Evidence map›Paper›PMID 28299421›Full record

ArticleInternational journal of colorectal disease2017

Evaluation of sexual dysfunction in female patients presenting with faecal incontinence or defecation disorder.

Gianluca Pellino, Lisa Ramage, Constantinos Simillis, Oliver Warren, Christos Kontovounisios, Emile Tan, Paris Tekkis

Abstract read
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Article in International journal of colorectal disease, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.1field-weighted citation impact, top 23% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 9 citations in OpenAlex.

  1. Trial
  2. Review
  3. Article
  4. Review
  5. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 2 institutions in 2 countries.

Gianluca PellinoDepartment of Surgery and Cancer, Chelsea and Westminster Hospital, Imperial College London, London, UK.ORCID http://orcid.org/0000-0002-8322-6421
Lisa RamageDepartment of Surgery and Cancer, Chelsea and Westminster Hospital, Imperial College London, London, UK.
Constantinos SimillisDepartment of Surgery and Cancer, Chelsea and Westminster Hospital, Imperial College London, London, UK.
Oliver WarrenDepartment of Surgery and Cancer, Chelsea and Westminster Hospital, Imperial College London, London, UK.
Christos KontovounisiosDepartment of Surgery and Cancer, Chelsea and Westminster Hospital, Imperial College London, London, UK. c.kontovounisios@imperial.ac.uk.
Emile TanDepartment of Surgery and Cancer, Chelsea and Westminster Hospital, Imperial College London, London, UK.
Paris TekkisDepartment of Surgery and Cancer, Chelsea and Westminster Hospital, Imperial College London, London, UK.
Chelsea and Westminster Hospital · GBSingapore General Hospital · SG

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeFemale patients with pelvic floor diseases may suffer from several sexual disorders and sexual life impairments. The aim of this manuscript was to evaluate sexual dysfunction in female patients presenting with faecal incontinence (FI) and defecation disorder (DD).

methodsA retrospective review was performed of a prospectively collected database of sexually active women referred to the pelvic floor clinic, who completed the Pelvic Organ Prolapse/Incontinence Sexual Questionnaire-12 (PISQ-12) at first visit. Statistical analysis was performed to evaluate and compare sexual dysfunction between patients with FI and DD and with published data on the general population. Regression analysis was used to identify predictors of sexual dysfunction and surgery.

resultsThree hundred thirteen patients were included, 192 (61%) with FI and 121 (39%) with DD. The patients with DD received more non-gynaecological surgical procedures (p = 0.023). More patients with DD received surgery for their current pelvic floor disease (p < 0.001). Major sexual impairment (PISQ-12 < 30) was found in 100 patients (31.9%). The mean PISQ-12 (33.2 ± 7.2) score was by 5 points lower than those reported in the general population from PISQ-validating studies. Prior anorectal surgery (odds ratio (OR) = 15.4), partner ejaculation problems (PISQ item 11, OR = 2.5), reduced sexual arousal (item 2, OR = 2.1), and orgasm perception (item 13, OR = 2.1) were the strongest predictors of worse sexual function in patients with FI. Patients with DD were almost 15 times more likely to receive subsequent surgery (OR = 14.6, p < 0.001), whereas fear of urine leakage almost doubled the risk.

conclusionsSexual dysfunction is prevalent among patients suffering from FI and DD, and questionnaires are useful in recognizing these patients. Subsequent surgery is more common for patients with DD compared to those with FI.

Indexed as

AdultConfidence IntervalsDefecationFecal IncontinenceFemaleHumansOdds RatioPrognosisSexual Dysfunction, PhysiologicalSurveys and QuestionnairesConstipationDefecation disorderFaecal incontinencePelvic floorPISQ-12Sexual function

Identifiers

PMID28299421
OpenAlexW2606370559

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.