The Prevalence of Vaginal Flatus in Women With Pelvic Floor Disorders and Its Impact on Sexual Function
Copyright © 2020 International Society for Sexual Medicine. Published by Elsevier Inc. All rights reserved..
BACKGROUND: Vaginal flatus is involuntarily passing gas from the vagina. Women seldom voluntarily report it, and related data are limited.
AIM: To investigate the prevalence of vaginal flatus in women with pelvic floor disorders and its impact on sexual function.
METHODS: This was an observational study involving women who visited a urogynecologic clinic in a tertiary medical center. Patients were asked about their experience of vaginal flatus. Other evaluations included urodynamics, genital prolapse stage, and quality-of-life questionnaires, including the short form of the Pelvic Organ Prolapse/Urinary Incontinence Sexual Questionnaire, Urogenital Distress Inventory, and Incontinence Impact Questionnaire.
OUTCOMES: Clinical characteristics, vaginal anatomic landmarks, stage of prolapse, urodynamic parameters, and quality-of-life scores were compared between women with and without vaginal flatus.
RESULTS: Among 341 women, 118 (35%) reported vaginal flatus, which was more common in those who were younger (a mean age of 49.3 ± 9.2 years; range 25-74 years vs 49.3 ± 9.2 years; range 25-74 years, P < .001) and sexually active (98% vs 55%, P < .001). Women with vaginal flatus had significantly worse sexual function (Pelvic Organ Prolapse/Urinary Incontinence Sexual Questionnaire, 16.3 ± 15.9 vs 30.9 ± 8.0, P < .001) and incontinence-related quality of life (Urogenital Distress Inventory, 23.4 ± 10.5 vs 17.8 ± 8.9, P = .039; Incontinence Impact Questionnaire, 25.5 ± 14.5 vs 17.2 ± 12.5, P = .012). For frequency and bother, 48 of 116 (46%) women reported often or always having symptoms during sexual activity, 5 of 34 (15%) when performing daily activities, and 4 of 31 (12%) when exercising, and 70 of 116 (60%) felt least moderate bothersome during sexual activity compared with 2 of 34 (5%) when performing daily activities and 6 of 31 (18%) when exercising.
CLINICAL IMPLICATIONS: Vaginal flatus is prevalent in women with pelvic floor disorders, particularly in those who are younger and sexually active.
STRENGTHS & LIMITATIONS: The strength of this study is to evaluate the sexual function with validated questionnaires. The lack of data after pelvic floor management is the major limitation.
CONCLUSIONS: Among women with pelvic floor disorders, those with vaginal flatus reported poorer sexual function. Routine counseling should be considered for these patients. Lau H-H, Su T-H, Chen Y-Y, et al. The Prevalence of Vaginal Flatus in Women With Pelvic Floor Disorders and Its Impact on Sexual Function. J Sex Med 2021;18:487-492.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2021 |
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| Erschienen: |
2021 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:18 |
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| Enthalten in: |
The journal of sexual medicine - 18(2021), 3 vom: 25. März, Seite 487-492 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Lau, Hui-Hsuan [VerfasserIn] |
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| Links: |
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| Themen: |
Flatus |
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| Anmerkungen: |
Date Completed 20.04.2021 Date Revised 20.04.2021 published: Print-Electronic Citation Status MEDLINE |
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| doi: |
10.1016/j.jsxm.2020.12.008 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM320662071 |
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| 245 | 1 | 4 | |a The Prevalence of Vaginal Flatus in Women With Pelvic Floor Disorders and Its Impact on Sexual Function |
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| 500 | |a Date Revised 20.04.2021 | ||
| 500 | |a published: Print-Electronic | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a Copyright © 2020 International Society for Sexual Medicine. Published by Elsevier Inc. All rights reserved. | ||
| 520 | |a BACKGROUND: Vaginal flatus is involuntarily passing gas from the vagina. Women seldom voluntarily report it, and related data are limited | ||
| 520 | |a AIM: To investigate the prevalence of vaginal flatus in women with pelvic floor disorders and its impact on sexual function | ||
| 520 | |a METHODS: This was an observational study involving women who visited a urogynecologic clinic in a tertiary medical center. Patients were asked about their experience of vaginal flatus. Other evaluations included urodynamics, genital prolapse stage, and quality-of-life questionnaires, including the short form of the Pelvic Organ Prolapse/Urinary Incontinence Sexual Questionnaire, Urogenital Distress Inventory, and Incontinence Impact Questionnaire | ||
| 520 | |a OUTCOMES: Clinical characteristics, vaginal anatomic landmarks, stage of prolapse, urodynamic parameters, and quality-of-life scores were compared between women with and without vaginal flatus | ||
| 520 | |a RESULTS: Among 341 women, 118 (35%) reported vaginal flatus, which was more common in those who were younger (a mean age of 49.3 ± 9.2 years; range 25-74 years vs 49.3 ± 9.2 years; range 25-74 years, P < .001) and sexually active (98% vs 55%, P < .001). Women with vaginal flatus had significantly worse sexual function (Pelvic Organ Prolapse/Urinary Incontinence Sexual Questionnaire, 16.3 ± 15.9 vs 30.9 ± 8.0, P < .001) and incontinence-related quality of life (Urogenital Distress Inventory, 23.4 ± 10.5 vs 17.8 ± 8.9, P = .039; Incontinence Impact Questionnaire, 25.5 ± 14.5 vs 17.2 ± 12.5, P = .012). For frequency and bother, 48 of 116 (46%) women reported often or always having symptoms during sexual activity, 5 of 34 (15%) when performing daily activities, and 4 of 31 (12%) when exercising, and 70 of 116 (60%) felt least moderate bothersome during sexual activity compared with 2 of 34 (5%) when performing daily activities and 6 of 31 (18%) when exercising | ||
| 520 | |a CLINICAL IMPLICATIONS: Vaginal flatus is prevalent in women with pelvic floor disorders, particularly in those who are younger and sexually active | ||
| 520 | |a STRENGTHS & LIMITATIONS: The strength of this study is to evaluate the sexual function with validated questionnaires. The lack of data after pelvic floor management is the major limitation | ||
| 520 | |a CONCLUSIONS: Among women with pelvic floor disorders, those with vaginal flatus reported poorer sexual function. Routine counseling should be considered for these patients. Lau H-H, Su T-H, Chen Y-Y, et al. The Prevalence of Vaginal Flatus in Women With Pelvic Floor Disorders and Its Impact on Sexual Function. J Sex Med 2021;18:487-492 | ||
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| 650 | 4 | |a Sexual Intercourse | |
| 650 | 4 | |a Stress Urinary Incontinence | |
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| 700 | 1 | |a Chen, Ying-Yu |e verfasserin |4 aut | |
| 700 | 1 | |a Huang, Wen-Chu |e verfasserin |4 aut | |
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