Characterization of colorectal symptoms in women with vesicovaginal fistulas.
OBJECTIVE
To characterize colorectal symptoms in women with a history of an obstetric vesicovaginal fistula (VVF).


METHODS
Patients under evaluation with a VVF during two 2-week surgical service trips to Evangel Hospital VVF Center in Jos, Nigeria, in 2010 were assessed for symptoms of fecal incontinence (FI) using the Vaizey and Colorectal-Anal Impact (CRAIQ) questionnaires. Women with rectovaginal fistulas were excluded. Each participant's impression of overall health was assessed using a visual analog scale (VAS) from 0 (poor) to 15 (excellent). A study nurse translated questionnaires into native languages.


RESULTS
The mean age of the 83 women included was 29 years. Three women (3.6%) reported FI and 42 (50.6%) reported constipation. All of the women with FI reported that it affected their quality of life on the CRAIQ. Average VAS score was 10.8 overall and 6.8 for women with FI.


CONCLUSIONS
In this population of women with VVF but no rectovaginal fistulas, we found a low prevalence of fecal incontinence and a high prevalence of constipation. Despite significant pelvic floor trauma resulting in VVF, the majority of patients appeared to have an intact bowel continence mechanism.
Department of Obstetrics and Gynecology, University of California San Diego, San Diego, USA.
Anna C
AC
Kirby
Jonathan L
JL
Gleason
William Jerod
WJ
Greer
Andy J
AJ
Norman
Sunday
S
Lengmang
Holly E
HE
Richter
D000293:Adolescent; D000328:Adult; D003248:Constipation / Q000453:epidemiology / Q000209:etiology; D036861:Delivery, Obstetric / Q000009:adverse effects*; D005260:Female; D006801:Humans; D008875:Middle Aged; D009549:Nigeria / Q000453:epidemiology; D010147:Pain Measurement; D015995:Prevalence; D011788:Quality of Life; D011795:Surveys and Questionnaires; D014549:Urinary Incontinence / Q000453:epidemiology / Q000209:etiology; D014719:Vesicovaginal Fistula / Q000453:epidemiology* / Q000209:etiology; D055815:Young Adult