Dysfunctional urinary voiding in women with functional defecatory disorders

C. J. Klingele, D. J. Lightner, Joel Garland Fletcher, J. B. Gebhart, Adil Eddie Bharucha

Research output: Contribution to journalArticle

13 Citations (Scopus)

Abstract

Background While pelvic floor dysfunction may manifest with bladder or bowel symptoms, the relationship between functional defecatory disorders and dysfunctional voiding is unclear. Our hypothesis was that patients with defecatory disorders have generalized pelvic floor dysfunction, manifesting as dysfunctional urinary voiding. Methods Voiding was assessed by a symptom questionnaire, a voiding diary, uroflowmetry, and by measuring the postvoid residual urine volume in this case-control study of 28 patients with a functional defecatory disorder (36 ± 2 years, mean ± SEM) and 30 healthy women (36 ± 2 years). Key Results Women with a defecatory disorder frequently reported urinary symptoms: urgency (61%), frequency (36%), straining to begin (21%), or finish (50%) voiding, and the sense of incomplete emptying (54%). Fluid intake and output, the minimum voided volume, and the shortest duration between voids measured by voiding diaries were higher (P < 0.05) in patients than in controls. Uroflowmetry revealed abnormalities in seven controls and 22 patients. The risk of abnormal voiding by uroflowmetry was higher in patients (OR 8.0; 95% CI, 2.3-26.9) than in controls. Patients took longer than controls (P < 0.01) to attain the maximum urinary flow rate (12 ± 2 VS 4 ± 0 s) and to empty the bladder (29 ± 4 VS 20 ± 2 s), but the maximum urinary flow rate and postvoid residual volumes were not significantly different. Conclusions & Inferences Symptoms of dysfunctional voiding and uroflowmetric abnormalities occurred more frequently, suggesting of disordered urination, in women with a defecatory disorder than in healthy controls.

Original languageEnglish (US)
JournalNeurogastroenterology and Motility
Volume22
Issue number10
DOIs
StatePublished - Oct 2010

Fingerprint

Residual Volume
Pelvic Floor
Urinary Bladder
Urination
Case-Control Studies
Urine
Surveys and Questionnaires

Keywords

  • chronic constipation
  • defecatory disorders
  • pelvic floor dysfunction
  • uroflowmetry
  • voiding dysfunction

ASJC Scopus subject areas

  • Physiology
  • Gastroenterology
  • Endocrine and Autonomic Systems

Cite this

Dysfunctional urinary voiding in women with functional defecatory disorders. / Klingele, C. J.; Lightner, D. J.; Fletcher, Joel Garland; Gebhart, J. B.; Bharucha, Adil Eddie.

In: Neurogastroenterology and Motility, Vol. 22, No. 10, 10.2010.

Research output: Contribution to journalArticle

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