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International Urogynecology Journal

Published in:

01-02-2014 | Original Article

The relationship between uterine leiomyomata and pelvic floor symptoms

Authors: Christina E. Dancz, Priyanka Kadam, Carrie Li, Kristen Nagata, Begüm Özel

Published in: International Urogynecology Journal | Issue 2/2014

Abstract

Introduction and hypothesis

To compare pelvic floor symptoms in women with a leiomyomatous uterus ≤12 weeks and those >12 weeks in size and to evaluate the resolution of these symptoms after surgical intervention.

Methods

The PFDI-20, PFIQ-7 and 3-day voiding diaries were administered prospectively to all subjects. Demographics and questionnaire responses were compared using a t test, Chi-squared test or Mann–Whitney U test as indicated.

Results

One hundred and forty-five women completed the questionnaires and were included for analysis. There were 58 women with uterine size ≤12 weeks (group I) and 87 women with size >12 weeks (group II). Participants in group I reported more straining to defecate (p = 0.042), while group II reported increased feeling of incomplete bladder emptying (p = 0.007) and difficulty emptying their bladder (p = 0.008). Review of ultrasound images revealed no difference in pelvic floor symptoms when stratified by leiomyoma location. At 1-year follow-up, 69 women (48 %) responded, and 40 (58 %) had undergone surgical intervention. Surgery was shown to improve symptoms for all questions reviewed at 1-year follow-up.

Conclusions

A leiomyomatous uterus >12 weeks is associated with the symptom of incomplete bladder emptying, but does not appear to have an effect on other pelvic floor symptoms compared with women with a smaller leiomyomatous uterus. Surgical intervention for leiomyomata improves pelvic floor symptoms.

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Title: The relationship between uterine leiomyomata and pelvic floor symptoms
Authors: Christina E. Dancz
Priyanka Kadam
Carrie Li
Kristen Nagata
Begüm Özel
Publication date: 01-02-2014
Publisher: Springer London
Published in: International Urogynecology Journal / Issue 2/2014
Print ISSN: 0937-3462
Electronic ISSN: 1433-3023
DOI: https://doi.org/10.1007/s00192-013-2183-y

At a glance: The STEP trials

Springer Medicine

The relationship between uterine leiomyomata and pelvic floor symptoms

Abstract

Introduction and hypothesis

Methods

Results

Conclusions

At a glance: The STEP trials

Springer Medicine

Abstract

Introduction and hypothesis

Methods

Results

Conclusions

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