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KMID : 0978920140150010020
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Korean Journal of Clinical Geriatrics
2014 Volume.15 No. 1 p.20 ~ p.26
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Clinical Subtypes and Treatment of Pelvic Outlet Obstruction - Focus On Aged Females
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Lee Angels Soeun
Hwang Yong-Hee
Jung Yong-Hwan
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Abstract
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Background: The aim of this study was to assess clinical characteristics and treatment in aged females with pelvic outlet obstruction.
Methods: From July 2007 to January 2010, all female patients who were diagnosed with pelvic outlet obstruction by cinedefecography had more than one biofeedback session. Patients were classified into 2 groups: group A: ≥65 years of age, group B; ＜65 years of age.
Results: A hundred six patients (group A: 23, group B: 83) were analyzed. Incidence of rectal intussusceptions was significantly higher in group A (30%) than group B (12%) (P＜0.05). Large rectocele was significantly higher in group A (26%) compared to group B (19%) (P＜0.05). Perineal descending syndrome was significantly higher in group A (91%) than group B (63%) (P＜0.01). Second degree sigmoidocele was significantly higher in group A (9%) than group B (0%) (P＜0.01). There were no significant difference between the two groups comparing nonrelaxing puborectalis syndrome: group A (30%), group B (42%) (P=0.26); as well as the slow transit constipation incidence rate in group A (17%) and group B (9%) (P=0.44). Success rate of biofeedback therapy in group A (91%) and group B (77%) showed no significant difference (P=0.13).
Conclusion: In aged females, rectal intussusception, large rectocele, descending perineal syndrome, 2nd degree sigmoidocele was common than in younger females. In case of rectal intussusception, rectocele, descending perineal syndrome, 2nd degree sigmoidocele, and aging was the factor influencing cause of idiopathic chronic constipation in female, possibly making a difference in the pelvic floor. However, age is not a predictor of failure of biofeedback therapy, and biofeedback is a favorable option for aged females with chronic constipation.
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KEYWORD
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Constipation, Aged female, Biofeedback
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