Prevalence of bowel symptoms in women with pelvic floor disorders

Fareesa Raza-Khan*, Jacqueline Cunkelman, Lior Lowenstein, Susan Shott, Kimberly Kenton

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

19 Scopus citations


Introduction and hypothesis: To determine the prevalence of a variety of bowel symptoms in women with pelvic floor disorders Methods: We reviewed charts of consecutive new patients presenting to our urogynecologic clinic between July 2006 and April 2008. Women completed two bowel symptom questionnaires: (1) a nonvalidated questionnaire inquiring about symptoms of fecal/flatal incontinence, painful bowel movements, difficulties in bowel movement, and the need for splinting and (2) the validated, Colorectal-Anal Distress Inventory (CRADI) subscale of the short form of the Pelvic Floor Distress Inventory. Demographic and clinical information were extracted from patients' charts. Results: Four hundred sixty-three women were included. Only 3% of the women presented with defecatory dysfunction or fecal incontinence as their chief complaint. However, 83% answered affirmatively to the presence of at least one CRADI bowel symptom. The most common bowel symptom was incomplete emptying at the end of a bowel movement (56%), followed by straining to have a bowel movement (55%), and flatal incontinence (54%). Conclusions: Women rarely seek urogynecologic care primarily for bowel symptoms, although they have a high prevalence of bowel symptoms.

Original languageEnglish (US)
Pages (from-to)933-938
Number of pages6
JournalInternational Urogynecology Journal
Issue number8
StatePublished - Aug 2010


  • Bowel symptoms
  • Colorectal-Anal Distress Inventory
  • Pelvic floor disorders
  • Quality of life

ASJC Scopus subject areas

  • Obstetrics and Gynecology
  • Urology


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