Bowel symptoms and POP-Q stage are poorly correlated

Yashika T. Dooley*, Kristine West, Kimberly Kenton, Mary Pat Fitzgerald, Linda Brubaker

*Corresponding author for this work

Research output: Contribution to journalReview articlepeer-review

1 Scopus citations


OBJECTIVE: To determine the relationship of bowel symptoms and the stage of pelvic organ prolapse. STUDY DESIGN: Charts of consecutive new patients were reviewed. Demographic information, prolapse stage and responses to the Colorectal-Anal Distress Inventory (CRADI) portion of the Pelvic Floor Distress Inventory (PFDI) questionnaire were recorded. The number and type of bowel symptoms were compared with prolapse stage. Spearman's correlations were used to compare CRADI scores to POP-Q stage. RESULTS: Three hundred ten women were included. Ninety-six percent reported at least 1 bowel symptom with an average of 3 symptoms. The number and type of symptom was not related to stage of prolapse. The median score for the CRADI was 62.5 (IQR 50-75) and did not differ by prolapse stage. No significant correlation was found between POP-Q stage and the CRADI summary score (Spearman's ρ = 0.03, P = 0.593) or any individual CRADI item score (Spearman's ρ = 0.018-0.294, P > 0.1). CONCLUSION: Although virtually all women presenting for urogynecologic care have bowel symptoms, there is poor correlation between bowel symptoms and prolapse stage.

Original languageEnglish (US)
Pages (from-to)263-266
Number of pages4
JournalJournal of Pelvic Medicine and Surgery
Issue number5
StatePublished - Sep 2006


  • Bowel symptoms
  • Colorectal Anal Distress Inventory
  • Constipation
  • Fecal incontinence
  • Pelvic organ prolapse

ASJC Scopus subject areas

  • Surgery
  • Obstetrics and Gynecology
  • Urology


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