methods; D003248:Constipation / Q000209:etiology* / Q000503:physiopathology; D005242:Fecal Incontinence / Q000209:etiology* / Q000503:physiopathology; D005260:Female; D005414:Flatulence / Q000209:etiology* / Q000503:physiopathology; D005500:Follow-Up Studies; D006801:Humans; D008875:Middle Aged; D017773:Pelvic Floor / Q000503:physiopathology*; D013526:Surgical Mesh; D011795:Surveys and Questionnaires; D014550:Urinary Incontinence, Stress / Q000601:surgery*